Evidence map›Paper›PMID 31441749›Full record

ArticleEmerging infectious diseases2019

Epidemiologic Shift in Candidemia Driven by Candida auris, South Africa, 2016-2017

Erika van Schalkwyk, Ruth S Mpembe, Juno Thomas, Liliwe Shuping, Husna Ismail, Warren Lowman, Alan S Karstaedt, Vindana Chibabhai, Jeannette Wadula, Theunis Avenant and 7 more

Open access · diamondAbstract read
In one paragraph

Article in Emerging infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 3 pooled it
10.4field-weighted citation impact, top 1% 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

89 citing papers in PubMed, 3 syntheses or guidelines pooled it, 133 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Article
  7. Journal of fungi (Basel, Switzerland) · 2026
    Review
  8. Review
  9. Article
  10. Article
  11. Prevalence, pattern of disease and antimicrobial susceptibility ofSouthern African journal of infectious diseases · 2026
    Article
  12. Name changes for fungi of medical importance, 2022-2024.Journal of clinical microbiology · 2025
    Review
  13. Article
  14. ManagingAntimicrobial agents and chemotherapy · 2025
    Article
  15. Article
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  17. Article
  18. Antifungal stewardship in the UK: where are we now?JAC-antimicrobial resistance · 2025
    Article
  19. Northern clinics of Istanbul · 2025
    Article
  20. Risk Factors forInfection and drug resistance · 2025
    Article

29 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

17 authors.

Erika van Schalkwyk
Ruth S Mpembe
Juno Thomas
Liliwe Shuping
Husna Ismail
Warren Lowman
Alan S Karstaedt
Vindana Chibabhai
Jeannette Wadula
Theunis Avenant
Angeliki Messina
Chetna N Govind
Krishnee Moodley
Halima Dawood
Praksha Ramjathan
Nelesh P Govender
GERMS-SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Candida auris is an invasive healthcare-associated fungal pathogen. Cases of candidemia, defined as illness in patients with Candida cultured from blood, were detected through national laboratory-based surveillance in South Africa during 2016-2017. We identified viable isolates by using mass spectrometry and sequencing. Among 6,669 cases (5,876 with species identification) from 269 hospitals, 794 (14%) were caused by C. auris. The incidence risk for all candidemia at 133 hospitals was 83.8 (95% CI 81.2-86.4) cases/100,000 admissions. Prior systemic antifungal drug therapy was associated with a 40% increased adjusted odds of C. auris fungemia compared with bloodstream infection caused by other Candida species (adjusted odds ratio 1.4 [95% CI 0.8-2.3]). The crude in-hospital case-fatality ratio did not differ between Candida species and was 45% for C. auris candidemia, compared with 43% for non-C. auris candidemia. C. auris has caused a major epidemiologic shift in candidemia in South Africa.

Indexed as

Drug Resistance, FungalAdolescentAdultAgedAntifungal AgentsCandidaCandidiasisChildChild, PreschoolFemaleHumansIncidenceInfantInfant, NewbornMaleMiddle AgedAntifungal Agentsantifungal drug resistanceantimicrobial resistanceCandidaCandida auriscandidemiafungimultidrug resistancemycosesSouth Africa

Identifiers

PMID31441749
PMCPMC6711229
OpenAlexW2964743581

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.