Evidence map›Paper›PMID 20156694›Full record

ReviewOral surgery, oral medicine, oral pathology, oral radiology, and endodontics2010

Oropharyngeal candidiasis in the era of antiretroviral therapy.

George R Thompson, Payal K Patel, William R Kirkpatrick, Steven D Westbrook, Deborah Berg, Josh Erlandsen, Spencer W Redding, Thomas F Patterson

Abstract readReview
In one paragraph

Review in Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 3 pooled it
5.0field-weighted citation impact, top 4% 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

60 citing papers in PubMed, 3 syntheses or guidelines pooled it, 164 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Epidemiology of Invasive Candidiasis.Clinical epidemiology · 2024
    Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Plants (Basel, Switzerland) · 2022
    Review
  10. Review
  11. Prevalence ofJournal of pharmacy & bioallied sciences · 2022
    Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. Efficacy of clotrimazole for the management of oral candidiasis: A meta-analysis of randomized clinical trials.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2021
    Article
  19. A Second-Generation Fungerp Analog, SCY-247, Shows PotentAntimicrobial agents and chemotherapy · 2021
    Article
  20. Article
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

8 authors at 3 institutions in 1 country.

George R ThompsonDivision of Infectious Diseases, Department of Medicine, University of Texas Health Science Center, San Antonio, TX 78229, USA. thompsong2@uthscsa.edu
Payal K Patel
William R Kirkpatrick
Steven D Westbrook
Deborah Berg
Josh Erlandsen
Spencer W Redding
Thomas F Patterson
The University of Texas Health Science Center at San Antonio · USMurphy Oil Corporation (United States) · USSouth Texas Veterans Health Care System · US

Funding

Detection and Significance of Antifungal Resistance in Oropharyngeal CandidiasisR01DE018096 · NIDCR · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI PATTERSON, THOMAS F. · 2006 to 2010
$2.5M
NIDCR NIH HHS 5R01DE018096NIDCR NIH HHS R01 DE018096
6 · The paper itself

Abstract

Oropharyngeal candidiasis (OPC) remains a common problem in the HIV-infected population despite the availability of antiretroviral therapy (ART). Although Candida albicans is the most frequently implicated pathogen, other Candida species also may cause infection. The emergence of antifungal resistance within these causative yeasts, especially in patients with recurrent oropharyngeal infection or with long-term use of antifungal therapies, requires a working knowledge of alternative antifungal agents. Identification of the infecting organism and antifungal susceptibility testing enhances the ability of clinicians to prescribe appropriate antifungal therapy. Characterization of the responsible mechanisms has improved our understanding of the development of antifungal resistance and could enhance the management of these infections. Immune reconstitution has been shown to reduce rates of OPC, but few studies have evaluated the current impact of ART on the epidemiology of OPC and antifungal resistance in these patients. Preliminary results from an ongoing clinical study showed that in patients with advanced AIDS, oral yeast colonization was extensive, occurring in 81.1% of the 122 patients studied, and symptomatic infection occurred in one-third. In addition, resistant yeasts were still common, occurring in 25.3% of patients colonized with yeasts or with symptomatic infection. Thus, OPC remains a significant infection in advanced AIDS, even with ART. Current knowledge of the epidemiology, pathogenesis, clinical presentation, treatment, and mechanisms of antifungal resistance observed in OPC are important in managing patients with this infection and are the focus of this review.

Indexed as

AIDS-Related Opportunistic InfectionsAntifungal AgentsAnti-Retroviral AgentsCandidaCandidiasis, OralDrug Resistance, FungalHIV InfectionsHumansImmunocompromised HostOropharynxPharyngeal DiseasesAntifungal AgentsAnti-Retroviral Agents

Identifiers

PMID20156694
PMCPMC2843789
OpenAlexW2152679977

What OpenQuestion holds

Textmetadata
LicenceTDM
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.