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How do you approach recommending ocular exams for asymptomatic candidemic patients considering the discordance between the IDSA and American Academy of Ophthalmology guidelines?
Answer from: at Community Practice
Endogenous endophthalmitis due to Candida sp. occurs in <1% of patients with candidemia. The IDSA 2016 guidelines for management of candidiasis outline evaluation and treatment of patients with endophthalmitis, with recommendations to perform a dilated ophthalmologic exam on all patients with can...
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Answer from: at Academic Institution
Endogenous endophthalmitis from candidemia may occur in more than 0.9% of patients, the incidence previously cited by the AAO. A more recent international systematic review and meta-analysis published in CID puts the estimate somewhere between 1% and 10%, depending upon the type of ocular candidiasi...
Answer from: at Community Practice
The 2016 IDSA guidelines state, "Recent data suggest that as many as 16% of patients with candidemia have some manifestation of ocular involvement, and some of these patients will develop severe, sight-threatening endophthalmitis [70]." For years, I have wondered where the data that the 2016 IDSA gu...