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Guidelines
Pathogens
Antimicrobials
Urgent line removal indicated (mortality benefit) and blood cultures q2d until negative.
When yeast reported in Gram stain of Blood Culture initiate therapy with:
Micafungin 100mg IV daily
If the isolate is identified as C. albicans or C. parapsilosis, change to:
Fluconazole 400mg IV/P0 daily
For all other Candida species continue:
Micafungin 100mg IV daily until susceptibilities reported
Duration (minimum 2 weeks) depends on presence of complications.
Strongly Recommend Infectious Disease Consultation.
Recommend ophthalmologic evaluation for endophthalmitis.