Evidence map›Paper›PMID 26010361›Full record

Observational studyPloS one2015

Clinical and therapeutic aspects of candidemia: a five year single centre study.

Matteo Bassetti, Maria Merelli, Filippo Ansaldi, Daniela de Florentiis, Assunta Sartor, Claudio Scarparo, Astrid Callegari, Elda Righi

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
11.1field-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.

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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 105 citations in OpenAlex.

  1. Pooled it
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  14. Prognostic factors ofLancet regional health. Americas · 2022
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  19. Clinical Profile of Non-neutropenic Patients with Invasive Candidiasis: A Retrospective Study in a Tertiary Care Center.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021
    Article
  20. Risk Factors ofFrontiers in public health · 2021
    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 2 countries.

Matteo BassettiInfectious Diseases Division, Santa Maria Misericordia University Hospital, Udine, Italy.
Maria MerelliInfectious Diseases Division, Santa Maria Misericordia University Hospital, Udine, Italy.
Filippo AnsaldiIRCCS San Martino IST, Department of Health Sciences, University of Genoa; Genoa, Italy.
Daniela de FlorentiisUSMAF, Ministry of Health, Genova, Italy.
Assunta SartorMicrobiology Unit, Santa Maria Misericordia University Hospital, Udine, Italy.
Claudio ScarparoMicrobiology Unit, Santa Maria Misericordia University Hospital, Udine, Italy.
Astrid CallegariInfectious Diseases Division, Santa Maria Misericordia University Hospital, Udine, Italy.
Elda RighiInfectious Diseases Division, Santa Maria Misericordia University Hospital, Udine, Italy.
Ospedale Santa Maria della Misericordia di Udine · ITMinistero della Salute · ITOspedale Policlinico San Martino · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCandida is an important cause of bloodstream infections (BSI) in nosocomial settings causing significant mortality and morbidity. This study was performed to evaluate contemporary epidemiology, species distribution, antifungal susceptibility and outcome of candida BSI in an Italian hospital.

methodsAll consecutive patients who developed candidemia at Santa Maria della Misericordia University Hospital (Italy) between January 2009 and June 2014 were enrolled in the study.

resultsA total of 204 episodes of candidemia were identified during the study period with an incidence of 0.79 episodes/1000 admissions. C. albicans was isolated in 60.3% of cases, followed by C. parapsilosis (16.7%), C. glabrata (11.8%) and C. tropicalis (6.4%). Of all Candida BSI, 124 (60.8 %) occurred in patients admitted to IMW, 31/204 (15.2 %) in ICUs, 33/204 (16.2%) in surgical units and 16/204 (7.8%) in Hematology/Oncology wards. Overall, 47% of patients died within 30 days from the onset of candidemia. C. parapsilosis and C. glabrata candidemia were associated with the lowest mortality rate (36%), while patients with C. tropicalis BSI had the highest mortality rate (58.3%). Lower mortality rates were detected in patients receiving therapy within 48 hours from the time of execution of the blood cultures (57,1% vs 38,9%, P < 0.05). At multivariate analysis, steroids treatment (OR = 0.27, p = 0.005) and CVC removal (OR = 3.77, p = 0.014) were independently associated with lower and higher survival probability, respectively. Candidemia in patients with peripherally inserted central catheters (PICC) showed to be associated with higher mortality in comparison with central venous catheters (CVC, Short catheters and Portacath) and no CVC use. For each point increase of APACHE III score, survival probability decreased of 2%. Caspofungin (OR = 3.45, p = 0.015) and Amphothericin B lipid formulation (OR = 15.26, p = 0.033) were independently associated with higher survival probability compared with no treatment.

Indexed as

AgedAged, 80 and overAntifungal AgentsCandidaCandidemiaFemaleHumansMaleMicrobial Sensitivity TestsMiddle AgedMultivariate AnalysisPatients' RoomsRisk FactorsSurvivorsAntifungal Agents

Identifiers

PMID26010361
PMCPMC4444310
OpenAlexW1597653464

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.