Evidence map›Paper›PMID 36110125›Full record

ArticleInfection and drug resistance2022

Efficacy and Safety of Combination Antifungals as Empirical, Preemptive, and Targeted Therapies for Invasive Fungal Infections in Intensive-Care Units.

Qianting Yang, Jiao Xie, Yan Cai, Na Wang, Yan Wang, Li Zhang, Youjia Li, Jingjie Yu, Ya Li, Haitao Wang and 1 more

Open access · goldAbstract read
In one paragraph

Article in Infection and drug resistance, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Early-Onset Candidemia in Adult Intensive Care Units.Diagnostics (Basel, Switzerland) · 2025
    Review
  3. Review
  4. ISCCM Position Statement on the Management of Invasive Fungal Infections in the Intensive Care Unit.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  5. Article
  6. Antifungals: From Pharmacokinetics to Clinical Practice.Antibiotics (Basel, Switzerland) · 2023
    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 1 institution in 1 country.

Qianting YangDepartment of Pharmacy, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, People's Republic of China.
Jiao XieDepartment of Pharmacy, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, People's Republic of China.
Yan CaiDepartment of Pharmacy, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, People's Republic of China.
Na WangDepartment of Pharmacy, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, People's Republic of China.
Yan WangDepartment of Pharmacy, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, People's Republic of China.
Li ZhangDepartment of Pharmacy, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, People's Republic of China.
Youjia LiDepartment of Pharmacy, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, People's Republic of China.
Jingjie YuDepartment of Pharmacy, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, People's Republic of China.
Ya LiDepartment of Pharmacy, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, People's Republic of China.
Haitao WangDepartment of Pharmacy, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, People's Republic of China.
Kanghuai ZhangDepartment of Pharmacy, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, People's Republic of China.
Second Affiliated Hospital of Xi'an Jiaotong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To determine whether combinations of antifungal drugs are effective and safe for patients in intensive-care units. Methods: This study compared the efficacy and safety of caspofungin (CAS), voriconazole (VOR), amphotericin B liposome (L-AmB), CAS+VOR, and CAS+L-AmB as empirical, preemptive, and targeted therapies for invasive fungal infection (IFI). Results: Comparing the CAS, VOR, and CAS+VOR groups revealed that there were no differences in response rates between all therapy types, IFI-associated death within 90 days was less common in the CAS+VOR group (1.8%) than the VOR group (14.3%), and there were more adverse events in the VOR group than in the CAS group ( Conclusion: Patients who received CAS monotherapy as an empirical or preemptive therapy could achieve good outcomes. Patients who received CAS+VOR or CAS+L-AmB achieved almost the same outcomes when compared with those who received CAS, VOR, and L-AmB monotherapy as targeted therapies, but those who received CAS+VOR had a lower IFI mortality rate than did those who received VOR monotherapy.

Indexed as

amphotericin B liposomecaspofungincombination therapyintensive-care unitsinvasive fungal infectionvoriconazole

Identifiers

PMID36110125
PMCPMC9470118
OpenAlexW4294958481

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.