Evidence map›Paper›PMID 28573191›Full record

ArticleTransplantation direct2017

Invasive Candida Infections in Liver Transplant Recipients: Clinical Features and Risk Factors for Mortality.

Matteo Bassetti, Maddalena Peghin, Alessia Carnelutti, Elda Righi, Maria Merelli, Filippo Ansaldi, Cecilia Trucchi, Cristiano Alicino, Assunta Sartor, Joost Wauters and 14 more

Open access · goldAbstract read
In one paragraph

Article in Transplantation direct, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.5field-weighted citation impact, top 5% 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, 52 citations in OpenAlex.

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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

24 authors at 7 institutions in 4 countries.

Matteo BassettiInfectious Diseases Clinic, Department of Medicine University of Udine and Azienda Sanitaria Universitaria Integrata di Udine, Udine, Italy.
Maddalena PeghinInfectious Diseases Clinic, Department of Medicine University of Udine and Azienda Sanitaria Universitaria Integrata di Udine, Udine, Italy.
Alessia CarneluttiInfectious Diseases Clinic, Department of Medicine University of Udine and Azienda Sanitaria Universitaria Integrata di Udine, Udine, Italy.
Elda RighiInfectious Diseases Clinic, Department of Medicine University of Udine and Azienda Sanitaria Universitaria Integrata di Udine, Udine, Italy.
Maria MerelliInfectious Diseases Clinic, Department of Medicine University of Udine and Azienda Sanitaria Universitaria Integrata di Udine, Udine, Italy.
Filippo AnsaldiDepartment of Health Sciences, University of Genoa, Genoa, Italy.
Cecilia Trucchi
Cristiano AlicinoDepartment of Health Sciences, University of Genoa, Genoa, Italy.
Assunta SartorInfectious Diseases Clinic, Department of Medicine University of Udine and Azienda Sanitaria Universitaria Integrata di Udine, Udine, Italy.
Joost WautersMedical Intensive Care Unit, University Hospitals Leuven, Leuven, Belgium.
Katrien LagrouDepartment of Laboratory Medicine and National Reference Center for Mycosis, University Hospitals of Leuven, Leuven, Belgium.
Carlo TasciniDepartment of Microbiology & Immunology Leuven, KU Leuven, Belgium.
Francesco MenichettiFirst Infecious Diseases Unit, Ospedale Cotugno, Azienda Ospedaliera dei Colli, Naples, Italy.
Alessio MesiniInfectious Disease Department, Cisanello Hospital, Pisa, Italy.
Francesco G De RosaInfectious Diseases Unit, IRCCS AOU San Martino-IST, University of Genoa, Genoa, Italy.
Leonel LagunesDepartment of Medical Sciences, University of Torino, Torino, Italy.
Jordi RelloDepartment of Medical Sciences, University of Torino, Torino, Italy.
Arnaldo L ColomboCritical Care, Hospital Vall d'Hebron, Institut de Recerca Vall d'Hebron-UAB, CIBERES, Barcelona, Spain.
Antonio VenaUniversity Hospital, Universidade Federal de São Paulo, São Paulo, Brazil.
Patricia MunozUniversity Hospital, Universidade Federal de São Paulo, São Paulo, Brazil.
Mario TumbarelloClinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Gabriele SgangaClinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Ignacio Martin-LoechesInfectious Diseases Institute, Policlinico Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy.
Claudio ViscoliInfectious Disease Department, Cisanello Hospital, Pisa, Italy.
University of Udine · ITOspedale Santa Maria della Misericordia di Udine · ITUniversity of Genoa · ITOspedale Policlinico San Martino · ITCentro de Investigación Biomédica en Red · ESHospital General Universitario Gregorio Marañón · ESKU Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInvasive fungal infections remain a leading cause of morbidity and mortality among liver transplant recipients (LTRs). In this patient population, invasive Candida infections (ICIs) account for the large majority of cases. To date, only small studies and case-series analysing clinical presentation and risk factors for mortality in LTRs with ICIs are available.

methodsWe performed a retrospective multicenter multinational study in 10 centers in Europe and Brazil. All consecutive LTRs developing ICIs during the period January 2011 to December 2013 were included in the study.

resultsA total of 42 LTRs were included. Median age was 52.5 years, and 78.6% of patients were men. Viral hepatitis was the most common cause for liver transplantation (42.9%). Candidemia represented the majority of cases (24, 57.1%), followed by intra-abdominal candidiasis (18, 42.9%). Overall 30-day mortality was 23.8%, with higher mortality in patients with candidemia compared with intra-abdominal candidiasis (37.5% vs 5.6%,

conclusionsOur study confirms the occurrence of high mortality rates in LTRs developing ICIs. Mortality rates varied according to the type of infection, with candidemia representing a risk factor for mortality. The high rates of antifungal resistance should be considered in the choice of the empiric antifungal regimen.

Identifiers

PMID28573191
PMCPMC5441987
OpenAlexW2606500737

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.