Evidence map›Paper›PMID 34555702›Full record

Observational studyRespiratory medicine2021

Candida spp. co-infection in COVID-19 patients with severe pneumonia: Prevalence study and associated risk factors.

Gonzalo Segrelles-Calvo, Glauber R de S Araújo, Estefanía Llopis-Pastor, Javier Carrillo, Marta Hernández-Hernández, Laura Rey, Nestor Rodríguez Melean, Inés Escribano, Esther Antón, Celia Zamarro and 2 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Respiratory medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 5% 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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Pooled it
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  10. Evaluation of candidemia risk factors andSaudi medical journal · 2024
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  16. Health of Saudi Women in the Post-Pandemic Era:International journal of women's health · 2024
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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

12 authors at 2 institutions in 2 countries.

Gonzalo Segrelles-CalvoServicio de Neumología, Hospital Universitario Rey Juan Carlos, Madrid, Spain; Instituto de Investigación Biomédica, Fundación Jiménez Díaz, Madrid, Spain.
Glauber R de S AraújoLaboratório de Biofísica de Fungos, Instituto de Biofísica Carlos Chagas Filho, Universidad Federal Do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Estefanía Llopis-PastorServicio de Neumología, Hospital Universitario Rey Juan Carlos, Madrid, Spain.
Javier CarrilloServicio de Neumología, Hospital Universitario Rey Juan Carlos, Madrid, Spain; Servicio de Neumología, Hospital Universitario Infanta Elena, Madrid, Spain.
Marta Hernández-HernándezServicio de Neumología, Hospital Universitario Rey Juan Carlos, Madrid, Spain.
Laura ReyServicio de Neumología, Hospital Universitario Rey Juan Carlos, Madrid, Spain.
Nestor Rodríguez MeleanServicio de Neumología, Hospital Universitario Rey Juan Carlos, Madrid, Spain.
Inés EscribanoServicio de Neumología, Hospital Universitario Rey Juan Carlos, Madrid, Spain; Instituto de Investigación Biomédica, Fundación Jiménez Díaz, Madrid, Spain.
Esther AntónServicio de Neumología, Hospital Universitario Rey Juan Carlos, Madrid, Spain.
Celia ZamarroServicio de Neumología, Hospital Universitario Rey Juan Carlos, Madrid, Spain.
Mercedes García-SalmonesServicio de Neumología, Hospital Universitario Rey Juan Carlos, Madrid, Spain; Servicio de Neumología, Hospital Universitario Infanta Elena, Madrid, Spain.
Susana FrasesLaboratório de Biofísica de Fungos, Instituto de Biofísica Carlos Chagas Filho, Universidad Federal Do Rio de Janeiro, Rio de Janeiro, RJ, Brazil. Electronic address: susanafrases@biof.ufrj.br.
Hospital Universitario Rey Juan Carlos · ESUniversidade Federal do Rio de Janeiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInvasive fungal infections (IFI) are increasing in prevalence in recent years. In the last few months, the rise of COVID-19 patients has generated a new escalation in patients presenting opportunistic mycoses, mainly by Aspergillus. Candida infections are not being reported yet.

objectivesWe aimed to determine the prevalence of systemic candidiasis in patients admitted to ICUs due to severe pneumonia secondary to SARS-CoV-2 infection and the existence of possible associated risk factors that led these patients to develop candidiasis. PATIENTS/

methodsWe designed a study including patients with a confirmed diagnosis of COVID-19.

resultsThe prevalence of systemic candidiasis was 14.4%, and the main isolated species were C. albicans and C. parapsilosis. All patients that were tested positive for Candida spp. stayed longer in the ICU in comparison to patients who tested negative. Patients with candidiasis had higher MuLBSTA score and mortality rates and a worse radiological involvement. In our study, Candida spp. isolates were found in patients that were submitted to: tocilizumab, tocilizumab plus systemic steroids, interferon type 1β and Lopinavir-Ritonavir.

conclusionsResults suggested a high prevalence of systemic candidiasis in severe COVID-19-associated pneumonia patients. Patients with Candidiasis had the worst clinical outcomes. Treatment with tocilizumab could potentialize the risk to develop systemic candidiasis.

Indexed as

AgedCandida albicansCandida parapsilosisCandidiasisCoinfectionCOVID-19Critical CareFemaleHumansMaleMiddle AgedPneumoniaPrevalenceProspective StudiesRisk FactorsCandidaCOVID-19Systemic candidiasisViral pneumonia

Identifiers

PMID34555702
PMCPMC8445759
OpenAlexW3200144608

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.