Evidence map›Paper›PMID 34228535›Full record

ArticleAntimicrobial agents and chemotherapy2021

Tsidiso G Maphanga, Serisha D Naicker, Stanford Kwenda, Jose F Muñoz, Erika van Schalkwyk, Jeannette Wadula, Trusha Nana, Arshad Ismail, Jennifer Coetzee, Chetna Govind and 4 more

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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

51 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. First Case of Bloodstream Infection byAnnals of laboratory medicine · 2026
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  8. Deciphering the multidrug resistance paradigm inAntimicrobial agents and chemotherapy · 2026
    Review
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  10. Frontiers in cellular and infection microbiology · 2026
    Review
  11. Prevalence, pattern of disease and antimicrobial susceptibility ofSouthern African journal of infectious diseases · 2026
    Article
  12. Article
  13. Bad to the bone:ASM case reports · 2025
    Article
  14. Article
  15. Article
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  17. A benchmark dataset for validatingMicrobiology spectrum · 2025
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  18. Article
  19. Annual review of medicine · 2025
    Review
  20. Review
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

14 authors at 4 institutions in 2 countries.

Tsidiso G MaphangaNational Institute for Communicable Diseases, Centre for Healthcare-Associated Infections, Antimicrobial Resistance, and Mycoses, National Health Laboratory Servicegrid.416657.7, Johannesburg, South Africa.
Serisha D NaickerNational Institute for Communicable Diseases, Centre for Healthcare-Associated Infections, Antimicrobial Resistance, and Mycoses, National Health Laboratory Servicegrid.416657.7, Johannesburg, South Africa.
Stanford KwendaNational Institute for Communicable Diseases, Sequencing Core Facility, National Health Laboratory Servicegrid.416657.7, Johannesburg, South Africa.
Jose F MuñozBroad Institute of MIT and Harvard, Cambridge, Massachusetts, USA.
Erika van SchalkwykNational Institute for Communicable Diseases, Centre for Healthcare-Associated Infections, Antimicrobial Resistance, and Mycoses, National Health Laboratory Servicegrid.416657.7, Johannesburg, South Africa.
Jeannette WadulaNational Health Laboratory Servicegrid.416657.7, Chris Hani Baragwaneth Academic Hospital, Soweto, South Africa.
Trusha NanaNational Health Laboratory Servicegrid.416657.7, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa.
Arshad IsmailNational Institute for Communicable Diseases, Sequencing Core Facility, National Health Laboratory Servicegrid.416657.7, Johannesburg, South Africa.
Jennifer CoetzeeAMPATH National Laboratory Service, Centurion, South Africa.
Chetna GovindLancet Laboratories, Durban, South Africa.
Phillip S MtshaliNational Institute for Communicable Diseases, Sequencing Core Facility, National Health Laboratory Servicegrid.416657.7, Johannesburg, South Africa.
Ruth S MpembeNational Institute for Communicable Diseases, Centre for Healthcare-Associated Infections, Antimicrobial Resistance, and Mycoses, National Health Laboratory Servicegrid.416657.7, Johannesburg, South Africa.
Nelesh P GovenderNational Institute for Communicable Diseases, Centre for Healthcare-Associated Infections, Antimicrobial Resistance, and Mycoses, National Health Laboratory Servicegrid.416657.7, Johannesburg, South Africa.
for GERMS-SA
National Health Laboratory Service · ZABroad Institute · USEducation Labour Relations Council · ZALancet Laboratories · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Candida auris is a multidrug-resistant fungal pathogen that is endemic in South African hospitals. We tested bloodstream C. auris isolates that were submitted to a reference laboratory for national laboratory-based surveillance for candidemia in 2016 and 2017. We confirmed the species identification by phenotypic/molecular methods. We tested susceptibility to amphotericin B, anidulafungin, caspofungin, micafungin, itraconazole, posaconazole, voriconazole, fluconazole, and flucytosine using broth microdilution and Etest methods. We interpreted MICs using tentative breakpoints. We sequenced the genomes of a subset of isolates and compared them to the C. auris B8441 reference strain. Of 400 C. auris isolates, 361 (90%) were resistant to at least one antifungal agent, 339 (94%) to fluconazole alone (MICs of ≥32 µg/ml), 19 (6%) to fluconazole and amphotericin B (MICs of ≥2 µg/ml), and 1 (0.3%) to amphotericin B alone. Two (0.5%) isolates from a single patient were pan-resistant (resistant to fluconazole, amphotericin B, and echinocandins). Of 92 isolates selected for whole-genome sequencing, 77 clustered in clade III, including the pan-resistant isolates, 13 in clade I, and 2 in clade IV. Eighty-four of the isolates (91%) were resistant to at least one antifungal agent; both resistant and susceptible isolates had mutations. The common substitutions identified across the different clades were VF125AL, Y132F, K177R, N335S, and E343D in

Indexed as

Antifungal AgentsCandidemiaCandidaDrug Resistance, FungalFluconazoleHumansMicrobial Sensitivity TestsSouth AfricaAntifungal AgentsFluconazoleantifungal resistanceCandida auriscandidemiamultidrug resistantpan-drug resistant

Identifiers

PMID34228535
PMCPMC8370198
OpenAlexW3178182121

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.