Evidence map›Paper›PMID 10565903›Full record

ArticleJournal of clinical microbiology1999

Epidemiology of oropharyngeal Candida colonization and infection in patients receiving radiation for head and neck cancer.

S W Redding, R C Zellars, W R Kirkpatrick, R K McAtee, M A Caceres, A W Fothergill, J L Lopez-Ribot, C W Bailey, M G Rinaldi, T F Patterson

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical microbiology, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 175 citations in OpenAlex.

  1. Oral Management of Patients Undergoing Head and Neck Cancer Treatment.Journal of maxillofacial and oral surgery · 2024
    Review
  2. Article
  3. A mouse model of immunosuppression facilitates oralFrontiers in cellular and infection microbiology · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Applying the Host-Microbe Damage Response Framework toJournal of fungi (Basel, Switzerland) · 2020
    Review
  10. Review
  11. Review
  12. Oral Candidiasis: A Disease of Opportunity.Journal of fungi (Basel, Switzerland) · 2020
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

S W ReddingDepartment of General Dentistry, The University of Texas Health Science Center at San Antonio, San Antonio, Texas 78284-7881, USA. redding@uthscsa.edu
R C Zellars
W R Kirkpatrick
R K McAtee
M A Caceres
A W Fothergill
J L Lopez-Ribot
C W Bailey
M G Rinaldi
T F Patterson
The University of Texas Health Science Center at San Antonio · USOffice of Infectious Diseases · US

Funding

ZOLEDRONATE VS AREDIA IN MULTIPLE MYELOMA/BREAST CANCER W /BONE DISORDERSM01RR001346 · NCRR · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI FERRER, ROBERT L · 1985 to 2008
$23.1M
FLUCONAZOLE RESISTANCE IN OROPHARYNGEAL CANDIDIASISR01DE011381 · NIDCR · UNIVERSITY OF TEXAS HLTH SCI CTR SAN ANT · PI PATTERSON, THOMAS F. · 1994 to 2002
$1.2M
PROTECTIVE ANTIBODIES TO CANDIDA ALBICANS MP58R29AI042401 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR SAN ANT · PI LOPEZ-RIBOT, JOSE L. · 1997 to 2001
$202k
NCRR NIH HHS M01 RR001346NCRR NIH HHS M01RR01346NIAID NIH HHS 1R29AI42401NIDCR NIH HHS 1R01DE11381NIDCR NIH HHS R01 DE011381
6 · The paper itself

Abstract

Oral mucosal colonization and infection with Candida are common in patients receiving radiation therapy for head and neck cancer. Infection is marked by oral pain and/or burning and can lead to significant patient morbidity. The purpose of this study was to identify Candida strain diversity in this population by using a chromogenic medium, subculturing, molecular typing, and antifungal susceptibility testing of clinical isolates. These results were then correlated with clinical outcome in patients treated with fluconazole for infection. Specimens from 30 patients receiving radiation therapy for head and neck cancer were cultured weekly for Candida. Patients exhibiting clinical infection were treated with oral fluconazole. All isolates were plated on CHROMagar Candida and RPMI medium, subcultured, and submitted for antifungal susceptibility testing and molecular typing. Infections occurred in 27% of the patients and were predominantly due to Candida albicans (78%). Candida carriage occurred in 73% of patients and at 51% of patient visits. Yeasts other than C. albicans predominated in carriage, as they were isolated from 59% of patients and at 52% of patient visits. All infections responded clinically, and all isolates were susceptible to fluconazole. Molecular typing showed that most patients had similar strains throughout their radiation treatment. One patient, however, did show the acquisition of a new strain. With this high rate of infection (27%), prophylaxis to prevent infection should be evaluated for these patients.

Indexed as

Antifungal AgentsCandidaCandidiasis, OralCulture MediaFluconazoleHead and Neck NeoplasmsKaryotypingMicrobial Sensitivity TestsMouth MucosaMycological Typing TechniquesPolymorphism, Restriction Fragment LengthRadiation DosageRadiotherapyAntifungal AgentsCulture MediaFluconazole

Identifiers

PMID10565903
PMCPMC85839
OpenAlexW2119407979

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.