Evidence map›Paper›PMID 17646966›Full record

ReviewIntensive care medicine2007

Management of invasive pulmonary aspergillosis in non-neutropenic critically ill patients.

R J Trof, A Beishuizen, Y J Debets-Ossenkopp, A R J Girbes, A B J Groeneveld

Open access · hybridAbstract readReview
In one paragraph

Review in Intensive care medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% 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

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 140 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Beyond detection: quantitative interpretation ofFrontiers in cellular and infection microbiology · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Value Evaluation of QuantitativeInfection and drug resistance · 2024
    Article
  10. Current medical mycology · 2024
    Article
  11. Article
  12. Article
  13. The Novel Monoclonal IgGJournal of fungi (Basel, Switzerland) · 2023
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. PulmonarySultan Qaboos University medical journal · 2021
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

R J TrofDepartment of Intensive Care, VU Medical Centre, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands. r.trof@vumc.nl
A Beishuizen
Y J Debets-Ossenkopp
A R J Girbes
A B J Groeneveld
Amsterdam UMC Location VUmc · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During recent years, a rising incidence of invasive pulmonary aspergillosis (IPA) in non-neutropenic critically ill patients has been reported. Critically ill patients are prone to develop disturbances in immunoregulation during their stay in the ICU, which render them more vulnerable for fungal infections. Risk factors such as chronic obstructive pulmonary disease (COPD), prolonged use of steroids, advanced liver disease, chronic renal replacement therapy, near-drowning and diabetes mellitus have been described. Diagnosis of IPA may be difficult and obtaining histo- or cytopathological demonstration of the fungus in order to meet the gold standard for IPA is not always feasible in these patients. Laboratory markers used as a non-invasive diagnostic tool, such as the galactomannan antigen test (GM), 1,3-beta-glucan, and Aspergillus PCR, show varying results. Antifungal therapy might be considered in patients with persistent pulmonary infection who exhibit risk factors together with positive cultures or sequentially positive GM and Aspergillus PCR in serum, in whom voriconazole is the drug of choice. The benefit of combination antifungal therapy lacks sufficient evidence so far, but this treatment might be considered in patients with breakthrough infections or refractory disease.

Indexed as

Antifungal AgentsAntigens, FungalAspergillosisAspergillusbeta-GlucansCritical IllnessDNA, FungalDrug Therapy, CombinationGalactoseHumansIntensive Care UnitsLung Diseases, FungalMannansOpportunistic InfectionsPolymerase Chain ReactionRisk FactorsAntifungal AgentsAntigens, Fungalbeta-1,3-glucanbeta-GlucansDNA, FungalgalactomannanGalactoseMannans

Identifiers

PMID17646966
PMCPMC2039828
OpenAlexW2015915634

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.