Özet:

Candidemia is a major cause of mortality and morbidity in hospitals. A variety of measures can be taken to prevent candidates. In this study, the application of the candidate score to high-risk patients followed in intensive care units, the renewal of the total parenteral nitration (TPN) unit and the training interventions of health workers were carried out and the effects on the candidate epidemicology were analyzed. Tools and Methods: All episodes of candidiasis between 2006 and 2012 were obtained from the infection control committee records and patient records. In 2007 two major interventions were made in the form of training of health workers in our hospital to reduce the incidence of candidiasis and renewal of the total parenteral nutrition unit. In 2009, the application of candida scores was launched in the empirical anti-phungal treatment guide for high-risk patients in the UK. The incidents of the candidate before and after these interventions are compared. For statistical analysis, candidemia percentages have been applied for seven years, Cochrane Armitage linear trend test. Results: A total of 267 candidemia episodes have been identified during this study. With the training of health workers and the renewal of the total parenteral unit, a significant decrease in the incidence of candidemia has been observed since 2007 (p:0,035). In 2008 it was re-increased (p:0,020) . In 2009, with the introduction of "candida score", which was effective in the decision to start early anti-fungal treatment in the UBS in high-risk patients, a significant decrease in the incidence of candidemia in the following years was found. Results: In this study, the training of health workers, the renewal of the total parenteral nutrition unit, has shown a positive effect on the reduction of candidiasis incidence, but this effect has remained limited in a short time. With the introduction of the "candidate score" in the YBU, a clear and permanent reduction in the candidate incident has been provided.