Evidence map›Paper›PMID 27855078›Full record

ArticleAntimicrobial agents and chemotherapy2017

Echinocandin Resistance in Candida Species Isolates from Liver Transplant Recipients.

Gwénolé Prigent, Nawel Aït-Ammar, Eric Levesque, Arnaud Fekkar, Jean-Marc Costa, Sarra El Anbassi, Françoise Foulet, Christophe Duvoux, Jean-Claude Merle, Eric Dannaoui and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  5. Review
  6. Article
  7. Highly ConservedAntimicrobial agents and chemotherapy · 2022
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Frontiers in microbiology · 2020
    Article
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  19. Antimicrobial agents and chemotherapy · 2017
    Article
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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

11 authors at 3 institutions in 1 country.

Gwénolé PrigentUnité de Parasitologie-Mycologie, Département de Virologie, Bactériologie-Hygiène, Parasitologie-Mycologie, DHU VIC, CHU Henri Mondor, AP-HP, Créteil, France.
Nawel Aït-AmmarUnité de Parasitologie-Mycologie, Département de Virologie, Bactériologie-Hygiène, Parasitologie-Mycologie, DHU VIC, CHU Henri Mondor, AP-HP, Créteil, France.
Eric LevesqueRéanimation Digestive et Hépato-Biliaire, Service d'Anesthésie et des Réanimations Chirurgicales, CHU Henri Mondor, AP-HP, Créteil, France.
Arnaud FekkarService de Parasitologie-Mycologie, CHU La Pitié-Salpêtrière, AP-HP, Paris, France.
Jean-Marc CostaEA Dynamyc UPEC, ENVA, Faculté de Médecine, Créteil, France.
Sarra El AnbassiUnité de Parasitologie-Mycologie, Département de Virologie, Bactériologie-Hygiène, Parasitologie-Mycologie, DHU VIC, CHU Henri Mondor, AP-HP, Créteil, France.
Françoise FouletUnité de Parasitologie-Mycologie, Département de Virologie, Bactériologie-Hygiène, Parasitologie-Mycologie, DHU VIC, CHU Henri Mondor, AP-HP, Créteil, France.
Christophe DuvouxService d'Hépatologie, CHU Henri Mondor, AP-HP, Créteil, France.
Jean-Claude MerleRéanimation Digestive et Hépato-Biliaire, Service d'Anesthésie et des Réanimations Chirurgicales, CHU Henri Mondor, AP-HP, Créteil, France.
Eric DannaouiEA Dynamyc UPEC, ENVA, Faculté de Médecine, Créteil, France.ORCID 0000-0002-2817-3830
Françoise BotterelUnité de Parasitologie-Mycologie, Département de Virologie, Bactériologie-Hygiène, Parasitologie-Mycologie, DHU VIC, CHU Henri Mondor, AP-HP, Créteil, France francoise.botterel@aphp.fr.
Centre Hospitalier Universitaire Henri-Mondor · FRÉcole Nationale Vétérinaire d'Alfort · FRSorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver transplant recipients are at risk of invasive fungal infections, especially candidiasis. Echinocandin is recommended as prophylactic treatment but is increasingly associated with resistance. Our aim was to assess echinocandin drug resistance in Candida spp. isolated from liver transplant recipients treated with this antifungal class. For this, all liver-transplanted patients in a University Hospital (Créteil, France) between January and June of 2013 and 2015 were included. Susceptibilities of Candida isolates to echinocandins were tested by Etest and the EUCAST reference method. Isolates were analyzed by FKS sequencing and genotyped based on microsatellites or multilocus sequence typing (MLST) profiles. Ninety-four patients were included, and 39 patients were colonized or infected and treated with echinocandin. Echinocandin resistance appeared in 3 (8%) of the treated patients within 1 month of treatment. One patient was colonized by resistant Candida glabrata, one by resistant Candida dubliniensis, and one by resistant Candida albicans Molecular analysis found three mutations in FKS2 HS1 (F659S, S663A, and D666E) for C. glabrata and one mutation in FKS1 HS1 (S645P) for C. dubliniensis and C. albicans Susceptible and resistant isolates belonged to the same genotype. To our knowledge, this is the first study on echinocandin resistance in Candida spp. in a liver transplant population. Most resistant isolates were found around/in digestive sites, perhaps due to lower diffusion of echinocandin in these sites. This work documents the risk of emergence of resistance to echinocandin, even after short-term treatment.

Indexed as

Liver TransplantationAdultAgedCandidaDrug Resistance, FungalEchinocandinsFemaleFranceFungal ProteinsHumansMaleMicrobial Sensitivity TestsMiddle AgedMutationMutS Homolog 2 ProteinEchinocandinsFungal ProteinsMutS Homolog 2 ProteinCandidaCandida albicansCandida dubliniensisCandida glabrataechinocandinliver transplantationresistance

Identifiers

PMID27855078
PMCPMC5278690
OpenAlexW2552280660

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.