{"id":6239,"date":"2026-08-24T10:53:41","date_gmt":"2026-08-24T03:53:41","guid":{"rendered":"https:\/\/www2.si.mahidol.ac.th\/department\/biochemistry\/?p=6239"},"modified":"2026-08-24T10:57:10","modified_gmt":"2026-08-24T03:57:10","slug":"equal-candida-score-an-effective-tool-for-predicting-the-outcomes-of-candida-tropicalis-candidaemia-a-retrospective-cohort-study","status":"publish","type":"post","link":"https:\/\/www2.si.mahidol.ac.th\/department\/biochemistry\/equal-candida-score-an-effective-tool-for-predicting-the-outcomes-of-candida-tropicalis-candidaemia-a-retrospective-cohort-study\/","title":{"rendered":"EQUAL Candida score, an effective tool for predicting the outcomes of Candida tropicalis candidaemia: A retrospective cohort study"},"content":{"rendered":"<p>Teera Leepattarakit, Orawan Tulyaprawat, Chyanis Vongseenin, Pongprueth Rujirachun, Phuuwadith Wattanachayakul, Prawut Phichinitikorn, Pakpoom Phoompoung, Popchai Ngamskulrungroj<\/p>\n<h2 class=\"title\">Abstract<\/h2>\n<div id=\"eng-abstract\" class=\"abstract-content selected\">\n<div class=\"title\">\n<p><strong>Background: <\/strong> Candida tropicalis is the most common non-albicans Candida species found in Asia-Pacific countries, including Thailand. The pathogen is known for its great virulence, which causes a high case-fatality rate. Associations between case fatality and patient characteristics, infectious disease unit consultation and EQUAL Candida score were investigated.<\/p>\n<p><strong>Methods: <\/strong> This retrospective cohort study was conducted with 160 cases of C. tropicalis bloodstream infection between 2015 and 2019 at a single, large, tertiary centre in Thailand. Clinical characteristics, clinical presentations, patient outcomes (30-day case-fatality rate) and independent predictive factors were analysed.<\/p>\n<p><strong>Results: <\/strong> The 30-day case-fatality rate was 68.1%. The median of the EQUAL Candida score was 8. Independent factors for the prediction of case fatality were septic shock (hazard ratio, 1.84), the use of mechanical ventilation (hazard ratio, 2.03) and the EQUAL Candida score (hazard ratio, 0.75).<\/p>\n<p><strong>Conclusions: <\/strong> The predictive factors for 30-day case fatality were septic shock, mechanical ventilation use and the EQUAL Candida score. It is recommended that the EQUAL score be considered for patients infected with C. tropicalis candidaemia to reduce the case-fatality rate.<\/p>\n<p><a href=\"https:\/\/repository.li.mahidol.ac.th\/items\/8be1718e-8d28-4efb-bb4b-da4b543a4d69\">https:\/\/repository.li.mahidol.ac.th\/items\/8be1718e-8d28-4efb-bb4b-da4b543a4d69<\/a><\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Teera Leepattarakit, Orawan Tulyaprawat, Chyanis Vongse [&#8230;]\n","protected":false},"author":6,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-6239","post","type-post","status-publish","format-standard","hentry","category-3"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>EQUAL Candida score, an effective tool for predicting the outcomes of Candida 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retrospective cohort study - \u0e20\u0e32\u0e04\u0e27\u0e34\u0e0a\u0e32\u0e0a\u0e35\u0e27\u0e40\u0e04\u0e21\u0e35 \u0e04\u0e13\u0e30\u0e41\u0e1e\u0e17\u0e22\u0e28\u0e32\u0e2a\u0e15\u0e23\u0e4c\u0e28\u0e34\u0e23\u0e34\u0e23\u0e32\u0e0a\u0e1e\u0e22\u0e32\u0e1a\u0e32\u0e25 \u0e21\u0e2b\u0e32\u0e27\u0e34\u0e17\u0e22\u0e32\u0e25\u0e31\u0e22\u0e21\u0e2b\u0e34\u0e14\u0e25\" \/>\n<meta property=\"og:description\" content=\"Teera Leepattarakit, Orawan Tulyaprawat, Chyanis Vongse [...]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www2.si.mahidol.ac.th\/department\/biochemistry\/equal-candida-score-an-effective-tool-for-predicting-the-outcomes-of-candida-tropicalis-candidaemia-a-retrospective-cohort-study\/\" \/>\n<meta property=\"og:site_name\" content=\"\u0e20\u0e32\u0e04\u0e27\u0e34\u0e0a\u0e32\u0e0a\u0e35\u0e27\u0e40\u0e04\u0e21\u0e35 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