Evidence map›Paper›PMID 30849092›Full record

ArticlePloS one2019

A prospective, multi-center study of Candida bloodstream infections in Chile.

Maria E Santolaya, Luis Thompson, Dona Benadof, Cecilia Tapia, Paulette Legarraga, Claudia Cortés, Marcela Rabello, Romina Valenzuela, Pamela Rojas, Ricardo Rabagliati and 1 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.5field-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

28 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Asymptomatic Candiduria due toCase reports in infectious diseases · 2026
    Article
  5. Review of Recent Medicinal Applications of Rhenium(I) Tricarbonyl Complexes.International journal of molecular sciences · 2025
    Review
  6. Article
  7. Article
  8. Prevalence and Species Distribution ofJournal of fungi (Basel, Switzerland) · 2024
    Article
  9. Candida parapsilosis complex in the clinical setting.Nature reviews. Microbiology · 2024
    Review
  10. Antimicrobial agents and chemotherapy · 2023
    Article
  11. Article
  12. Hospital outbreak of fluconazole-resistantAntimicrobial agents and chemotherapy · 2023
    Article
  13. Molecular Investigation of the Fatal BloodstreamInternational journal of molecular sciences · 2023
    Article
  14. Article
  15. Review
  16. Article
  17. Antifungal Resistance in Clinical Isolates ofJournal of fungi (Basel, Switzerland) · 2021
    Review
  18. Pharmaceutics · 2021
    Review
  19. Clinical characteristics and risk factors for death in patients withZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2021
    Article
  20. 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 7 institutions in 1 country.

Maria E SantolayaInfectious Diseases Unit, Department of Pediatrics, Hospital Dr. Luis Calvo Mackenna, Faculty of Medicine, Universidad de Chile, Santiago, Chile.ORCID 0000-0003-0879-002X
Luis ThompsonChilean Invasive Mycosis Network, Santiago, Chile.
Dona BenadofChilean Invasive Mycosis Network, Santiago, Chile.
Cecilia TapiaChilean Invasive Mycosis Network, Santiago, Chile.
Paulette LegarragaChilean Invasive Mycosis Network, Santiago, Chile.
Claudia CortésChilean Invasive Mycosis Network, Santiago, Chile.
Marcela RabelloInfectious Diseases Unit, Department of Pediatrics, Hospital Dr. Luis Calvo Mackenna, Faculty of Medicine, Universidad de Chile, Santiago, Chile.
Romina ValenzuelaInfectious Diseases Unit, Department of Pediatrics, Hospital Dr. Luis Calvo Mackenna, Faculty of Medicine, Universidad de Chile, Santiago, Chile.
Pamela RojasChilean Invasive Mycosis Network, Santiago, Chile.
Ricardo RabagliatiChilean Invasive Mycosis Network, Santiago, Chile.
Chilean Invasive Mycosis Network
Hospital Luis Calvo Mackenna · CLPontificia Universidad Católica de Chile · CLClinica Santa Maria · CLHospital Padre Hurtado · CLHospital Roberto del Rio · CLUniversidad del Desarrollo · CLUniversity of Chile · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundActive surveillance is necessary for improving the management and outcome of patients with candidemia. The aim of this study was to describe epidemiologic and clinical features of candidemia in children and adults in tertiary level hospitals in Chile.

methodsWe conducted a prospective, multicenter, laboratory-based survey study of candidemia in 26 tertiary care hospitals in Chile, from January 2013 to October 2017.

resultsA total of 780 episodes of candidemia were included, with a median incidence of 0.47/1,000 admissions. Demographic, clinical and microbiological information of 384 cases of candidemia, from 18 hospitals (7,416 beds), was included in this report. One hundred and thirty-four episodes (35%) occurred in pediatric patients and 250 (65%) in adult population. Candida albicans (39%), Candida parapsilosis (30%) and Candida glabrata (10%) were the leading species, with a significant difference in the distribution of species between ages. The use of central venous catheter and antibiotics were the most frequent risk factors in all age groups (> 70%). Three hundred and fifteen strains were studied for antifungal susceptibility; 21 strains (6.6%) were resistant to fluconazole, itraconazole, voriconazole, anidulafungin or micafungin. The most commonly used antifungal therapies were fluconazole (39%) and echinocandins (36%). The overall 30-day survival was 74.2%, significantly higher in infants (82%) and children (86%) compared with neonates (72%), adults (71%) and elderly (70%).

conclusionsOur prospective, multicenter surveillance study showed a low incidence of candidemia in Chile, with high 30-day survival, a large proportion of elderly patients, C. glabrata as the third most commonly identified strain, a 6.6% resistance to antifungal agents and a frequent use of echinocandins.

Indexed as

AdolescentAdultAgedCandidaCandidemiaChildChileEpidemiological MonitoringFemaleHumansIncidenceMaleMiddle AgedProspective StudiesSurvival RateYoung Adult

Identifiers

PMID30849092
PMCPMC6407853
OpenAlexW2921183921

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.