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Candidaemia ICU Management — FRCA Final MCQ

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HardIntensive Care MedicineCandidaemia ICU ManagementFRCA Final

Candidaemia in ICU patient on TPN and broad-spectrum antibiotics. Most important step?

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Correct answer: C — Remove CVC and start echinocandin

Candidaemia is NEVER a contaminant. Remove all CVCs (most common source). Echinocandin first-line (caspofungin/micafungin). Ophthalmology review (endophthalmitis ~10-15%). Repeat cultures until clearance. De-escalate to fluconazole if susceptible.

Reference: IDSA – 2022 – Candidiasis guidelines; ESCMID – 2023