Evidence map›Paper›PMID 32609906›Full record

ArticleMycoses2020

Oropharyngeal candidiasis in hospitalised COVID-19 patients from Iran: Species identification and antifungal susceptibility pattern.

Mohammadreza Salehi, Kazem Ahmadikia, Shahram Mahmoudi, Saeed Kalantari, Saeidreza Jamalimoghadamsiahkali, Alireza Izadi, Mohammad Kord, Seyed Ali Dehghan Manshadi, Arash Seifi, Fereshteh Ghiasvand and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Mycoses, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 10 pooled it
3.4field-weighted citation impact, top 5% 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

96 citing papers in PubMed, 10 syntheses or guidelines pooled it, 166 citations in OpenAlex.

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  7. Oral Manifestations of COVID-19 in Hospitalized Patients: A Systematic Review.International journal of environmental research and public health · 2021
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  14. The Impact of Aging Oral Health on Long COVID-19.Journal of dental research · 2025
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36 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

15 authors at 4 institutions in 2 countries.

Mohammadreza SalehiDepartment of Infectious Diseases and Tropical Medicine, Imam Khomeini Hospital complex, Tehran University of Medical Sciences, Tehran, Iran.
Kazem AhmadikiaDepartment of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0003-1745-196X
Shahram MahmoudiDepartment of Medical Parasitology and Mycology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0003-0421-8659
Saeed KalantariAntimicrobial Resistance Research Center, Iran University of Medical Sciences, Tehran, Iran.
Saeidreza JamalimoghadamsiahkaliDepartment of Infectious Diseases and Tropical Medicine, Ziaeian Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Alireza IzadiDepartment of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad KordDepartment of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Seyed Ali Dehghan ManshadiDepartment of Infectious Diseases and Tropical Medicine, Imam Khomeini Hospital complex, Tehran University of Medical Sciences, Tehran, Iran.
Arash SeifiDepartment of Infectious Diseases and Tropical Medicine, Imam Khomeini Hospital complex, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-6174-0315
Fereshteh GhiasvandDepartment of Infectious Diseases and Tropical Medicine, Imam Khomeini Hospital complex, Tehran University of Medical Sciences, Tehran, Iran.
Nasim KhajaviradDepartment of Internal Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Saeedeh EbrahimiAntimicrobial Resistance Research Center, Iran University of Medical Sciences, Tehran, Iran.
Amirhossein KoohfarDepartment of Infectious Diseases and Tropical Medicine, Imam Khomeini Hospital complex, Tehran University of Medical Sciences, Tehran, Iran.
Teun BoekhoutWesterdijk Fungal Biodiversity Institute, Utrecht, The Netherlands.
Sadegh KhodavaisyDepartment of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0001-8039-4991
Tehran University of Medical Sciences · IRImam Khomeini Hospital · IRIran University of Medical Sciences · IRWesterdijk Fungal Biodiversity Institute · NL

Funding

Tehran University of Medical Sciences and Health Services 99-1-99-47198
6 · The paper itself

Abstract

backgroundEmergence of coronavirus disease 2019 (COVID-19) is a major healthcare threat. Apparently, the novel coronavirus (SARS-CoV-2) is armed by special abilities to spread and dysregulate the immune mechanisms. The likelihood of oropharyngeal candidiasis (OPC) development in COVID-19 patients with a list of attributable risk factors for oral infections has not yet been investigated.

objectivesWe here aim to investigate the prevalence, causative agents and antifungal susceptibility pattern of OPC in Iranian COVID-19 patients. PATIENTS AND

methodsA total of 53 hospitalised COVID-19 patients with OPC were studied. Relevant clinical data were mined. Strain identification was performed by 21-plex PCR and sequencing of the internal transcribed spacer region (ITS1-5.8S-ITS2). Antifungal susceptibility testing to fluconazole, itraconazole, voriconazole, amphotericin B, caspofungin, micafungin and anidulafungin was performed according to the CLSI broth dilution method.

resultsIn 53 COVID-19 patients with OPC, cardiovascular diseases (52.83%) and diabetes (37.7%) were the principal underlying conditions. The most common risk factor was lymphopaenia (71%). In total, 65 Candida isolates causing OPC were recovered. C albicans (70.7%) was the most common, followed by C glabrata (10.7%), C dubliniensis (9.2%), C parapsilosis sensu stricto (4.6%), C tropicalis (3%) and Pichia kudriavzevii (=C krusei, 1.5%). Majority of the Candida isolates were susceptible to all three classes of antifungal drugs.

conclusionOur data clarified some concerns regarding the occurrence of OPC in Iranian COVID-19 patients. Further studies should be conducted to design an appropriate prophylaxis programme and improve management of OPC in critically ill COVID-19 patients.

Indexed as

AdultAgedAged, 80 and overAntifungal AgentsCandidaCandidiasis, OralCoronavirus InfectionsCOVID-19FemaleHumansIranMaleMicrobial Sensitivity TestsMiddle AgedPandemicsPhenotypeAntifungal AgentscoinfectionCOVID-19oral candidiasisoropharyngeal candidiasis

Identifiers

PMID32609906
PMCPMC7361944
OpenAlexW3038562422

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.