Evidence map›Paper›PMID 23527176›Full record

ArticlePloS one2013

Epidemiology of candidemia in Latin America: a laboratory-based survey.

Marcio Nucci, Flavio Queiroz-Telles, Tito Alvarado-Matute, Iris Nora Tiraboschi, Jorge Cortes, Jeannete Zurita, Manuel Guzman-Blanco, Maria Elena Santolaya, Luis Thompson, Jose Sifuentes-Osornio and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 162 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
162citing papers in PubMed, 1 pooled it
19.8field-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.

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

162 citing papers in PubMed, 1 synthesis or guideline pooled it, 369 citations in OpenAlex.

  1. Antifungal pharmacodynamics: Latin America's perspective.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Pooled it
  2. First Isolation ofJournal of fungi (Basel, Switzerland) · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Candidemia in a tertiary hospital in Southern Brazil.Revista do Instituto de Medicina Tropical de Sao Paulo · 2026
    Article
  10. The journal of venomous animals and toxins including tropical diseases · 2026
    Article
  11. Genomic epidemiology of Colombian resistantAntimicrobial agents and chemotherapy · 2025
    Article
  12. Article
  13. Changing Climate, ChangingJournal of fungi (Basel, Switzerland) · 2025
    Review
  14. Review
  15. Heterogeneity ofMicrobiology spectrum · 2025
    Article
  16. Virulence Factors and Molecular Identification ofJournal of fungi (Basel, Switzerland) · 2025
    Article
  17. Observational
  18. Article
  19. Article
  20. Article

102 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

13 authors at 12 institutions in 9 countries.

Marcio NucciUniversity Hospital, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. mnucci@hucff.ufrj.br
Flavio Queiroz-Telles
Tito Alvarado-Matute
Iris Nora Tiraboschi
Jorge Cortes
Jeannete Zurita
Manuel Guzman-Blanco
Maria Elena Santolaya
Luis Thompson
Jose Sifuentes-Osornio
Juan I Echevarria
Arnaldo L Colombo
Latin American Invasive Mycosis Network
Hospital de Clínicas "José de San Martín" · ARHospital de Clínicas Universidade Federal do Paraná · BRHospital Vargas · VEInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXPontificia Universidad Católica del Ecuador · ECUniversidad del Desarrollo · CLUniversidade Federal de São Paulo · BRUniversidade Federal do Rio de Janeiro · BRUniversidad Metropolitana de Honduras · HNUniversidad Nacional de Colombia · COUniversidad Peruana Cayetano Heredia · PEUniversity of Chile · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe epidemiology of candidemia varies depending on the geographic region. Little is known about the epidemiology of candidemia in Latin America.

methodsWe conducted a 24-month laboratory-based survey of candidemia in 20 centers of seven Latin American countries. Incidence rates were calculated and the epidemiology of candidemia was characterized.

resultsAmong 672 episodes of candidemia, 297 (44.2%) occurred in children (23.7% younger than 1 year), 36.2% in adults between 19 and 60 years old and 19.6% in elderly patients. The overall incidence was 1.18 cases per 1,000 admissions, and varied across countries, with the highest incidence in Colombia and the lowest in Chile. Candida albicans (37.6%), C. parapsilosis (26.5%) and C. tropicalis (17.6%) were the leading agents, with great variability in species distribution in the different countries. Most isolates were highly susceptible to fluconazole, voriconazole, amphotericin B and anidulafungin. Fluconazole was the most frequent agent used as primary treatment (65.8%), and the overall 30-day survival was 59.3%.

conclusionsThis first large epidemiologic study of candidemia in Latin America showed a high incidence of candidemia, high percentage of children, typical species distribution, with C. albicans, C. parapsilosis and C. tropicalis accounting for the majority of episodes, and low resistance rates.

Indexed as

CandidaAdolescentAdultAgedCandidemiaChildChild, PreschoolEpidemiological MonitoringFluconazoleHumansIncidenceInfantLatin AmericaMiddle AgedProspective StudiesSpecies SpecificityFluconazole

Identifiers

PMID23527176
PMCPMC3601956
OpenAlexW2059302109

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.