Evidence map›Paper›PMID 14506023›Full record

ArticleAntimicrobial agents and chemotherapy2003

Antifungal susceptibility survey of 2,000 bloodstream Candida isolates in the United States.

Luis Ostrosky-Zeichner, John H Rex, Peter G Pappas, Richard J Hamill, Robert A Larsen, Harold W Horowitz, William G Powderly, Newton Hyslop, Carol A Kauffman, John Cleary and 2 more

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 168 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
168citing papers in PubMed, 1 pooled it
21.5field-weighted citation impact, top 1% 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

168 citing papers in PubMed, 1 synthesis or guideline pooled it, 499 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  9. International, open-label, noncomparative, clinical trial of micafungin alone and in combination for treatment of newly diagnosed and refractory candidemia.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2005
    Trial
  10. Trial
  11. Trial
  12. Evaluating the sensitivity of the Wako β-D-glucan assay for the diagnosis of candidemia caused by Candida parapsilosis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Journal of fungi (Basel, Switzerland) · 2023
    Review
  18. Article
  19. Article
  20. Journal of fungi (Basel, Switzerland) · 2023
    Review

108 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

12 authors at 10 institutions in 1 country.

Luis Ostrosky-ZeichnerUniversity of Texas-Houston Medical School, Houston, Texas, USA. luis.ostrosky-zeichner@uth.tmc.edu
John H Rex
Peter G Pappas
Richard J Hamill
Robert A Larsen
Harold W Horowitz
William G Powderly
Newton Hyslop
Carol A Kauffman
John Cleary
Julie E Mangino
Jeannette Lee
The University of Texas Health Science Center at Houston · USUniversity of Alabama at Birmingham · USAnn Arbor VA Medical Center · USBaylor University · USNew York Medical College · USThe Ohio State University · USTulane Medical Center · USUniversity of Mississippi · USUniversity of Southern California · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Candida bloodstream isolates (n = 2,000) from two multicenter clinical trials carried out by the National Institute of Allergy and Infectious Diseases Mycoses Study Group between 1995 and 1999 were tested against amphotericin B (AMB), flucytosine (5FC), fluconazole (FLU), itraconazole (ITR), voriconazole (VOR), posaconazole (POS), caspofungin (CFG), micafungin (MFG), and anidulafungin (AFG) using the NCCLS M27-A2 microdilution method. All drugs were tested in the NCCLS-specified RPMI 1640 medium except for AMB, which was tested in antibiotic medium 3. A sample of isolates was also tested in RPMI 1640 supplemented to 2% glucose and by using the diluent polyethylene glycol (PEG) in lieu of dimethyl sulfoxide for those drugs insoluble in water. Glucose supplementation tended to elevate the MIC, whereas using PEG tended to decrease the MIC. Trailing growth occurred frequently with azoles. Isolates were generally susceptible to AMB, 5FC, and FLU. Rates of resistance to ITR approached 20%. Although no established interpretative breakpoints are available for the candins (CFG, MFG, and AFG) and the new azoles (VOR and POS), they all exhibited excellent antifungal activity, even for those strains resistant to the other aforementioned agents.

Indexed as

Analysis of VarianceAntifungal AgentsAzolesCandidaCandidiasisClinical Trials as TopicDrug Resistance, Multiple, FungalHumansMicrobial Sensitivity TestsMulticenter Studies as TopicRetrospective StudiesSensitivity and SpecificitySolubilityUnited StatesAntifungal AgentsAzoles

Identifiers

PMID14506023
PMCPMC201160
OpenAlexW2158530375

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.