Evidence map›Paper›PMID 26582870›Full record

ArticleJournal of the Pediatric Infectious Diseases Society2015

A Prospective, International Cohort Study of Invasive Mold Infections in Children.

Rachel L Wattier, Christopher C Dvorak, Jill A Hoffman, Ava A Brozovich, Ibrahim Bin-Hussain, Andreas H Groll, Elio Castagnola, Katherine M Knapp, Theoklis E Zaoutis, Britt Gustafsson and 8 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of the Pediatric Infectious Diseases Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 7% 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 108 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Fungal Infections in Pediatric Patients With Hematologic Malignancies and Stem Cell Transplantation: Impact on the Upper and Lower Respiratory Systems.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2026
    Review
  7. Article
  8. Nature communications · 2025
    Observational
  9. Article
  10. Review
  11. Risk factors for identifying pulmonary aspergillosis in pediatric patients.Frontiers in cellular and infection microbiology · 2025
    Article
  12. Article
  13. Review
  14. Liposomal amphotericin B-the present.The Journal of antimicrobial chemotherapy · 2022
    Article
  15. Review
  16. Article
  17. Fungal Infection Testing in Pediatric Intensive Care Units-A Single Center Experience.International journal of environmental research and public health · 2022
    Article
  18. Combined Effect ofFrontiers in pediatrics · 2022
    Article
  19. Characteristics of antifungal utilization for hospitalized children in the United States.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022
    Article
  20. 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

18 authors at 15 institutions in 7 countries.

Rachel L WattierDepartment of Pediatrics, University of California-San Francisco.
Christopher C DvorakDepartment of Pediatrics, University of California-San Francisco.
Jill A HoffmanDepartment of Pediatrics, University of Southern California School of Medicine, Los Angeles.
Ava A BrozovichDepartment of Pediatrics, Duke University, Durham, North Carolina.
Ibrahim Bin-HussainDepartment of Pediatrics, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Andreas H GrollDepartment of Pediatric Hematology/Oncology, University Children's Hospital, Muenster, Germany.
Elio CastagnolaInfectious Diseases Unit, Istituto Giannina Gaslini, Genoa, Italy.
Katherine M KnappDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee.
Theoklis E ZaoutisDivision of Infectious Diseases, Children's Hospital of Philadelphia, Pennsylvania.
Britt GustafssonDepartment of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
Lillian SungDivision of Hematology/Oncology, Hospital for Sick Children, Toronto, Ontario, Canada.
David BermanDepartment of Pediatrics, All Children's Hospital, St. Petersburg, Florida.
Natasha B HalasaDepartment of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Mark J AbzugDepartment of Pediatrics, Children's Hospital Colorado, Aurora.
Aristea VelegrakiDepartment of Microbiology, University of Athens, Greece.
Tanvi S SharmaDivision of Infectious Diseases, Boston Children's Hospital, Massachusetts.
Brian T FisherDivision of Infectious Diseases, Children's Hospital of Philadelphia, Pennsylvania.
William J SteinbachDepartment of Pediatrics, Duke University, Durham, North Carolina Department of Molecular Genetics & Microbiology, Duke University, Durham, North Carolina.
Children's Hospital of Philadelphia · USDuke University · USUniversity of California, San Francisco · USBoston Children's Hospital · USHospital for Sick Children · CAIstituto Giannina Gaslini · ITJohns Hopkins University · USKarolinska Institutet · SEKing Faisal Specialist Hospital & Research Centre · SANational and Kapodistrian University of Athens · GRSt. Jude Children's Research Hospital · USUniversity Hospital Münster · DEUniversity of Colorado Denver · USUniversity of Southern California · USVanderbilt University · US

Funding

CLINICAL, PHARMACOLOGY, DRUG ACTION &PHARMACOKINETICST32GM007546 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Radojka Savic · 1985 to 2026
$8.9M
NIGMS NIH HHS T32 GM007546NIGMS NIH HHS T32 GM07546
6 · The paper itself

Abstract

backgroundInvasive mold infections (IMIs) are a leading cause of mortality in immunocompromised children, yet there has never been an international epidemiologic investigation of pediatric IMIs.

methodsThis international, prospective cohort study was performed to characterize the epidemiology, antifungal therapy, and outcomes of pediatric IMIs. Children (≤18 years) with proven or probable IMIs were enrolled between August 2007 and May 2011 at 22 sites. Risk factors, underlying diagnoses, and treatments were recorded. Outcomes were assessed at 12 weeks after diagnosis using European Organization for Research and Treatment of Cancer/Mycoses Study Group response criteria.

resultsOne hundred thirty-one pediatric patients with IMIs were enrolled; the most common IMI was invasive aspergillosis ([IA] 75%). Children with IA and those with other types of IMIs had similar underlying risk factors, except that children with IMIs caused by non-Aspergillus species were more likely to have received mold-active antifungal agents preceding diagnosis. The most commonly used antifungal classes after diagnosis were triazoles (82%) and polyenes (63%). Combination therapy was used in 53% of patients. Use of combination therapy was associated with an increased risk of adverse events (risk ratio, 1.98; 95% confidence interval, 1.06-3.68; P = .031), although there was no detectable difference in outcome.

conclusionsAlthough risk factors for IMIs are similar across specific subtypes, preceding antifungal therapy may be an important modifier. Combination antifungal therapy requires further study to determine its true risks and benefits.

Indexed as

AdolescentAntifungal AgentsAspergillosisChildChild, PreschoolFemaleFungiHumansMaleMycosesProspective StudiesRisk FactorsTreatment OutcomeAntifungal Agentsantifungalaspergillosismucormycosisoutcometreatment

Identifiers

PMID26582870
PMCPMC4681382
OpenAlexW2153482254

What OpenQuestion holds

Textmetadata
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.