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Screening for Ocular Candidiasis Among Patients With Candidemia: Is It Time to Change Practice?

Authors :
O'Donnell, Matthew
Eller, Andrew W
Waxman, Evan L
Clancy, Cornelius J
Nguyen, M Hong
Source :
Clinical Infectious Diseases. 9/15/2022, Vol. 75 Issue 6, p1092-1096. 5p.
Publication Year :
2022

Abstract

Ocular candidiasis (OC) complicates approximately 10% of candidemia and carries potentially severe morbidity. There are conflicting recommendations about the need for routine funduscopic examinations of candidemic patients. Indirect funduscopy is accurate and safe in diagnosing OC, and positive findings change recommended treatment. However, conclusive evidence that treatment changes improve outcomes is lacking. Bringing perspectives as infectious diseases physicians and ophthalmologists, we review controversies about OC and endorse routine screening during candidemia. We acknowledge difficulties in obtaining inpatient ophthalmologic consults and recommend studies to evaluate digital fundus photography and teleophthalmology as an alternative to funduscopic examinations by ophthalmologists in asymptomatic patients. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
10584838
Volume :
75
Issue :
6
Database :
Academic Search Index
Journal :
Clinical Infectious Diseases
Publication Type :
Academic Journal
Accession number :
159422829
Full Text :
https://doi.org/10.1093/cid/ciac233