Materials and Methods: This study was performed retrospectively between January 2015 and December 2017 in the 20-bed ICU. The archive files of patients diagnosed with IC were analyzed. By reviewing the consultation reports of Cardiology and Ophthalmology clinics, cardiac and ocular findings were reported.
Results: Invasive Candidiasis was detected in 44 of 1746 patients who were admitted to the ICU. While the ratio of IC was 25.2 in 1000 patients, the IC rate was 2.02 in 1000 patient days. Of these patients, 41 (93.2%) had central venous catheter-related bloodstream infection, and three (6.8%) of them had urinary tract infection. The most common agents were C. albicans (n = 20, 42.6%) and C. parapsilosis (n = 20, 42.6%). The others were C. tropicalis (n = 4, 8.5%), unspecified Candida spp. (n = 2, 4.2%), and C. glabrata (n = 1, 2.1%). None of the patients had signs of cardiac involvement, such as endocardial vegetation, and signs of ocular involvement, such as chorioretinitis, endophthalmitis, and vitritis.
Conclusion: In our study, we did not detect cardiac and ocular involvement in patients with IC. We believe that larger-scale prospective studies are needed to determine the prevalence of these complications in the ICU.
Keywords : Invasive Candidiasis, chorioretinitis, endophthalmitis, endocarditis, intensive care unit