Invasive candidosis: contrasting the perceptions of infectious disease physicians and intensive care physicians
Introduction We analyze how infectious disease physicians perceive and manage invasive candidosis in Brazil, in comparison to intensive care unit specialists. Methods A 38-question survey was administered to 56 participants. Questions involved clinicians' perceptions of the epidemiology, diagno...
Published in: | Revista da Sociedade Brasileira de Medicina Tropical |
---|---|
Main Authors: | , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Sociedade Brasileira de Medicina Tropical (SBMT)
2013
|
Subjects: | |
Online Access: | https://doi.org/10.1590/0037-8682-0057-2013 https://doaj.org/article/7deb1ecd7e224eccbf67f87b4c0665eb |
id |
ftdoajarticles:oai:doaj.org/article:7deb1ecd7e224eccbf67f87b4c0665eb |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:7deb1ecd7e224eccbf67f87b4c0665eb 2023-05-15T15:12:20+02:00 Invasive candidosis: contrasting the perceptions of infectious disease physicians and intensive care physicians Vanessa Schultz Arnaldo Lopes Colombo Alessandro Comaru Pasqualotto 2013-07-01T00:00:00Z https://doi.org/10.1590/0037-8682-0057-2013 https://doaj.org/article/7deb1ecd7e224eccbf67f87b4c0665eb EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822013000400466&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0057-2013 https://doaj.org/article/7deb1ecd7e224eccbf67f87b4c0665eb Revista da Sociedade Brasileira de Medicina Tropical, Vol 46, Iss 4, Pp 466-471 (2013) Candidiasis Candidemia Invasive fungal infection Medical education Arctic medicine. Tropical medicine RC955-962 article 2013 ftdoajarticles https://doi.org/10.1590/0037-8682-0057-2013 2022-12-30T21:39:06Z Introduction We analyze how infectious disease physicians perceive and manage invasive candidosis in Brazil, in comparison to intensive care unit specialists. Methods A 38-question survey was administered to 56 participants. Questions involved clinicians' perceptions of the epidemiology, diagnosis, treatment and prophylaxis of invasive candidosis. P < 0.05 was considered statistically significant. Results The perception that candidemia not caused by Candida albicans occurs in less than 10% of patients is more commonly held by intensive care unit specialists (p=0.018). Infectious disease physicians almost always use antifungal drugs in the treatment of patients with candidemia, and antifungal drugs are not as frequently prescribed by intensive care unit specialists (p=0.006). Infectious disease physicians often do not use voriconazole when a patient's antifungal treatment has failed with fluconazole, which also differs from the behavior of intensive care unit specialists (p=0.019). Many intensive care unit specialists use fluconazole to treat candidemia in neutropenic patients previously exposed to fluconazole, in contrast to infectious disease physicians (p=0.024). Infectious disease physicians prefer echinocandins as a first choice in the treatment of unstable neutropenic patients more frequently than intensive care unit specialists (p=0.013). When candidemia is diagnosed, most infectious disease physicians perform fundoscopy (p=0.015), whereas intensive care unit specialists usually perform echocardiograms on all patients (p=0.054). Conclusions This study reveals a need to better educate physicians in Brazil regarding invasive candidosis. The appropriate management of this disease depends on more drug options being available in our country in addition to global coverage in private and public hospitals, thereby improving health care. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista da Sociedade Brasileira de Medicina Tropical 46 4 466 471 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Candidiasis Candidemia Invasive fungal infection Medical education Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Candidiasis Candidemia Invasive fungal infection Medical education Arctic medicine. Tropical medicine RC955-962 Vanessa Schultz Arnaldo Lopes Colombo Alessandro Comaru Pasqualotto Invasive candidosis: contrasting the perceptions of infectious disease physicians and intensive care physicians |
topic_facet |
Candidiasis Candidemia Invasive fungal infection Medical education Arctic medicine. Tropical medicine RC955-962 |
description |
Introduction We analyze how infectious disease physicians perceive and manage invasive candidosis in Brazil, in comparison to intensive care unit specialists. Methods A 38-question survey was administered to 56 participants. Questions involved clinicians' perceptions of the epidemiology, diagnosis, treatment and prophylaxis of invasive candidosis. P < 0.05 was considered statistically significant. Results The perception that candidemia not caused by Candida albicans occurs in less than 10% of patients is more commonly held by intensive care unit specialists (p=0.018). Infectious disease physicians almost always use antifungal drugs in the treatment of patients with candidemia, and antifungal drugs are not as frequently prescribed by intensive care unit specialists (p=0.006). Infectious disease physicians often do not use voriconazole when a patient's antifungal treatment has failed with fluconazole, which also differs from the behavior of intensive care unit specialists (p=0.019). Many intensive care unit specialists use fluconazole to treat candidemia in neutropenic patients previously exposed to fluconazole, in contrast to infectious disease physicians (p=0.024). Infectious disease physicians prefer echinocandins as a first choice in the treatment of unstable neutropenic patients more frequently than intensive care unit specialists (p=0.013). When candidemia is diagnosed, most infectious disease physicians perform fundoscopy (p=0.015), whereas intensive care unit specialists usually perform echocardiograms on all patients (p=0.054). Conclusions This study reveals a need to better educate physicians in Brazil regarding invasive candidosis. The appropriate management of this disease depends on more drug options being available in our country in addition to global coverage in private and public hospitals, thereby improving health care. |
format |
Article in Journal/Newspaper |
author |
Vanessa Schultz Arnaldo Lopes Colombo Alessandro Comaru Pasqualotto |
author_facet |
Vanessa Schultz Arnaldo Lopes Colombo Alessandro Comaru Pasqualotto |
author_sort |
Vanessa Schultz |
title |
Invasive candidosis: contrasting the perceptions of infectious disease physicians and intensive care physicians |
title_short |
Invasive candidosis: contrasting the perceptions of infectious disease physicians and intensive care physicians |
title_full |
Invasive candidosis: contrasting the perceptions of infectious disease physicians and intensive care physicians |
title_fullStr |
Invasive candidosis: contrasting the perceptions of infectious disease physicians and intensive care physicians |
title_full_unstemmed |
Invasive candidosis: contrasting the perceptions of infectious disease physicians and intensive care physicians |
title_sort |
invasive candidosis: contrasting the perceptions of infectious disease physicians and intensive care physicians |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2013 |
url |
https://doi.org/10.1590/0037-8682-0057-2013 https://doaj.org/article/7deb1ecd7e224eccbf67f87b4c0665eb |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 46, Iss 4, Pp 466-471 (2013) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822013000400466&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0057-2013 https://doaj.org/article/7deb1ecd7e224eccbf67f87b4c0665eb |
op_doi |
https://doi.org/10.1590/0037-8682-0057-2013 |
container_title |
Revista da Sociedade Brasileira de Medicina Tropical |
container_volume |
46 |
container_issue |
4 |
container_start_page |
466 |
op_container_end_page |
471 |
_version_ |
1766343037824270336 |