Evidence map›Paper›PMID 20047480›Full record

GuidelineClinical infectious diseases : an official publication of the Infectious Diseases Society of America2010

Clinical practice guidelines for the management of cryptococcal disease: 2010 update by the infectious diseases society of america.

John R Perfect, William E Dismukes, Francoise Dromer, David L Goldman, John R Graybill, Richard J Hamill, Thomas S Harrison, Robert A Larsen, Olivier Lortholary, Minh-Hong Nguyen and 5 more

4 registry-linked trialsOpen access · bronzeAbstract readPractice Guideline
In one paragraph

Guideline in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 1,160 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,160citing papers in PubMed, 1 pooled it
86.2field-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.

NCT00001352 recruitingnot on this map

Cryptococcosis in Previously Healthy Adults

TypeobservationalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran1993Enrolled800ConditionsCryptococcal Infection, Cryptococcal Pneumonia, Pulmonary Cryptococcosis, Cryptococcal Meningitis
NCT02136030 naunknown statusnot on this mapstarted 2011, after this paper: background citation

A Randomized Study to Evaluate the Safety and Efficacy of Liposomal Amphotericin B and Amphotericin B Deoxycholate With or Without Flucytosine Followed by Fluconazole, for the Treatment of Cryptococcal Meningitis

TypeinterventionalSponsorTTY BiopharmRan2011 to 2016Enrolled84ConditionsCryptococcal MeningitisArmsLiposomal amphotericin B, Amphotericin B-deoxycholate
NCT03112031 phase2completednot on this mapstarted 2017, after this paper: background citation

A Randomized Trial of Tamoxifen Combined With Amphotericin B and Fluconazole for Cryptococcal Meningitis

TypeinterventionalSponsorOxford University Clinical Research Unit, VietnamRan2017 to 2018Enrolled50ConditionsMeningitis Streptococcal, Hiv, Meningitis, MeningoencephalitisArmsTamoxifen, Amphotericin B, Fluconazole
NCT06178627 phase4enrolling by invitationnot on this mapstarted 2023, after this paper: background citation

A Multi-center, Prospective, Randomized Trial of Amphotericin B in the Initial Antifungal Therapy for Non-HIV Cryptococcal Meningitis Patients

TypeinterventionalSponsorHuashan HospitalRan2023 to 2026Enrolled250ConditionsCryptococcal Meningitis, Antifungal AgentsArmsAmphotericin B 0.5 mg/kg/day i.v. combined with flucytosine four times per day orally for the first 4 weeks., Amphotericin B 0.7 mg/kg/day i.v. combined with flucytosine four times per day orally for the first 4 weeks.
3 · Its place in the literature

Who cites it

1,160 citing papers in PubMed, 1 synthesis or guideline pooled it, 2,634 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Molecular types, clinical profile, and exploratory virulence-associated phenotypes of clinical Cryptococcus isolates from Amazonas, Brazil.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

1,100 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 13 institutions in 5 countries.

John R PerfectDivision of Infectious Diseases, Duke University Medical Center, Durham, North Carolina 27710, USA. perfe001@mc.duke.edu
William E Dismukes
Francoise Dromer
David L Goldman
John R Graybill
Richard J Hamill
Thomas S Harrison
Robert A Larsen
Olivier Lortholary
Minh-Hong Nguyen
Peter G Pappas
William G Powderly
Nina Singh
Jack D Sobel
Tania C Sorrell
University of Alabama at Birmingham · USAlbert Einstein College of Medicine · USDuke Medical Center · USHarper University Hospital · USHôpital Necker-Enfants Malades · FRInstitut Pasteur · FRMurphy Oil Corporation (United States) · USSt George's, University of London · GBUniversity College Dublin · IEUniversity of Pittsburgh · USUniversity of Southern California · USUniversity of Sydney · AUWayne State University · US

Funding

Pathobiology of C. neoformans in the Central Nervous SystemR01AI073896 · NIAID · DUKE UNIVERSITY · PI PERFECT, JOHN R. · 2008 to 2018
$4.4M
NIAID NIH HHS AI73896NIAID NIH HHS R01 AI073896
6 · The paper itself

Abstract

Cryptococcosis is a global invasive mycosis associated with significant morbidity and mortality. These guidelines for its management have been built on the previous Infectious Diseases Society of America guidelines from 2000 and include new sections. There is a discussion of the management of cryptococcal meningoencephalitis in 3 risk groups: (1) human immunodeficiency virus (HIV)-infected individuals, (2) organ transplant recipients, and (3) non-HIV-infected and nontransplant hosts. There are specific recommendations for other unique risk populations, such as children, pregnant women, persons in resource-limited environments, and those with Cryptococcus gattii infection. Recommendations for management also include other sites of infection, including strategies for pulmonary cryptococcosis. Emphasis has been placed on potential complications in management of cryptococcal infection, including increased intracranial pressure, immune reconstitution inflammatory syndrome (IRIS), drug resistance, and cryptococcomas. Three key management principles have been articulated: (1) induction therapy for meningoencephalitis using fungicidal regimens, such as a polyene and flucytosine, followed by suppressive regimens using fluconazole; (2) importance of early recognition and treatment of increased intracranial pressure and/or IRIS; and (3) the use of lipid formulations of amphotericin B regimens in patients with renal impairment. Cryptococcosis remains a challenging management issue, with little new drug development or recent definitive studies. However, if the diagnosis is made early, if clinicians adhere to the basic principles of these guidelines, and if the underlying disease is controlled, then cryptococcosis can be managed successfully in the vast majority of patients.

Indexed as

Antifungal AgentsCase ManagementChildChild, PreschoolCryptococcosisFemaleHumansIntracranial HypertensionPregnancyUnited StatesAntifungal Agents

Identifiers

PMID20047480
PMCPMC5826644
OpenAlexW2144543496

What OpenQuestion holds

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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.