Evidence map›Paper›PMID 35630454›Full record

ArticleMicroorganisms2022

COVID-19 and

Fatima Allaw, Sara F Haddad, Nabih Habib, Pamela Moukarzel, Nour Sabiha Naji, Zeina A Kanafani, Ahmad Ibrahim, Nada Kara Zahreddine, Nikolaos Spernovasilis, Garyphallia Poulakou and 1 more

Open access · goldAbstract read
In one paragraph

Article in Microorganisms, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
  5. Review
  6. Review
  7. The Gordian Knot ofPathogens (Basel, Switzerland) · 2023
    Review
  8. AScience (New York, N.Y.) · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Diagnostics (Basel, Switzerland) · 2022
    Article
  14. Current medical mycology · 2022
    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

11 authors at 4 institutions in 4 countries.

Fatima AllawDivision of Infectious Diseases, Internal Medicine Department, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon.ORCID 0000-0002-8136-250X
Sara F HaddadDivision of Infectious Diseases, Internal Medicine Department, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon.
Nabih HabibSchool of Medicine, American University of Beirut, Beirut 1107 2020, Lebanon.ORCID 0000-0003-3673-3436
Pamela MoukarzelSchool of Medicine, American University of Beirut, Beirut 1107 2020, Lebanon.
Nour Sabiha NajiSchool of Medicine, American University of Beirut, Beirut 1107 2020, Lebanon.
Zeina A KanafaniDivision of Infectious Diseases, Internal Medicine Department, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon.
Ahmad IbrahimInfection Control and Prevention Program, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon.
Nada Kara ZahreddineInfection Control and Prevention Program, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon.
Nikolaos SpernovasilisSchool of Medicine, University of Crete, 71003 Heraklion, Greece.ORCID 0000-0002-6981-8535
Garyphallia PoulakouESCMID (European Society of Clinical Microbiology and Infectious Diseases) Study Group for Infections in Critically Ill Patients-ESGCIP, 4001 Basel, Switzerland.
Souha S KanjDivision of Infectious Diseases, Internal Medicine Department, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon.
American University of Beirut Medical Center · LBAmerican University of Beirut · LBNational and Kapodistrian University of Athens · GRUniversity of Crete · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many healthcare centers around the world have reported the surge of Candida auris (C. auris) outbreaks during the COVID-19 pandemic, especially among intensive care unit (ICU) patients. This is a retrospective study conducted at the American University of Beirut Medical Center (AUBMC) between 1 October 2020 and 15 June 2021, to identify risk factors for acquiring C. auris in patients with severe COVID-19 infection and to evaluate the impact of C. auris on mortality in patients admitted to the ICU during that period. Twenty-four non-COVID-19 (COV−) patients were admitted to ICUs at AUBMC during that period and acquired C. auris (C. auris+/COV−). Thirty-two patients admitted with severe COVID-19 (COV+) acquired C. auris (C. auris+/COV+), and 130 patients had severe COVID-19 without C. auris (C. auris−/COV+). Bivariable analysis between the groups of (C. auris+/COV+) and (C. auris−/COV+) showed that higher quick sequential organ failure assessment (qSOFA) score (p < 0.001), prolonged length of stay (LOS) (p = 0.02), and the presence of a urinary catheter (p = 0.015) or of a central venous catheter (CVC) (p = 0.01) were associated with positive culture for C. auris in patients with severe COVID-19. The multivariable analysis showed that prolonged LOS (p = 0.008) and a high qSOFA score (p < 0.001) were the only risk factors independently associated with positive culture for C. auris. Increased LOS (p = 0.02), high “Candida score” (p = 0.01), and septic shock (p < 0.001) were associated with increased mortality within 30 days of positive culture for C. auris. Antifungal therapy for at least 7 days (p = 0.03) appeared to decrease mortality within 30 days of positive culture for C. auris. Only septic shock was associated with increased mortality in patients with C. auris (p = 0.006) in the multivariable analysis. C. auris is an emerging pathogen that constitutes a threat to the healthcare sector.

Indexed as

Candida auriscandida scorecentral venous cathetersCOVID-19infection controllength of staypandemicqSOFAtocilizumaburinary catheter

Identifiers

PMID35630454
PMCPMC9145281
OpenAlexW4280557039

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.