Empiric Antifungals in the ICU

by Matthew Songin Patient Caseson Posted on

👩‍🦳 presents with perforated diverticulitis and is started on empiric antibiotics and taken to surgery. After surgery, she is hemodynamically stable and in the ICU. Should empiric micafungin be added?

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Best Answer

No

Explanation: In the ICU, empiric antifungal therapy should be reserved for patients with substantial risk factors and clinical instability (e.g. septic shock). In more stable patients, hold empiric antifungals and start treatment after a diagnosis is made (e.g. positive cultures for Candida spp.).

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