Evidence map›Paper›PMID 29949089›Full record

ArticleInfection2018

Invasive Candida auris infections in Kuwait hospitals: epidemiology, antifungal treatment and outcome.

Ziauddin Khan, Suhail Ahmad, Khalifa Benwan, Prashant Purohit, Inaam Al-Obaid, Ritu Bafna, Maha Emara, Eiman Mokaddas, Aneesa Ahmed Abdullah, Khaled Al-Obaid and 1 more

Abstract read
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In one paragraph

Article in Infection, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Multidrug-ResistantThe Malaysian journal of medical sciences : MJMS · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. First Report of Azole-ResistantJournal of fungi (Basel, Switzerland) · 2023
    Article
  9. Article
  10. Emergence of highly resistantFrontiers in public health · 2023
    Article
  11. Article
  12. Strategies to Prevent Transmission ofCurrent fungal infection reports · 2023
    Review
  13. Journal of fungi (Basel, Switzerland) · 2022
    Review
  14. Article
  15. Article
  16. Iranian journal of microbiology · 2022
    Review
  17. Review
  18. Article
  19. Microorganisms · 2021
    Review
  20. Genomic Epidemiology ofJournal of fungi (Basel, Switzerland) · 2021
    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

11 authors at 5 institutions in 1 country.

Ziauddin KhanDepartment of Microbiology, Faculty of Medicine, Kuwait University, P. O. Box 24923, Safat, 13110, Kuwait City, Kuwait. zkhan@hsc.edu.kw.
Suhail AhmadDepartment of Microbiology, Faculty of Medicine, Kuwait University, P. O. Box 24923, Safat, 13110, Kuwait City, Kuwait.
Khalifa BenwanDepartment of Microbiology, Al-Amiri Hospital, Kuwait City, Kuwait.
Prashant PurohitDepartment of Microbiology, Al-Sabah Hospital, Kuwait City, Kuwait.
Inaam Al-ObaidDepartment of Microbiology, Al-Sabah Hospital, Kuwait City, Kuwait.
Ritu BafnaDepartment of Microbiology, Al-Sabah Hospital, Kuwait City, Kuwait.
Maha EmaraDepartment of Microbiology, Al-Sabah Hospital, Kuwait City, Kuwait.
Eiman MokaddasDepartment of Microbiology, Faculty of Medicine, Kuwait University, P. O. Box 24923, Safat, 13110, Kuwait City, Kuwait.
Aneesa Ahmed AbdullahDepartment of Microbiology, Ibn-Sina Hospital, Kuwait City, Kuwait.
Khaled Al-ObaidDepartment of Microbiology, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.
Leena JosephDepartment of Microbiology, Faculty of Medicine, Kuwait University, P. O. Box 24923, Safat, 13110, Kuwait City, Kuwait.
Al-Sabah Hospital · KWKuwait University · KWAmiri Hospital · KWIbn Sina Hospital · KWMubarak Al Kabeer Hospital · KW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCandida auris is a recently recognized yeast pathogen, which has attracted worldwide attention due to its multidrug-resistant nature and associated high mortality rates. Its persistence in hospital environment and propensity of nosocomial transmission underscores the need of continuous monitoring to prevent outbreaks. Since the first case of C. auris candidemia in May, 2014, we have identified 17 additional invasive cases, which are described here.

methodsIdentity of 17 isolates originating from proven or possible cases of invasive C. auris infection and identified as Candida haemulonii by Vitek 2 yeast identification system was confirmed by PCR-sequencing of rDNA. Information about risk factors, treatment and outcomes were retrospectively retrieved from case files. Antifungal susceptibility testing was performed by Etest.

resultsThirteen cases of candidemia and 4 cases of other invasive infections were detected in 6 hospitals across Kuwait. Major risk factors included adult patients with cancer, diabetes, gastrointestinal/liver diseases and extended (> 25 days) hospital stay. All isolates were resistant to fluconazole. Additionally, 5 and 4 isolates were also resistant to voriconazole and amphotericin B, respectively. Despite antifungal treatment, 9 of 15 patients died. Most patients (n = 12) were hospitalized in 2 hospitals that are in close proximity, whereas 5 other patients were from 3 hospitals that are situated > 10 km apart.

conclusionsOccurrence of successive cases of invasive C. auris infections with resulting mortality in nine patients suggests persistence of this multidrug-resistant yeast in major hospitals in Kuwait. Early detection by continuous surveillance and enforcement of infection control measures are recommended.

Indexed as

CandidaAdultAgedAged, 80 and overAntifungal AgentsCandidiasis, InvasiveCross InfectionFemaleHospitalsHumansInfection ControlKuwaitMaleMicrobial Sensitivity TestsMiddle AgedTreatment OutcomeAntifungal AgentsAntifungal susceptibilityCandida aurisEpidemiologyInvasive infectionsKuwait

Identifiers

PMID29949089
OpenAlexW2807953545

What OpenQuestion holds

Textmetadata
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.