Evidence map›Paper›PMID 35152143›Full record

ArticleJournal of critical care2022

Invasive fungal infections in critically ill COVID-19 patients in a large tertiary university hospital in Israel.

Oshrat Ayalon, Matan J Cohen, Efrat Orenbuch-Harroch, Sigal Sviri, Peter Vernon van Heerden, Maya Korem

Open access · greenAbstract read
In one paragraph

Article in Journal of critical care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 26% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Unresolved issues in the diagnosis of catheter related candidemia: A position paper.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2024
    Review
  6. Review
  7. The Clinical Characteristics of Bloodstream Infections Due toJournal of fungi (Basel, Switzerland) · 2023
    Article
  8. Article
  9. 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

6 authors at 3 institutions in 1 country.

Oshrat AyalonFaculty of Medicine, Hebrew University of Jerusalem, Department of Clinical Microbiology and Infectious Diseases, Hadassah Medical Center, Jerusalem, Israel.
Matan J CohenClalit Health Services, Jerusalem District, affiliated with the Hebrew University Hadassah Medical School, Jerusalem, Israel.
Efrat Orenbuch-HarrochFaculty of Medicine, Hebrew University of Jerusalem, Department of Clinical Microbiology and Infectious Diseases, Hadassah Medical Center, Jerusalem, Israel; Faculty of Medicine, Hebrew University of Jerusalem, Medical Intensive Care Unit, Hadassah Medical Center, Jerusalem, Israel.
Sigal SviriFaculty of Medicine, Hebrew University of Jerusalem, Medical Intensive Care Unit, Hadassah Medical Center, Jerusalem, Israel.
Peter Vernon van HeerdenFaculty of Medicine, Hebrew University of Jerusalem, General Intensive Care Unit, Hadassah Medical Center, Jerusalem, Israel.
Maya KoremFaculty of Medicine, Hebrew University of Jerusalem, Department of Clinical Microbiology and Infectious Diseases, Hadassah Medical Center, Jerusalem, Israel. Electronic address: mayak@hadassah.org.il.
Hebrew University of Jerusalem · ILHadassah Medical Center · ILClalit Health Services · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An increasing number of studies have tried to determine the incidence of invasive fungal infections (IFIs) in COVID-19 patients. Challenges in the diagnosis of pulmonary aspergillosis in these patients have led to new definitions of COVID-19-associated pulmonary aspergillosis (CAPA). The aim of this study was to determine the incidence and outcomes of and risk factors for IFIs in critically-ill COVID-19 patients, using the new definitions, in a tertiary center in Israel.

methodsA case-controlled study (from 1 September 2020 to 31 March 2021) in which data from COVID-19 critically-ill patients with a diagnosis of IFI were collected and compared to a control group without IFI.

resultsThe incidence of IFI amongst 311 COVID-19 critically-ill patients was 6.1%. 3.5% had CAPA and 3.5% had candidemia. In-hospital mortality was higher amongst patients with IFI compared to those without IFI (89.4% vs 60%, p < 0.03). The most significant predictors of IFI were cardiovascular co-morbidity and carbapenem use.

conclusionsThe low incidence of CAPA in our group of COVID-19 critically-ill patients was consistent with recent reports, underscoring the importance of differentiating between true infection and colonization. Awareness and timely diagnosis of IFIs in COVID-19 critically-ill patients are imperative considering the associated high mortality.

Indexed as

COVID-19Invasive Fungal InfectionsPulmonary AspergillosisCritical IllnessHumansIsraelTertiary Care CentersAspergillosisCandidemiaCOVID-19Intensive care unitInvasive fungal infection

Identifiers

PMID35152143
PMCPMC8830264
OpenAlexW4211211307

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.