An ICU patient has Candida glabrata in peripheral and central blood cultures and a central venous catheter. He is hemodynamically stable. What is the

Question

An ICU patient has Candida glabrata in peripheral and central blood cultures and a central venous catheter. He is hemodynamically stable. What is the best initial management?

Accepted Answer

Start an echinocandin and remove the catheter when feasible

Answer

Interpret a single Candida-positive culture as probable contamination

Answer

Use topical nystatin as treatment for bloodstream infection

Answer

Retain the catheter until fourteen days after cultures clear

Answer

Use low-dose oral fluconazole before susceptibility results for this species

Candidemia from central venous catheter — RCPSC IM MCQ

An ICU patient has Candida glabrata in peripheral and central blood cultures and a central venous catheter. He is hemodynamically stable. What is the best initial management?