CaMed Score of Ruiz-Ruigomez et al for Predicting Candidemia

Description

Ruiz-Ruigomez et al reported the CaMed Score to predict the risk of candidemia in non-ICU medical patients who are non-neutropenic. This can help to identify a patient who should be investigated for candidemia. The authors are from multiple institutions in Spain.

Patient selection: medical, non-neutropenic, non-ICU

Parameters:

(1) sex of the patient

(2) steroid therapy

(3) history of prior antibiotic therapy

(4) total parenteral nutrition (TPN)

(5) urinary catheterization

Parameter	Finding	Beta-Coefficients	Points
sex	female	0	0
	male	0.75	1
steroid therapy	no	0	0
	yes	1.14	1
prior antibiotic therapy	no	0	0
	yes	2.73	5
TPN	no	0	0
	yes	1.92	2
urinary catheter	no	0	0
	yes	1.19	1

value of X =

= SUM(beta-coefficients) - 6.06

probability of candidemia =

= 1 / (1 + EXP((-1) * X))

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 0

• maximum score: 10

• A score >=7 had a sensitivity of 79% and specificity of 83%, with a Youden index of 0.62.

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CaMed Score of Ruiz-Ruigomez et al for Predicting Candidemia

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