Evidence map›Paper›PMID 24108614›Full record

ArticleJournal of clinical microbiology2013

Epidemiology, species distribution, antifungal susceptibility, and outcome of candidemia across five sites in Italy and Spain.

Matteo Bassetti, Maria Merelli, Elda Righi, Ana Diaz-Martin, Eva Maria Rosello, Roberto Luzzati, Anna Parra, Enrico Maria Trecarichi, Maurizio Sanguinetti, Brunella Posteraro and 4 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of clinical microbiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02451592 (SEIFEM 2015), which is not on this map. Cited by 104 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 1 pooled it
12.1field-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.

NCT02451592 completednot on this map

SEIFEM 2015: Fungemia in Hematologic Malignancies

TypeobservationalSponsorSorveglianza Epidemiologica Infezioni Fungine Emopatie MaligneRan2011 to 2016Enrolled300ConditionsAcute Leukemia, Chronic Leukemia, Multiple Myeloma, Lymphoma
3 · Its place in the literature

Who cites it

104 citing papers in PubMed, 1 synthesis or guideline pooled it, 220 citations in OpenAlex.

  1. Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    Guideline
  2. Article
  3. Article
  4. The azole-resistance phenotype of aMicrobiology spectrum · 2026
    Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
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  12. Article
  13. Review
  14. Different BD BACTECDiagnostics (Basel, Switzerland) · 2023
    Article
  15. Characteristics, risk factors, and outcomes of bloodstreamThe Journal of international medical research · 2023
    Article
  16. Review
  17. Mortality-associated factors of candidemia: a multi-center prospective cohort in Turkey.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2022
    Observational
  18. Article
  19. Article
  20. Article

44 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

14 authors at 7 institutions in 4 countries.

Matteo BassettiInfectious Diseases Division, Santa Maria Misericordia University Hospital, Udine, Italy.
Maria Merelli
Elda Righi
Ana Diaz-Martin
Eva Maria Rosello
Roberto Luzzati
Anna Parra
Enrico Maria Trecarichi
Maurizio Sanguinetti
Brunella Posteraro
Jose Garnacho-Montero
Assunta Sartor
Jordi Rello
Mario Tumbarello
Ospedale Santa Maria della Misericordia di Udine · ITUniversità Cattolica del Sacro Cuore · ITHospital Universitario Virgen del Rocío · ESCentro de Investigación Biomédica en Red · ESHebron University · PSUniversity of Trieste · ITVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Candidemia has become an important bloodstream infection that is frequently associated with high rates of mortality and morbidity, and its growing incidence is related to complex medical and surgical procedures. We conducted a multicenter study in five tertiary care teaching hospitals in Italy and Spain and evaluated the epidemiology, species distribution, antifungal susceptibilities, and outcomes of candidemia episodes. In the period of 2008 to 2010, 995 episodes of candidemia were identified in these hospitals. The overall incidence of candidemia was 1.55 cases per 1,000 admissions and remained stable during the 3-year analysis. Candida albicans was the leading agent of infection (58.4%), followed by Candida parapsilosis complex (19.5%), Candida tropicalis (9.3%), and Candida glabrata (8.3%). The majority of the candidemia episodes were found in the internal medicine department (49.6%), followed by the surgical ward, the intensive care unit (ICU), and the hemato-oncology ward. Out of 955 patients who were eligible for evaluation, 381 (39.9%) died within 30 days from the onset of candidemia. Important differences in the 30-day mortality rates were noted between institutions: the lowest mortality rate was in the Barcelona hospital, and the highest rate was in the Udine hospital (33.6% versus 51%, respectively; P = 0.0005). Overall, 5.1% of the 955 isolates tested were resistant or susceptible dose dependent (SDD) to fluconazole, with minor differences between the hospitals in Italy and Spain (5.7% versus 3.5%, respectively; P = 0.2). Higher MICs for caspofungin were found, especially with C. parapsilosis complex (MIC90, 1 μg/ml). Amphotericin B had the lowest MICs. This report shows that candidemia is a significant source of morbidity in Europe, causing a substantial burden of disease and mortality.

Indexed as

AdultAgedAged, 80 and overAntifungal AgentsCandidaCandidemiaFemaleHospitals, TeachingHumansIncidenceItalyMaleMicrobial Sensitivity TestsMiddle AgedSpainSurvival AnalysisAntifungal Agents

Identifiers

PMID24108614
PMCPMC3838046
OpenAlexW1976499126

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.