{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:30:53Z","timestamp":1753878653832,"version":"3.41.2"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,9,15]],"date-time":"2024-09-15T00:00:00Z","timestamp":1726358400000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001411","name":"Indian Council of Medical Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001411","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Mycoses"],"published-print":{"date-parts":[[2024,9]]},"abstract":"ABSTRACT<\/jats:title>Background and Objectives<\/jats:title>Candidaemia is a potentially life\u2010threatening emergency in the intensive care units (ICUs). Surveillance using common protocols in a large network of hospitals would give meaningful estimates of the burden of candidaemia and central line associated candidaemia in low resource settings. We undertook this study to understand the burden and epidemiology of candidaemia in multiple ICUs of India, leveraging the previously established healthcare\u2010associated infections (HAI) surveillance network. Our aim was also to assess the impact that the pandemic of COVID\u201019 had on the rates and associated mortality of candidaemia.<\/jats:p><\/jats:sec>Methods<\/jats:title>This study included adult patients from 67 Indian ICUs in the AIIMS\u2010HAI surveillance network that conducted BSI surveillance in COVID\u201019 and non\u2010COVID\u201019 ICUs during and before the COVID\u201019 pandemic periods. Hospitals identified healthcare\u2010associated candidaemia and central line associated candidaemia and reported clinical and microbiological data to the network as per established and previously published protocols.<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 401,601 patient days and 126,051 central line days were reported during the study period. A total of 377 events of candidaemia were recorded. The overall rate of candidaemia in our network was 0.93\/1000 patient days. The rate of candidaemia in COVID\u201019 ICUs (2.52\/1000 patient days) was significantly higher than in non\u2010COVID\u201019 ICUs (1.05\/patient days) during the pandemic period. The rate of central line associated candidaemia in COVID\u201019 ICUs (4.53\/1000 central line days) was also significantly higher than in non\u2010COVID\u201019 ICUs (1.73\/1000 central line days) during the pandemic period. Mortality in COVID\u201019 ICUs associated with candidaemia (61%) was higher than that in non\u2010COVID\u201019 ICUs (41%). A total of 435 Candida<\/jats:italic> spp. were isolated. C. tropicalis<\/jats:italic> (26.7%) was the most common species. C. auris<\/jats:italic> accounted for 17.5% of all isolates and had a high mortality.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Patients in ICUs with COVID\u201019 infections have a much higher risk of candidaemia, CLAC and its associated mortality. Network level data helps in understanding the true burden of candidaemia and will help in framing infection control policies for the country.<\/jats:p><\/jats:sec>","DOI":"10.1111\/myc.13790","type":"journal-article","created":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T02:19:36Z","timestamp":1726453176000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Candidaemia and Central Line\u2010Associated Candidaemia in a Network of Indian ICUs<\/scp>: Impact of COVID<\/scp>\u201019 Pandemic"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4429-3688","authenticated-orcid":false,"given":"Purva","family":"Mathur","sequence":"first","affiliation":[{"name":"Department of Laboratory Medicine, JPNA Trauma Center All India Institute of Medical Sciences Delhi 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