Evidence map›Paper›PMID 33761875›Full record

ArticleBMC infectious diseases2021

Invasive aspergillosis in solid organ transplant patients: diagnosis, prophylaxis, treatment, and assessment of response.

Dionysios Neofytos, Carolina Garcia-Vidal, Frédéric Lamoth, Christoph Lichtenstern, Alessandro Perrella, Jörg Janne Vehreschild

Open access · goldAbstract readLetter
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.3field-weighted citation impact, top 10% 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

33 citing papers in PubMed, 52 citations in OpenAlex.

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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 at 6 institutions in 4 countries.

Dionysios NeofytosService des Maladies Infectieuses, Hôpitaux Universitaires de Genève, Rue Gabrielle-Perret-Gentil 4, Geneva, Switzerland. Dionysios.Neofytos@hcuge.ch.ORCID http://orcid.org/0000-0001-6970-2869
Carolina Garcia-VidalServicio de Enfermedades Infecciosas, Hospital Clínic de Barcelona-IDIBAPS, Universitat de Barcelona, FungiCLINIC Research group (AGAUR), Barcelona, Spain.
Frédéric LamothInfectious Diseases Service, Department of Medicine, Lausanne University Hospital, 1011, Lausanne, Switzerland.
Christoph LichtensternDepartment of Anaesthesiology, Heidelberg University Hospital, Im Neuenheimer Feld 110, Heidelberg, Germany.
Alessandro PerrellaVII Department of Infectious Disease and Immunology, Hospital D. Cotugno, Naples, Italy.
Jörg Janne VehreschildMedical Department II, Hematology and Oncology, University Hospital of Frankfurt, Frankfurt, Germany.
Agència de Gestió d'Ajuts Universitaris i de Recerca · ESGoethe University Frankfurt · DEHeidelberg University · DEOspedale D. Cotugno · ITUniversity of Geneva · CHUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInvasive aspergillosis (IA) is a rare complication in solid organ transplant (SOT) recipients. Although IA has significant implications on graft and patient survival, data on diagnosis and management of this infection in SOT recipients are still limited.

methodsDiscussion of current practices and limitations in the diagnosis, prophylaxis, and treatment of IA and proposal of means of assessing treatment response in SOT recipients.

resultsLiver, lung, heart or kidney transplant recipients have common as well as different risk factors to the development of IA, thus each category needs a separate evaluation. Diagnosis of IA in SOT recipients requires a high degree of awareness, because established diagnostic tools may not provide the same sensitivity and specificity observed in the neutropenic population. IA treatment relies primarily on mold-active triazoles, but potential interactions with immunosuppressants and other concomitant therapies need special attention.

conclusionsCriteria to assess response have not been sufficiently evaluated in the SOT population and CT lesion dynamics, and serologic markers may be influenced by the underlying disease and type and severity of immunosuppression. There is a need for well-orchestrated efforts to study IA diagnosis and management in SOT recipients and to develop comprehensive guidelines for this population.

Indexed as

AspergillosisHumansImmunosuppression TherapyImmunosuppressive AgentsInvasive Fungal InfectionsOrgan TransplantationPatient Outcome AssessmentPractice Guidelines as TopicTransplant RecipientsTriazolesImmunosuppressive AgentsTriazolesAspergillusInvasive pulmonary aspergillosisMicrobiomeMucoralesMucormycosisSolid organ transplantation

Identifiers

PMID33761875
PMCPMC7989085
OpenAlexW3138268035

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.