Evidence map›Paper›PMID 34132989›Full record

ReviewInfection2021

Deciphering the epidemiology of invasive candidiasis in the intensive care unit: is it possible?

Vasiliki Soulountsi, Theodoros Schizodimos, Serafeim Chrysovalantis Kotoulas

Abstract readReview
PubMed Publisher
In one paragraph

Review in Infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
2.1field-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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Pathogens (Basel, Switzerland) · 2026
    Observational
  4. Review
  5. Microorganisms · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Early-Onset Candidemia in Adult Intensive Care Units.Diagnostics (Basel, Switzerland) · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Optimization ofFrontiers in bioengineering and biotechnology · 2025
    Article
  14. Review
  15. Isolation ofJournal of fungi (Basel, Switzerland) · 2024
    Article
  16. Insights intoJournal of fungi (Basel, Switzerland) · 2024
    Article
  17. Article
  18. Candida albicans and Antifungal Peptides.Infectious diseases and therapy · 2023
    Article
  19. Review
  20. Trends in antifungal resistance inAntimicrobial agents and chemotherapy · 2023
    Article
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

3 authors at 1 institution in 1 country.

Vasiliki SoulountsiDepartment of Intensive Care Medicine, George Papanikolaou General Hospital, Thessaloniki, Greece. vsoulou@yahoo.gr.
Theodoros SchizodimosDepartment of Intensive Care Medicine, George Papanikolaou General Hospital, Thessaloniki, Greece.
Serafeim Chrysovalantis KotoulasDepartment of Intensive Care Medicine, George Papanikolaou General Hospital, Thessaloniki, Greece.
G. Papanikolaou General Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Invasive candidiasis (IC) has emerged in the last decades as an important cause of morbidity, mortality, and economic load in the intensive care unit (ICU). The epidemiology of IC is still a difficult and unsolved enigma for the literature. Accurate estimation of the true burden of IC is difficult due to variation in definitions and limitations inherent to available case-finding methodologies. Candidemia and intra-abdominal candidiasis (IAC) are the two predominant types of IC in ICU. During the last two decades, an increase in the incidence of candidemia has been constantly reported particularly in the expanding populations of elderly or immunosuppressed patents, with a parallel change in Candida species (spp.) distribution worldwide. Epidemiological shift in non-albicans spp. has reached worrisome trends. Recently, a novel, multidrug-resistant Candida spp., Candida auris, has globally emerged as a nosocomial pathogen causing a broad range of healthcare-associated invasive infections. Epidemiological profile of IAC remains imprecise. Though antifungal drugs are available for Candida infections, mortality rates continue to be high, estimated to be up to 50%. Increased use of fluconazole and echinocandins has been associated with the emergence of resistance to these drugs, which affects particularly C. albicans and C. glabrata. Crucial priorities for clinicians are to recognize the epidemiological trends of IC as well as the emergence of resistance to antifungal agents to improve diagnostic techniques and strategies, develop international surveillance networks and antifungal stewardship programmes for a better epidemiological control of IC.

Indexed as

CandidemiaCandidiasis, InvasiveCandidaDrug Resistance, FungalEchinocandinsFluconazoleHumansIntensive Care UnitsEchinocandinsFluconazoleAntifungal resistanceCandida albicansCandida aurisCandidemiaIntra-abdominal candidiasisInvasive candidiasis

Identifiers

PMID34132989
OpenAlexW3169698880

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.