Evidence map›Paper›PMID 23340551›Full record

SynthesisThe Pediatric infectious disease journal2013

Candida parapsilosis is a significant neonatal pathogen: a systematic review and meta-analysis.

Mohan Pammi, Linda Holland, Geraldine Butler, Attila Gacser, Joseph M Bliss

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Pediatric infectious disease journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 120 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed, 2 pooled it
7.3field-weighted citation impact, top 2% 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

120 citing papers in PubMed, 2 syntheses or guidelines pooled it, 201 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. PediatricJournal of fungi (Basel, Switzerland) · 2025
    Article
  15. Resistance to Azoles inJournal of fungi (Basel, Switzerland) · 2025
    Article
  16. Review
  17. Article
  18. Draft genome sequence of a non-human primate-derived isolate ofMicrobiology resource announcements · 2025
    Article
  19. Role of ERG11 and MDR1 genes in cycloheximide and multidrug resistance in Candida species.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2024
    Article
  20. Analysis of clinicalAntimicrobial agents and chemotherapy · 2024
    Article

60 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

5 authors at 3 institutions in 3 countries.

Mohan PammiDepartment of Pediatrics, Section of Neonatology, Texas Children's Hospital and Baylor College of Medicine, Houston, TX, USA.
Linda Holland
Geraldine Butler
Attila Gacser
Joseph M Bliss
Baylor College of Medicine · USUniversity College Dublin · IEUniversity of Szeged · HU

Funding

UTERINE NK CELL HOMING FROM THE PERIPHERAL CIRCULATIONP20RR018728 · NCRR · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI TSENG, YI-TANG · 2003 to 2011
$16.7M
COBRE for Perinatal BiologyP20GM103537 · NIGMS · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI PADBURY, JAMES F · 2012 to 2012
$2.1M
NCRR NIH HHS 5P20RR018728-10NCRR NIH HHS P20 RR018728NIGMS NIH HHS 8P20GM103537-10NIGMS NIH HHS P20 GM103537
6 · The paper itself

Abstract

backgroundCandida is the third most common cause of late-onset neonatal sepsis in infants born at <1500 g. Candida parapsilosis infections are increasingly reported in preterm neonates in association with indwelling catheters.

methodsWe systematically reviewed neonatal literature and synthesized data pertaining to percentage of C. parapsilosis infections and mortality by meta-analyses. We also reviewed risk factors, virulence determinants, antimicrobial susceptibility patterns and outlined clinical management strategies.

resultsC. parapsilosis infections comprised 33.47% (95% confidence interval [CI]: 30.02, 37.31) of all neonatal Candida infections. C. parapsilosis rates were similar in studies performed before the year 2000, 33.53% (95% CI: 30.06, 37.40) (28 studies), to those after 2000, 27.00% (95% CI: 8.25, 88.37) (8 studies). The mortality due to neonatal C. parapsilosis infections was 10.02% (95% CI: 7.66, 13.12). Geographical variations in C. parapsilosis infections included a low incidence in Europe and higher incidence in North America and Australia. Biofilm formation was a significant virulence determinant and predominant risk factors for C. parapsilosis infections were prematurity, prior colonization and catheterization. Amphotericin B remains the antifungal drug of choice and combination therapy with caspofungin or other echinocandins may be considered in resistant cases.

conclusionC. parapsilosis is a significant neonatal pathogen, comprises a third of all Candida infections and is associated with 10% mortality. Availability of tools for genetic manipulation of this organism will identify virulence determinants and organism characteristics that may explain predilection for preterm neonates. Strategies to prevent horizontal transmission in the neonatal unit are paramount in decreasing infection rates.

Indexed as

Antifungal AgentsBiofilmsCandidaCandidiasisDrug Resistance, FungalHumansInfant, NewbornInfant, Newborn, DiseasesMicrobial Sensitivity TestsRisk FactorsVirulenceAntifungal Agents

Identifiers

PMID23340551
PMCPMC3681839
OpenAlexW1973655697

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.