Evidence map›Paper›PMID 17115135›Full record

ArticleIntensive care medicine2007

Impact of antifungal treatment on Candida-Pseudomonas interaction: a preliminary retrospective case-control study.

Saad Nseir, Elsa Jozefowicz, Béatrice Cavestri, Boualem Sendid, Christophe Di Pompeo, Florent Dewavrin, Raphaël Favory, Micheline Roussel-Delvallez, Alain Durocher

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Intensive care medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00934934 (Candida in the Respiratory Tract Secretions of Critically Ill Patients and The Efficacy of Antifungal Treatment), which is not on this map. Cited by 63 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 12% 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.

NCT00934934 phase2terminatednot on this mapstarted 2010, after this paper: background citation

Candida in the Respiratory Tract Secretions of Critically Ill Patients and The Efficacy of Antifungal Treatment (The CANTREAT Study): A Prospective, Randomized, Double Blind, Placebo Controlled Pilot Study

TypeinterventionalSponsorDaren K. HeylandRan2010 to 2012Enrolled61ConditionsVentilator Associated Pneumonia, Respiratory Tract InfectionArmsNormal Saline, anidulafungin
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 2 syntheses or guidelines pooled it, 115 citations in OpenAlex.

  1. Pooled it
  2. Impact of selective digestive decontamination on respiratory tract Candida among patients with suspected ventilator-associated pneumonia. A meta-analysis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2016
    Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Differences in Clinical Characteristics of AECOPD Patients with or withoutInternational journal of chronic obstructive pulmonary disease · 2026
    Article
  7. Associations Between Candida andMicroorganisms · 2025
    Article
  8. Review
  9. Clinical, Epidemiological and Laboratory Features of InvasiveJournal of fungi (Basel, Switzerland) · 2023
    Article
  10. Review
  11. Positive sputum culture ofChinese medical journal pulmonary and critical care medicine · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2021
    Article
  16. Article
  17. Journal of fungi (Basel, Switzerland) · 2020
    Article
  18. Article
  19. Article
  20. Article

3 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

9 authors at 3 institutions in 1 country.

Saad NseirIntensive Care Unit, Calmette Hospital, University Hospital of Lille, boulevard du Pr Leclercq, 59037, Lille cedex, France. s-nseir@chru-lille.fr
Elsa Jozefowicz
Béatrice Cavestri
Boualem Sendid
Christophe Di Pompeo
Florent Dewavrin
Raphaël Favory
Micheline Roussel-Delvallez
Alain Durocher
Hôpital Albert Calmette · FRUniversité de Lille · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA pathogenic interaction between Candida albicans and Pseudomonas aeruginosa has recently been demonstrated. In addition, experimental and clinical studies identified Candida spp. tracheobronchial colonization as a risk factor for P. aeruginosa pneumonia. The aim of this study was to determine the impact of antifungal treatment on ventilator-associated pneumonia (VAP) or tracheobronchial colonization due to P. aeruginosa. DESIGN AND

settingRetrospective observational case-control study conducted in a 30-bed ICU during a 1-year period. PATIENTS AND

methodsOne hundred and two patients intubated and ventilated for longer than 48 h with tracheobronchial colonization by Candida spp. Routine screening for Candida spp. and P. aeruginosa was performed at ICU admission and weekly. Antifungal treatment was based on medical staff decisions. Patients with P. aeruginosa VAP or tracheobronchial colonization were matched (1:2) with patients without P. aeruginosa VAP or tracheobronchial colonization. In case and control patients, risk factors for P. aeruginosa VAP or tracheobronchial colonization were determined using univariate and multivariate analyses.

resultsThirty-six patients (35%) received antifungal treatment. Nineteen patients (18%) developed a P. aeruginosa VAP or tracheobronchial colonization, and all were successfully matched. Antifungal treatment [31% vs 60%; p=0.037, OR (95% CI)=0.67 (0.45-0.90)], and duration of antifungal treatment (7+/-11 vs 14+/-14 days; p=0.045, in case and control patients respectively) were significantly associated with reduced risk for P. aeruginosa VAP or tracheobronchial colonization. Antifungal treatment was the only variable independently associated with P. aeruginosa VAP or tracheobronchial colonization (OR=0.68, 95% CI=0.49-0.90, p=0.046).

conclusionIn patients with Candida spp. tracheobronchial colonization, antifungal treatment may be associated with reduced risk for P. aeruginosa VAP or tracheobronchial colonization.

Indexed as

Antifungal AgentsBronchiCandidaCase-Control StudiesFemaleFluconazoleHumansMaleMiddle AgedPneumonia, Ventilator-AssociatedPseudomonas aeruginosaRetrospective StudiesTracheaAntifungal AgentsFluconazole

Identifiers

PMID17115135
PMCPMC7095372
OpenAlexW2036854977

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.