Evidence map›Paper›PMID 27401690›Full record

ArticleInfection2016

Nosocomial candidemia in patients admitted to medicine wards compared to other wards: a multicentre study.

Roberto Luzzati, Maria Merelli, Filippo Ansaldi, Chiara Rosin, Annamaria Azzini, Silvia Cavinato, Pierluigi Brugnaro, Claudio Vedovelli, Annamaria Cattelan, Busetti Marina and 3 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Infection, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.8field-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

29 citing papers in PubMed, 50 citations in OpenAlex.

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  20. Central venous catheter unrelated candidemia influences the outcome of infection in patients with solid tumors.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2019
    Observational
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 5 institutions in 1 country.

Roberto LuzzatiInfectious Disease Unit, University Hospital of Trieste, Piazzale dell' Ospitale 2, 34125, Trieste, Italy. roberto.luzzati@asuits.sanita.fvg.it.ORCID http://orcid.org/0000-0001-5546-0715
Maria MerelliInfectious Diseases Division, Santa Maria Misericordia University Hospital, Piazzale Santa Maria della Misericordia 15, 33010, Udine, Italy.
Filippo AnsaldiDepartment of Health Sciences, IRCCS San Martino IST, Largo R. Benzi 10, 16132, Genoa, Italy.
Chiara RosinInfectious Disease Unit, University Hospital of Trieste, Piazzale dell' Ospitale 2, 34125, Trieste, Italy.
Annamaria AzziniInfectious Diseases Division, University Hospital, Piazzale L. Scuro 10, 37134, Verona, Italy.
Silvia CavinatoInfectious and Tropical Diseases Division, University Hospital, Via N. Giustiniani 2, 35128, Padua, Italy.
Pierluigi BrugnaroInfectious Diseases Division, Hospital of Venice, Castello 6777, 30122, Venice, Italy.
Claudio VedovelliInfectious Diseases Division, Hospital of Bolzano, Via L. Bohler 5, 39100, Bolzano, Italy.
Annamaria CattelanInfectious and Tropical Diseases Division, University Hospital, Via N. Giustiniani 2, 35128, Padua, Italy.
Busetti MarinaLaboratory for Microbiology, University Hospital, Strada di Fiume 447, 34149, Trieste, Italy.
Giuseppe GattiDivision of Cardiac Surgery, University Hospital, Via P. Valdoni 7, 34148, Trieste, Italy.
Ercole ConciaInfectious Diseases Division, University Hospital, Piazzale L. Scuro 10, 37134, Verona, Italy.
Matteo BassettiInfectious Diseases Division, Santa Maria Misericordia University Hospital, Piazzale Santa Maria della Misericordia 15, 33010, Udine, Italy.
University of Trieste · ITOspedale Santa Maria della Misericordia di Udine · ITUniversity of Verona · ITOspedale di Bolzano · ITOspedale Policlinico San Martino · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRisk factors for nosocomial candidemia, severity of sepsis, treatment, and outcome were compared between patients admitted to medicine wards and those to surgical and intensive care units (ICUs).

methodsData were retrospectively collected from patients belonging to six referral hospitals in Italy between January 2011 and December 2013. Risk factors for 30-day mortality were evaluated in the whole patient population.

resultsA total of 686 patients (mean age 70 ± 15 years) with candidemia were included. 367 (53.5 %) patients were in medicine wards, and 319 in surgery and ICUs. Host-related risk factors for candidemia were more common in medicine patients whereas healthcare-related factors in surgery/ICU patients. These patients showed severe sepsis and septic shock more commonly (71.7 %) than medicine patients (59.9 %) (p 0.003). The latter underwent central venous catheter (CVC) removal and adequate antifungal therapy less frequently than surgery/ICU patients. 149 (40.6 %) patients died with candidemia in medicine wards and 69 (21.6 %) in other wards (p < 0.001). Overall, the 30-day mortality was 36.3 %. At multivariate analysis, independent risk factors for death were aging, higher Charlson score, severe sepsis and septic shock, and no antifungal therapy, while major surgery and CVC removal were associated with higher probability of survival.

conclusionsThe burden of risk factors for candidemia was different between medicine patients and those in other wards. Despite the lower severity of candidemia in medicine patients, their mortality turned out to be higher than in surgery or ICU patients. Awareness of the best management of candidemia should be pursued, especially in medicine wards.

Indexed as

AgedAged, 80 and overCandidemiaCross InfectionFemaleHospital UnitsHumansItalyMaleRetrospective StudiesRisk FactorsCandidemiaElderlyEpidemiologyMedicine wardsMortalityRisk factors

Identifiers

PMID27401690
OpenAlexW2461476845

What OpenQuestion holds

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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.