Evidence map›Paper›PMID 27882525›Full record

ArticleMycopathologia2017

Genotyping and Persistence of Candida albicans from Pregnant Women with Vulvovaginal Candidiasis.

Cecilia V Tapia, Germán Hermosilla, Paula Fortes, Claudio Alburquenque, Sergio Bucarey, Hugo Salinas, Paula I Rodas, María Cristina Díaz, Fabien Magne

Abstract read
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In one paragraph

Article in Mycopathologia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Genotyping ofCurrent medical mycology · 2022
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  5. Impact of HPV infection on vaginal microecology and maternal and neonatal outcomes.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2021
    Article
  6. Article
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  8. Genotype Analysis of ClinicalInfection and drug resistance · 2019
    Article
  9. Article
  10. Detection ofJournal of medical microbiology · 2018
    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 at 6 institutions in 2 countries.

Cecilia V TapiaPrograma de Microbiología y Micología, ICBM, Facultad de Medicina, Universidad de Chile, Santiago, Chile. cetapia@med.uchile.cl.
Germán HermosillaPrograma de Microbiología y Micología, ICBM, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Paula FortesPrograma de Microbiología y Micología, ICBM, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Claudio AlburquenqueEscuela de Tecnología Médica, Universidad Mayor, Santiago, Chile.
Sergio BucareyDepartamento de Ciencias Biológicas Animales, Facultad de Ciencias Veterinarias y Pecuarias, Centro Biotecnológico Biovetec, Universidad de Chile, Santiago, Chile.
Hugo SalinasDepartamento de Obstetricia y Ginecología, Hospital Clínico, Universidad de Chile, Santiago, Chile.
Paula I RodasCenter for Integrative Medicine and Innovative Science, Facultad de Medicina, Universidad Andrés Bello, Santiago, Chile.
María Cristina DíazPrograma de Microbiología y Micología, ICBM, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Fabien MagnePrograma de Microbiología y Micología, ICBM, Facultad de Medicina, Universidad de Chile, Santiago, Chile. fabienmagne@med.uchile.cl.ORCID http://orcid.org/0000-0002-8210-4561
University of Chile · CLClínica Dávila · CLConservatoire National des Arts et Métiers · FRHospital Clínico de la Universidad de Chile · CLUniversidad Andrés Bello · CLUniversidad Mayor · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study Candida albicans genotypes using RAPD and their susceptibility to fluconazole in healthy pregnant women and in vulvovaginal candidiasis (VVC) patients after topical treatment with clotrimazole.

methodsVaginal swabs were collected at t = 0 and t = 1 (1 month later) in pregnant women (control group, n = 33), and before (t = 0), at 1 month (t = 1) and at 2 months (t = 2) after clotrimazole treatment in pregnant women with VVC.

resultsCandida albicans was isolated in 30% of healthy pregnant women and 80% of patients with VVC. A high genetic heterogeneity was observed in C. albicans genotypes between individuals. In patients with VVC, topical antifungal treatment with clotrimazole was clinically effective, but only in a 62% C. albicans was eradicated. In patients in which C. albicans was not eradicated, this microorganism persisted for 1 or 2 months after the antifungal treatment. The persistent colonies were not associated with a specific genotype, but they were associated with higher MICs in comparison with colonies isolated from the control group.

conclusionsTherapy with topical clotrimazole, despite a good clinical outcome, could not eradicate completely C. albicans allowing the persistence of genotypes, with higher MICs to fluconazole. More studies with higher number of patients are needed to validate this preliminary finding.

Indexed as

GenotypeGenotyping TechniquesAdministration, TopicalAdolescentAdultAntifungal AgentsCandida albicansCandidiasis, VulvovaginalClotrimazoleFemaleFluconazoleHumansMicrobial Sensitivity TestsPregnancyPregnancy Complications, InfectiousRandom Amplified Polymorphic DNA TechniqueAntifungal AgentsClotrimazoleFluconazoleC. albicansClotrimazoleGenotypesPersistencePregnant womenRAPDResistanceVulvovaginal candidiasis

Identifiers

PMID27882525
OpenAlexW2554917162

What OpenQuestion holds

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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.