Evidence map›Paper›PMID 27379047›Full record

ArticleFrontiers in microbiology2016

A Prospective Surveillance Study of Candidaemia: Epidemiology, Risk Factors, Antifungal Treatment and Outcome in Hospitalized Patients.

Ranjith Rajendran, Leighann Sherry, Ashutosh Deshpande, Elizabeth M Johnson, Mary F Hanson, Craig Williams, Carol A Munro, Brian L Jones, Gordon Ramage

Abstract read
In one paragraph

Article in Frontiers in microbiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
–field-weighted citation impact
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

40 citing papers in PubMed.

  1. Changes in age composition and epidemiology of candidaemia, Iceland, 2012 to 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
    Article
  2. Article
  3. Observational
  4. Article
  5. Fungal biofilms in human health and disease.Nature reviews. Microbiology · 2025
    Review
  6. Article
  7. Review
  8. Amphotericin B in the Era of New Antifungals: Where Will It Stand?Journal of fungi (Basel, Switzerland) · 2024
    Review
  9. Unresolved issues in the diagnosis of catheter related candidemia: A position paper.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2024
    Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Zoonoses (Shannon, Ireland) · 2023
    Article
  15. Characteristics, risk factors, and outcomes of bloodstreamThe Journal of international medical research · 2023
    Article
  16. OralCurrent medical mycology · 2022
    Article
  17. Article
  18. Article
  19. Review
  20. 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

9 authors.

Ranjith RajendranSchool of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow Glasgow, UK.
Leighann SherrySchool of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow Glasgow, UK.
Ashutosh DeshpandeMicrobiology Department, Glasgow Royal Infirmary Glasgow, UK.
Elizabeth M JohnsonPublic Health England, Southwest Laboratory Bristol, UK.
Mary F HansonMicrobiology Department, NHS Lothian Edinburgh, UK.
Craig WilliamsUniversity of the West of Scotland Glasgow, UK.
Carol A MunroAberdeen Fungal Group, University of Aberdeen Aberdeen, UK.
Brian L JonesMicrobiology Department, Glasgow Royal Infirmary Glasgow, UK.
Gordon RamageSchool of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow Glasgow, UK.

Funding

Medical Research Council MR/N006364/1Wellcome Trust 097377
6 · The paper itself

Abstract

This study provide an up-to-date overview of the epidemiology and risk factors for Candida bloodstream infection in Scotland in 2012/2013, and the antifungal susceptibility of isolates from blood cultures from 11 National Health Service boards within Scotland. Candida isolates were identified by chromogenic agar and confirmed by MALDI-TOF methods. Survival and associated risk factors for patients stratified as albicans and non-albicans cases were assessed. Information on the spectrum of antifungals used was collected and summarized. The isolates sensitivity to different antifungals was tested by broth microdilution method and interpreted according to CLSI/EUCAST guidelines. Forty one percent of candidaemia cases were associated with Candida albicans, followed by C. glabrata (35%), C. parapsilosis (11.5%), and remainder with other Candida spp. C. albicans and C. glabrata infections were associated with 20.9 and 16.3% mortality, respectively. Survival of patients with C. albicans was significantly lower compared to non-C. albicans and catheter line removal in C. albicans patients significantly increases the survival days. Predisposing factors such as total parenteral nutrition, and number of days on mechanical ventilation or in intensive care, were significantly associated with C. albicans infections. Fluconazole was used extensively (64.5%) for treating candidaemia cases followed by echinocandins (33.8%). Based on CLSI breakpoints, MIC test found no resistance to any antifungals tested except 5.26% fluconazole resistance among C. glabrata isolates. Moreover, by comparing to EUCAST breakpoints we found 3.95% of C. glabrata isolates were resistant to anidulafungin. We have observed a shift in Candida spp. with an increasing isolation of C. glabrata. Delay and choice of antifungal treatment are associated with poor clinical outcomes.

Indexed as

antifungalsCandida albicanscandidaemiaCandida glabratadrug resistance

Identifiers

PMID27379047
PMCPMC4910670

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Registered trials

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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.