Evidence map›Paper›PMID 36018493›Full record

ArticleInfection2023

Prevalence and species distribution of Candida bloodstream infection in children and adults in two teaching university hospitals in Egypt: first report of Candida kefyr.

Nashwa Mohamed Reda, Reem Mostafa Hassan, Sherifa Tarek Salem, Reham Hamed A Yousef

Open access · hybridFull text read
In one paragraph

Article in Infection, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.3field-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

23 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. A Cross-Sectional Study to DetermineBioMed research international · 2026
    Article
  5. Article
  6. Review
  7. Blood Stream Infections due toInternational journal of microbiology · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Observational
  13. Article
  14. Synergistic potential and apoptosis induction ofCurrent medical mycology · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Candida parapsilosis complex in the clinical setting.Nature reviews. Microbiology · 2024
    Review
  19. Antifungal Drug Susceptibility Profile ofThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2024
    Article
  20. 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

4 authors at 1 institution in 1 country.

Nashwa Mohamed RedaClinical and Chemical Pathology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
Reem Mostafa HassanClinical and Chemical Pathology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
Sherifa Tarek SalemClinical and Chemical Pathology Department, Faculty of Medicine, Cairo University, Cairo, Egypt. cherifa_tarek@kasralainy.edu.eg.ORCID http://orcid.org/0000-0003-2303-0619
Reham Hamed A YousefClinical and Chemical Pathology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
Cairo University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCandidemia is a pervasive problem associated with significant morbidity and mortality in health care settings. This study aimed to determine the changing distribution of Candida species and the emergence of uncommon species.

methodsThis was a cross-sectional study performed in two Cairo University hospitals between 2019 and 2020. All Candida species isolates recovered from blood cultures of adults and pediatrics patients admitted to the hospitals were included. Candida isolates were identified by chromogenic Candida agar and Vitek2 YST identification card. Candida kefyr was confirmed by chip array.

resultsCandida species were responsible for 1.6% of bloodstream infections in adults and 10.8% in pediatric patients. C. albicans was the most prevalent species representing 27.8% in adults and 48.3% in pediatrics. Non-albicans species (NAC) represented the most isolated Candida species among adults and pediatrics (72.2% and 51.6%, respectively) with the predominance of C. tropicalis (27.8% and 22.5%, respectively) followed by C. parapsilosis (16.7% and 10.8%, respectively). The uncommon Candida, which is Candida species other than C. albicans, C. parapsilosis, C. tropicalis, C. glabrata, and C. krusei, represents 16.6% and 14% of all candidemia in adults and pediatrics, respectively. Only one of each of C. lusitaniae, C. utilis, and C. kefyr were detected in adults. C. lusitaniae was the most frequently recovered uncommon Candida among pediatrics resulting in 6.4% of candidemia followed by C. famata (4.3%), C. utilis (2.2%), and C. kefyr (1.1%).

conclusionsC. albicans is still the primary species isolated from pediatrics and adults with candidemia despite the considerable shift to the non-albicans species. C. tropicalis and C. parapsilosis are the most prevalent NAC. The increased prevalence of uncommon Candida species is alarming and necessitates a prompt stewardship program.

Indexed as

CandidemiaCandidiasisAdultAntifungal AgentsCandidaCandida albicansCandida glabrataChildCross-Sectional StudiesEgyptHospitals, UniversityHumansKluyveromycesMicrobial Sensitivity TestsPrevalenceSaccharomycetalesAntifungal AgentsCandida albicansCandida kefyrCandida parapsilosisCandidemiaNon-albicans CandidaUncommon Candida

Identifiers

PMID36018493
PMCPMC10042939
OpenAlexW4293224505

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read86
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.