Evidence map›Paper›PMID 22504098›Full record

ArticleThe Journal of pediatrics2012

Candida virulence properties and adverse clinical outcomes in neonatal candidiasis.

Joseph M Bliss, Angela Y Wong, Grace Bhak, Sonia S Laforce-Nesbitt, Sarah Taylor, Sylvia Tan, Barbara J Stoll, Rosemary D Higgins, Seetha Shankaran, Daniel K Benjamin and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of pediatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00109525 (Early Diagnosis of Nosocomial Candidiasis Study), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.8field-weighted citation impact, top 10% 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.

NCT00109525 completednot on this map

Early Diagnosis of Nosocomial Candidiasis Study

TypeobservationalSponsorNICHD Neonatal Research NetworkRan2004 to 2009Enrolled1,500ConditionsInfection, Candida, Candidiasis, Infant, Newborn
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Frontiers in pediatrics · 2017
    Article
  7. Article
  8. Article
  9. Review
  10. Neonatal infectious diseases: evaluation of neonatal sepsis.Pediatric clinics of North America · 2013
    Review
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

11 authors at 7 institutions in 1 country.

Joseph M BlissDepartment of Pediatrics, Women & Infants Hospital, Providence, RI, USA.
Angela Y Wong
Grace Bhak
Sonia S Laforce-Nesbitt
Sarah Taylor
Sylvia Tan
Barbara J Stoll
Rosemary D Higgins
Seetha Shankaran
Daniel K Benjamin
Candida Subcommittee of the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network
Brown University · USRTI International · USDuke University · USEmory University · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USWayne State University · USWomen & Infants Hospital of Rhode Island · US

Funding

Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
UTERINE NK CELL HOMING FROM THE PERIPHERAL CIRCULATIONP20RR018728 · NCRR · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI BLISS, JOSEPH MARK · 2003 to 2011
$16.7M
NICHD Cooperative Multicenter Neonatal Research NetworkU10HD027856 · NICHD · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI SOKOL, GREGORY M. · 1991 to 2015
$5.9M
COBRE for Perinatal BiologyP20GM103537 · NIGMS · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI PADBURY, JAMES F · 2012 to 2012
$2.1M
Early Diagnosis of Neonatal CandidiasisK23HD044799 · NICHD · DUKE UNIVERSITY · PI BENJAMIN, DANIEL K. · 2005 to 2008
$610k
NCATS NIH HHS UL1 TR000454NCRR NIH HHS P20 RR018728NICHD NIH HHS K23 HD044799NICHD NIH HHS U10 HD027856NIGMS NIH HHS P20 GM103537
6 · The paper itself

Abstract

objectiveTo determine whether premature infants with invasive Candida infection caused by strains with increased virulence properties have worse clinical outcomes than those infected with less virulent strains. STUDY

designClinical isolates were studied from 2 populations of premature infants, those colonized with Candida spp (commensal; n = 27) and those with invasive candidiasis (n = 81). Individual isolates of C albicans and C parapsilosis were tested for virulence in 3 assays: phenotypic switching, adhesion, and cytotoxicity. Invasive isolates were considered to have enhanced virulence if detected at a level >1 SD above the mean for the commensal isolates in at least one assay. Outcomes of patients with invasive isolates with enhanced virulence were compared with those with invasive isolates lacking enhanced virulence characteristics.

resultsEnhanced virulence was detected in 61% of invasive isolates of C albicans and 42% of invasive isolates of C parapsilosis. All C albicans cerebrospinal fluid isolates (n = 6) and 90% of urine isolates (n = 10) had enhanced virulence, compared with 48% of blood isolates (n = 40). Infants with more virulent isolates were younger at the time of positive culture and had higher serum creatinine levels.

conclusionIndividual isolates of Candida species vary in their virulence properties. Strains with higher virulence are associated with certain clinical outcomes.

Indexed as

CandidiasisInfant, Premature, DiseasesCandidaCandida albicansColony Count, MicrobialCreatinineFemaleGenetic VariationHumansInfantInfant, NewbornInfant, PrematureMalePhenotypeSepsisVirulenceCreatinine

Identifiers

PMID22504098
PMCPMC3419788
OpenAlexW2058596568

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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.