Hospital-Acquired Candidemia: The Attributable Mortality and Excess Length of Stay

Sergio B. Wey, Motomi (Tomi) Mori, Michael A. Pfaller, Robert F. Woolson, Richard P. Wenzel

Research output: Contribution to journalArticle

744 Citations (Scopus)

Abstract

Between 1977 and 1984, estimates of hospital-acquired bloodstream infections caused by Candida species increased in the United States from 0.5 to 1.5 per 10000 admissions (National Nosocomial Infection Study data). We examined crude and attributable mortality rates and excess length of stay in 88 closely matched pairs of cases and controls with illnesses occurring between July 1983 and December 1986. The crude mortality rates for cases and controls were 57% and 19%, respectively; thus the attributable mortality rate was 38% with a 95% confidence interval of 26% to 49%. The risk ratio was 2.94 with a 95% confidence interval of 1.95 to 4.43. The median length of stay was 48 days for all cases and 40 days for all controls. An analysis of the length of stay for the 34 matched pairs that survived showed a median of 70 days for cases and 40 days for controls. Candida bloodstream infections represented 10% of all nosocomial bloodstream infections in the period studied at our University Hospital; they are associated with a significant medical and economic burden well above that expected of the underlying diseases alone.

Original languageEnglish (US)
Pages (from-to)2642-2645
Number of pages4
JournalArchives of Internal Medicine
Volume148
Issue number12
DOIs
StatePublished - 1988
Externally publishedYes

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Candidemia
Length of Stay
Cross Infection
Candida
Mortality
Confidence Intervals
Medical Economics
Infection
Odds Ratio

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Hospital-Acquired Candidemia : The Attributable Mortality and Excess Length of Stay. / Wey, Sergio B.; Mori, Motomi (Tomi); Pfaller, Michael A.; Woolson, Robert F.; Wenzel, Richard P.

In: Archives of Internal Medicine, Vol. 148, No. 12, 1988, p. 2642-2645.

Research output: Contribution to journalArticle

Wey, Sergio B. ; Mori, Motomi (Tomi) ; Pfaller, Michael A. ; Woolson, Robert F. ; Wenzel, Richard P. / Hospital-Acquired Candidemia : The Attributable Mortality and Excess Length of Stay. In: Archives of Internal Medicine. 1988 ; Vol. 148, No. 12. pp. 2642-2645.
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