Sepsis & infection

Relationship between SARS-CoV-2 infection and intensive care unit (ICU)-acquired candidemia in critically ill medical patients: a multicenter prospective cohort study

Crit CarePublished Prospective cohort study

Authors' conclusion

In this large multicenter cohort of ICU patients, although remaining low, the rate of ICAC was higher among COVID-19 patients.

Study context

Population
Adults hospitalised ≥48 h for a medical reason in ICUs of the French REA-REZO network, January 2020 to January 2023
Participants
55,268 adults · 101 ICUs
Exposure
SARS-CoV-2 positive vs negative patients
  • COVID-19n = 13,472
  • Non-COVID-19n = 41,796reference
Outcome
ICU-acquired candidemia (ICAC) rate
Methodological detailsmulticentre, propensity-score matched, surveillance network
  • Multicentre
  • Propensity-score matched
  • Surveillance network

Main finding

As reported in the abstract

ICAC rate

P = 0.004

Observational data: associations, not effects.

Further findings

ICAC rate, overall population

P < 0.001

Per 1000 patients-days

OutcomeCOVID-19Non-COVID-19IRR (95% CI)P value
ICAC incidence rate0.510.321.58 (1.08–2.35)P = 0.018
OutcomeP value
ICU mortality, patients with vs without ICACP < 0.001
  • ICU mortality, patients with vs without ICAC: ICAC 49.6%
  • ICU mortality, patients with vs without ICAC: No ICAC 20.2%

Original publication

Relationship between SARS-CoV-2 infection and ICU-acquired candidemia in critically ill medical patients: a multicenter prospective cohort study. Crit Care. Published 27 September 2024. doi:10.1186/s13054-024-05104-w

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