Evidence map›Paper›PMID 33412206›Full record

ArticleThe Journal of infection2021

Endogenous Candida endophthalmitis: Who is really at risk?

Jessica Seidelman, Molly Fleece, Allison Bloom, Emily Lydon, Wesley Yang, Christopher Arnold, David J Weber, Nwora Lance Okeke

Abstract read
PubMed Publisher
In one paragraph

Article in The Journal of infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Prevalence of Ocular Candidiasis and Candida Endophthalmitis in Patients With Candidemia: A Systematic Review and Meta-Analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Candidemia Treatment is Improved by Infectious Disease Consultation: A Population-Based Cohort Study.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2024
    Article
  9. Review
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  12. Open forum infectious diseases · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Jessica SeidelmanDuke University School of Medicine, Department of Infectious Disease, Box 102359, Durham, NC 27710, United States; Duke Center for Antimicrobial Stewardship and Infection Prevention, United States. Electronic address: jessica.seidelman@duke.edu.
Molly FleeceDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia, United States.
Allison BloomDuke University School of Medicine, United States.
Emily LydonDuke University School of Medicine, United States.
Wesley YangUniversity of Virginia School of Medicine, United States.
Christopher ArnoldDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia, United States.
David J WeberDepartment of Epidemiology, University of North Carolina at Chapel Hill, United States; Department of Hospital Epidemiology, University of North Carolina Medical Center, United States.
Nwora Lance OkekeDuke University School of Medicine, Department of Infectious Disease, Box 102359, Durham, NC 27710, United States. Electronic address: lance.okeke@duke.edu.
Duke University · USUniversity of Virginia · USUniversity of North Carolina Hospitals · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe Infectious Disease Society of America recommends that all patients with candidemia undergo a dilated retinal exam to exclude endogenous Candida endophthalmitis. Our objective was to determine if there are significant risk factors in candidemic patients for developing endogenous Candida endophthalmitis

methodsWe conducted a retrospective study of all candidemic patients at three academic medical centers between 2012 and 2017. We extracted risk factors for Candida endophthalmitis based on prior literature and compared them between patients with and without endophthalmitis. We then built a multivariate logistic regression model to assess which ones were significant.

resultsWe found 771 patients with candidemia. 120 (15.6%) of these patients were diagnosed with Candida endophthalmitis. In our logistic regression analysis, central venous catheter presence (OR 8.35), intravenous drug use (OR 4.76), immunosuppression (OR 2.40), total parenteral nutrition recipient (OR 2.28), race (OR 1.65), age (OR 1.02), and gender (OR 0.57) were risk factors for developing Candida endophthalmitis. Additionally, Candida albicans was more likely to result in Candida endophthalmitis (OR 1.86).

conclusionsThis cohort represents the largest study of risk factors for candidemic patients who developed endogenous Candida endophthalmitis. Based on our findings, clinicians should develop targeted and cost-effective strategies for endophthalmitis screening.

Indexed as

CandidiasisEndophthalmitisEye Infections, FungalCandidaHumansRetrospective StudiesRisk FactorsCandida chorioretinitisCandida endophthalmitisCandidemia

Identifiers

PMID33412206
OpenAlexW3120601118

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.