Evidence map›Paper›PMID 30051279›Full record

SynthesisMycopathologia2019

Prosthetic Joint Infections Caused by Candida Species: A Systematic Review and a Case Series.

Yoo Ra Lee, Hyun Jung Kim, Eun Ju Lee, Jang Wook Sohn, Min Ja Kim, Young Kyung Yoon

Abstract readCase ReportsSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Mycopathologia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.4field-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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Candida periprosthetic infection of the knee: a systematic review of surgical treatments and clinical outcomes.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Pooled it
  2. AFederal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025
    Article
  3. Article
  4. Review
  5. Fungal arthritis: A challenging clinical entity.World journal of orthopedics · 2023
    Review
  6. Osteoarticular Mycoses.Clinical microbiology reviews · 2022
    Review
  7. Prosthetic Knee Joint Infection Due toDiagnostics (Basel, Switzerland) · 2022
    Article
  8. Fungal Periprosthetic Hip Joint Infections.Diagnostics (Basel, Switzerland) · 2022
    Review
  9. Article
  10. Periprosthetic Joint Infections Caused byJournal of fungi (Basel, Switzerland) · 2022
    Review
  11. Article
  12. Mixed bacterial-fungal infection following total hip arthroplasty: A case report.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. 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

6 authors at 2 institutions in 2 countries.

Yoo Ra LeeDivision of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.
Hyun Jung KimInstitute for Evidence-Based Medicine, Cochrane Korea, Seoul, Republic of Korea.
Eun Ju LeeMedical Library, Korea University College of Medicine, Seoul, Republic of Korea.
Jang Wook SohnDivision of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.
Min Ja KimDivision of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.
Young Kyung YoonDivision of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea. young7912@korea.ac.kr.ORCID http://orcid.org/0000-0001-8435-935X
Korea University · KRKorea University Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study was to evaluate the efficacy of echinocandins in the treatment of Candida prosthetic joint infection (PJI) based on published literature and on patients we examined. A structured literature review of multiple databases was conducted to identify patients who received echinocandins for Candida PJIs. Additionally, we describe here the first cases of PJIs due to C. parapsilosis, successfully treated with prolonged anidulafungin therapy. Out of 17 patients, 12 were female and the mean age at diagnosis was 66.0 years. No risk factors associated with Candida PJIs were found in four patients (23.5%). Infection sites included the knee (n = 10, 62.5%), the hip (n = 6, 35.3%) and the shoulder (n = 1, 5.9%). The most frequently isolated Candida species were C. albicans (n = 7, 41.2%) and C. glabrata (n = 7, 41.2%), followed by C. parapsilosis (n = 2, 11.8%) and C. freyschussii (n = 1, 5.9%). All patients were cured with the combination of systemic antifungal therapy and surgical interventions. Two-stage exchange arthroplasty and resection arthroplasty were performed in five and nine patients, respectively. The most frequently used echinocandins were caspofungin (n = 11, 64.7%), followed by anidulafungin (n = 4, 23.5%) and micafungin (n = 2, 11.8%). The median duration (days) of echinocandin therapy was as follows: caspofungin (25.5, range 8-56), micafungin (14.0, range 4-56) and anidulafungin (58, range 14-90). This study supports the effective role of echinocandins, as well as the potential advantage of surgical intervention in the treatment of Candida PJIs. Furthermore, it provides fundamental data on the safety of long-term echinocandin therapy.

Indexed as

AgedAntifungal AgentsArthroplastyCandidaCandidiasisDemographyEchinocandinsFemaleHumansJointsMaleMiddle AgedOsteoarthritisProsthesis-Related InfectionsRisk FactorsTreatment OutcomeAntifungal AgentsEchinocandinsCandidaEchinocandinsInfectious arthritisProsthesis-related infections

Identifiers

PMID30051279
OpenAlexW2883618424

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.