Invasive candidiasis is hard to diagnose and is associated with high mortality. Researchers prospectively validated a simple “candida score” to distinguish between colonization and infection in non-neutropenic ICU patients. A 5 point score (1 for TPN, 1 for surgery on ICU admission, 1 for candida colonization, and 2 for severe sepsis) predicted the incidence of invasive candidiasis: 2.3% for score <3, 8.5% for score 3, 16.8% for score 4, and 23.6% for score 5. For ICU patients with a score <3, invasive candidiasis is unlikely (abstract).
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.