Evidence map›Paper›PMID 31200780›Full record

ArticleCritical care (London, England)2019

Incidence and outcome of invasive candidiasis in intensive care units (ICUs) in Europe: results of the EUCANDICU project.

Matteo Bassetti, Daniele R Giacobbe, Antonio Vena, Cecilia Trucchi, Filippo Ansaldi, Massimo Antonelli, Vaclava Adamkova, Cristiano Alicino, Maria-Panagiota Almyroudi, Enora Atchade and 37 more

Abstract readMulticenter Study
In one paragraph

Article in Critical care (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 159 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
159citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

159 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Brazilian guidelines for the diagnosis and treatment of candidemia and invasive candidiasis in adults and children.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Guideline
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  6. Treatment Outcomes Among Patients With a Positive Candida Culture Close to Randomization Receiving Rezafungin or Caspofungin in the ReSTORE Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Trial
  7. Trial
  8. Article
  9. Review
  10. Article
  11. Article
  12. Pathogens (Basel, Switzerland) · 2026
    Observational
  13. Review
  14. Article
  15. Article
  16. Article
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  18. Article
  19. Review
  20. Article

99 more citing papers are in PubMed but not listed here.

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

47 authors.

Matteo BassettiInfectious Diseases Clinic, Department of Medicine University of Udine and Santa Maria Misericordia Hospital, Piazzale Santa Maria della Misericordia 15, 33100, Udine, Italy. matteo.bassetti@asuiud.sanita.fvg.it.ORCID http://orcid.org/0000-0002-2004-3724
Daniele R GiacobbeDepartment of Health Sciences, University of Genoa, Genoa, Italy.
Antonio VenaInfectious Diseases Clinic, Department of Medicine University of Udine and Santa Maria Misericordia Hospital, Piazzale Santa Maria della Misericordia 15, 33100, Udine, Italy.
Cecilia TrucchiHealth Planning unit, Azienda Ligure Sanitaria della Regione Liguria (A.Li.Sa.), Liguria Region, Italy.
Filippo AnsaldiDepartment of Health Sciences, University of Genoa, Genoa, Italy.
Massimo AntonelliDepartment of Intensive Care and Anesthesiology, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli, Rome, Italy.
Vaclava AdamkovaClinical Microbiology and ATB Centre, Institute of Medical Biochemistry and Laboratory Diagnostics, General University Hospital, Prague, Czech Republic.
Cristiano AlicinoDepartment of Health Sciences, University of Genoa, Genoa, Italy.
Maria-Panagiota AlmyroudiDepartment of Critical Care, University Hospital Attikon, Medical School, University of Athens, Athens, Greece.
Enora AtchadeDépartement d'Anesthésie-Réanimation, CHU Bichat-Claude Bernard, HUPNVS, APHP, Paris, France.
Anna M AzziniDepartment of Diagnostics and Public Health, Infectious Disease Unit, University of Verona, Verona, Italy.
Novella CarannanteFirst Division, Cotugno Hospital, AO dei Colli, Naples, Italy.
Alessia CarneluttiInfectious Diseases Clinic, Department of Medicine University of Udine and Santa Maria Misericordia Hospital, Piazzale Santa Maria della Misericordia 15, 33100, Udine, Italy.
Silvia CorcioneDepartment of Medical Sciences, Infectious Diseases, University of Turin, Turin, Italy.
Andrea CortegianiDepartment of Surgical, Oncological and Oral Science (Di.Chir.On.S.), Section of Anesthesia, Analgesia, Intensive Care and Emergency, Policlinico Paolo Giaccone, University of Palermo, Palermo, Italy.
George DimopoulosDepartment of Critical Care, University Hospital Attikon, Medical School, University of Athens, Athens, Greece.
Simon DublerDepartment of Anesthesiology and Intensive Care Medicine, Heidelberg University Hospital, Heidelberg, Germany.
José L García-GarmendiaServicio de Cuidados Críticos y Urgencias, Hospital San Juan de Dios del Aljarafe, Bormujos, Sevilla, Spain.
Massimo GirardisDepartment of Anesthesia and Intensive Care, University Hospital of Modena, Modena, Italy.
Oliver A CornelyDepartment I of Internal Medicine, University Hospital of Cologne and Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Cologne, Germany.
Stefano IannirubertoInfectious Diseases Unit, Department of Medical and Surgical Science, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Bart Jan KullbergRadboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands.
Katrien LagrouDepartment of Laboratory Medicine and National Reference Centre for Mycosis, University Hospitals of Leuven, Leuven, Belgium.
Clement Le BihanBichat-Réanimation médicale et des maladies infectieuses, Medical ICU, Paris, France.
Roberto LuzzatiInfectious Diseases Department, Azienda Sanitaria Universitaria Integrata di Trieste, Trieste, Italy.
Manu L N G MalbrainDepartment of Intensive Care Medicine, University Hospital Brussels (UZB), Jette, Belgium and Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Maria MerelliInfectious Diseases Clinic, Department of Medicine University of Udine and Santa Maria Misericordia Hospital, Piazzale Santa Maria della Misericordia 15, 33100, Udine, Italy.
Ana J MarquesC.H. Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
Ignacio Martin-LoechesDepartment of Intensive Care Medicine, Multidisciplinary Intensive Care Research Organization (MICRO), St. James's Hospital, Dublin, Ireland.
Alessio MesiniDepartment of Health Sciences, University of Genoa, Genoa, Italy.
José-Artur PaivaDepartment of Emergency and Intensive Care Medicine, Centro Hospitalar Universitário São João, Faculdade de Medicina da Universidade do Porto e Grupo de Infecção e Sépsis, Porto, Portugal.
Maddalena PeghinInfectious Diseases Clinic, Department of Medicine University of Udine and Santa Maria Misericordia Hospital, Piazzale Santa Maria della Misericordia 15, 33100, Udine, Italy.
Santi Maurizio RaineriDepartment of Biopathology and Medical Biotechnologies, Section of Anesthesia, Analgesia, Intensive Care and Emergency, Policlinico P. Giaccone, University of Palermo, Palermo, Italy.
Riina Rautemaa-RichardsonDepartment of Infectious Diseases, Manchester University NHS Foundation Trust, Wythenshawe Hospital; and Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Jeroen SchoutenRadboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands.
Pierluigi BrugnaroInfectious Diseases Department, Ospedale Civile SS. Giovanni e Paolo, Venice, Italy.
Herbert SpapenIntensive Care Department, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium.
Polychronis TasioudisG. Gennimatas General Hospital of Thessaloniki, Thessaloniki, Greece.
Jean-François TimsitUniversité Paris Diderot/Hopital Bichat-Réanimation Medicale et Des Maladies Infectieuses, Paris, France.
Valentino TisaDepartment of Health Sciences, University of Genoa, Genoa, Italy.
Mario TumbarelloInstitute of Infectious Diseases, Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
Charlotte H S B van den BergDepartment of Intensive Care, University Medical Center Groningen, Groningen, the Netherlands.
Benoit VeberPole Anesthésie-Réanimation-SAMU, Rouen University Hospital, Rouen, France.
Mario VendittiDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Guillaume VoiriotSorbonne Université, Assistance Publique-Hôpitaux de Paris, Service de réanimation médico-chirurgicale, Hôpital Tenon, 75020, Paris, France.
Joost WautersDepartment of General Internal Medicine, Medical Intensive Care Unit, University Hospitals Leuven, Leuven, Belgium.
Philippe MontraversDépartement d'Anesthésie-Réanimation, CHU Bichat-Claude Bernard, HUPNVS, APHP, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study was to assess the cumulative incidence of invasive candidiasis (IC) in intensive care units (ICUs) in Europe.

methodsA multinational, multicenter, retrospective study was conducted in 23 ICUs in 9 European countries, representing the first phase of the candidemia/intra-abdominal candidiasis in European ICU project (EUCANDICU).

resultsDuring the study period, 570 episodes of ICU-acquired IC were observed, with a cumulative incidence of 7.07 episodes per 1000 ICU admissions, with important between-center variability. Separated, non-mutually exclusive cumulative incidences of candidemia and IAC were 5.52 and 1.84 episodes per 1000 ICU admissions, respectively. Crude 30-day mortality was 42%. Age (odds ratio [OR] 1.04 per year, 95% CI 1.02-1.06, p < 0.001), severe hepatic failure (OR 3.25, 95% 1.31-8.08, p 0.011), SOFA score at the onset of IC (OR 1.11 per point, 95% CI 1.04-1.17, p 0.001), and septic shock (OR 2.12, 95% CI 1.24-3.63, p 0.006) were associated with increased 30-day mortality in a secondary, exploratory analysis.

conclusionsThe cumulative incidence of IC in 23 European ICUs was 7.07 episodes per 1000 ICU admissions. Future in-depth analyses will allow explaining part of the observed between-center variability, with the ultimate aim of helping to improve local infection control and antifungal stewardship projects and interventions.

Indexed as

AgedCandidiasis, InvasiveCross InfectionEuropeFemaleHumansIncidenceIntensive Care UnitsMaleMiddle AgedOutcome Assessment, Health CareRetrospective StudiesRisk FactorsAbdominal candidiasisCandidaCandidemiaCandidiasisICUIncidence

Identifiers

PMID31200780
PMCPMC6567430

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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.