Development of a surveillance system for Fungemia to assist in rapid diagnosis and treatment to reduce the mortality rate in Nakhon Phanom Hospital Surveillance system
Conditions
Interventions
Implementation of surveillance of the system (Laboratory alert and Early anti-fungal drugs),no Implementation of surveillance of the system (Laboratory alert and Early anti-fungal drugs)
Treatment,Treatment
Sponsors
Nakhon Phanom Hospital
Eligibility
Sex/Gender
All
Age
15 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Hospitalized inpatients with laboratory-confirmed bloodstream fungal infection who were admitted to and treated at Nakhon Phanom Hospital. 2. Age > 15 years
Exclusion criteria
Exclusion criteria: 1. Patients diagnosed with cryptococcosis based on a positive serum cryptococcal antigen test. 2. Patients without clinical features consistent with sepsis or septic shock (e.g., colonization or contamination). 3. Patients with clinical features consistent with sepsis or septic shock attributable to other causes, such as bacterial or viral infections. 4. Patients with incomplete or unavailable medical record data.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mortality 12 mo Cox proportional hazards regression | — |
Secondary
| Measure | Time frame |
|---|---|
| Hospital length of stay 12 mo Risk difference,Cost 12 mo Risk difference,Sum Adj RW 12 mo Risk difference | — |
Countries
Thailand
Contacts
Public ContactSupphachoke Khemla
Nakhon Phanom Hospital
Outcome results
None listed