Evidence map›Paper›PMID 33275821›Full record

ArticleMycoses2021

Increased incidence of candidemia in a tertiary care hospital with the COVID-19 pandemic.

Marcio Nucci, Gloria Barreiros, Luiz Felipe Guimarães, Vitor A S Deriquehem, Anna Carla Castiñeiras, Simone A Nouér

Abstract read
In one paragraph

Article in Mycoses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 113 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 6 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

113 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. 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
  6. Pooled it
  7. Trial
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Candidemia in a tertiary hospital in Southern Brazil.Revista do Instituto de Medicina Tropical de Sao Paulo · 2026
    Article
  16. Article
  17. Antibiotics (Basel, Switzerland) · 2026
    Article
  18. Article
  19. Article
  20. Review

53 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

6 authors.

Marcio NucciHospital Universitário Clementino Fraga Filho, University Hospital, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0003-4867-0014
Gloria BarreirosHospital Universitário Clementino Fraga Filho, University Hospital, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Luiz Felipe GuimarãesHospital Universitário Clementino Fraga Filho, University Hospital, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Vitor A S DeriquehemHospital Universitário Clementino Fraga Filho, University Hospital, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Anna Carla CastiñeirasHospital Universitário Clementino Fraga Filho, University Hospital, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Simone A NouérHospital Universitário Clementino Fraga Filho, University Hospital, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of candidemia in our hospital has been stable over an 18-year period (1.3 episodes per 1000 admissions). Since March 2020, we have observed an increase in cases of candidemia.

methodsIn March 2020, the hospital was prepared to receive patients with COVID-19, with cancellation of elective procedures, discharge of less sick patients and the activation of beds for COVID-19. We compared the incidence of candidemia in 2 periods: from January 2019 to February 2020 (period 1) and from March to September 2020 (period 2).

resultsWe diagnosed 41 episodes of candidemia, 16 in period 1 and 25 in period 2 (9 COVID-19 patients). Compared with non-COVID-19 patients, COVID-19 patients with candidemia were more likely to be under mechanical ventilation (100% vs. 34.4%, P < .001). The median number of monthly admissions in period 1 and 2 was 723 (interquartile range 655-836) and 523 (interquartile range 389-574), respectively. The incidence of candidemia (per 1000 admissions) was 1.54 in period 1 and 7.44 in period 2 (P < .001). In period 2, the incidence of candidemia (per 1000 admissions) was 4.76 if we consider only cases of candidemia in non-COVID-19 patients, 2.68 if we consider only cases of candidemia in COVID-19 patients and 14.80 considering only admissions of patients with COVID-19.

conclusionsThe increase in the incidence of candidemia in our hospital may be attributed to 2 factors: a reduction in the number of admissions (denominator) and the occurrence of candidemia in COVID-19 patients.

Indexed as

AdolescentAdultAgedAged, 80 and overBrazilCandidaCandidemiaCOVID-19FemaleHospitalizationHumansMaleMiddle AgedPandemicsSARS-CoV-2Tertiary Care CentersCandidacandidemiadeep fungal infectionepidemiologysystemic infection

Identifiers

PMID33275821
PMCPMC7753494

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Registered trials

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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.