Evidence map›Paper›PMID 36167858›Full record

SynthesisClinical oral investigations2022

Resistance profiles to antifungal agents in Candida albicans isolated from human oral cavities: systematic review and meta-analysis.

Sarah Quadros Santos Kessler, Pauline Mastella Lang, Tatiane Silva Dal-Pizzol, Francisco Montagner

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical oral investigations, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 9% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Distribution ofHealthcare (Basel, Switzerland) · 2026
    Review
  10. First Case of Candidemia With Fluconazole-ResistantCase reports in infectious diseases · 2026
    Article
  11. Article
  12. Children (Basel, Switzerland) · 2025
    Article
  13. Twenty-Year Course of Antifungal Resistance inJournal of fungi (Basel, Switzerland) · 2025
    Review
  14. Article
  15. Aspirin Combined with Antifungal Drugs SuppressesJournal of microbiology and biotechnology · 2025
    Article
  16. Phenotypic and genotypic characterization ofJournal of oral microbiology · 2025
    Article
  17. Evaluation of Antifungal Activity AgainstHIV/AIDS (Auckland, N.Z.) · 2025
    Article
  18. Article
  19. Article
  20. 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

4 authors at 2 institutions in 1 country.

Sarah Quadros Santos KesslerPost-Graduation Program in Biological Sciences Pharmacology and Therapeutics, Federal University of Rio Grande Do Sul, R. Sarmento Leite, n° 500 - Farroupilha, Porto Alegre, Rio Grande do Sul, CEP 90050-170, Brazil.
Pauline Mastella LangBrazilian Army, Cruz Alta, Rio Grande do Sul, Brazil.
Tatiane Silva Dal-PizzolPost-Graduation Program in Epidemiology, Faculty of Medicine, Federal University of Rio Grande Do Sul, Porto Alegre, Brazil.
Francisco MontagnerPost-Graduation Program in Biological Sciences Pharmacology and Therapeutics, Federal University of Rio Grande Do Sul, R. Sarmento Leite, n° 500 - Farroupilha, Porto Alegre, Rio Grande do Sul, CEP 90050-170, Brazil. francisco.montagner@ufrgs.br.ORCID http://orcid.org/0000-0002-7850-0107
Universidade Federal do Rio Grande do Sul · BRUniversidade Federal do Rio Grande · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo identify the antifungal susceptibility profile of Candida spp. isolated from the human oral cavity was assessed with meta-analyses of observational studies that collected samples from the oral cavity of human subjects. MATERIAL AND

methodsIsolated Candida albicans tested by E-test®; disk diffusion test; microdilution and macrodilution; Sensititre YeastOne; and/or FungiTest. Search strategies were conducted on the MEDLINE, Embase, CINAHL, Dentistry, and Oral Sciences, Central, Scopus, and LILACS databases, and gray literature sources. Articles were initially screened by title and then their abstracts. Articles that met the conditions for inclusion were read in full, followed by data extraction. A descriptive analysis was conducted of each study, and the data were tabulated. A first meta-analysis was conducted to assess the resistance of antifungals regardless of systemic comorbidities. An additional stratified analysis was conducted by systemic comorbidity groups for the outcome "resistance" to the antifungals.

resultsWhen not grouping Candida albicans isolates by systemic conditions, the lowest resistance rates to the antifungals tested were observed for amphotericin B, nystatin, flucytosine, and caspofungin. In contrast, the highest resistance rates were observed for miconazole and econazole. There was a high degree of heterogeneity and low resistance in general in all analyses, except for the "several associated comorbidities" group, which had high resistance rates.

conclusionsClinical C. albicans isolates had low antifungal resistance. CLINICAL RELEVANCE: The presence of concomitant systemic comorbidities appears to be an essential factor that should be considered when evaluating resistance to antifungals for oral isolates.

Indexed as

Antifungal AgentsCandidiasisCandida albicansDrug Resistance, FungalHumansMicrobial Sensitivity TestsMouthAntifungal AgentsAntifungal agentCandidiasisMeta-analysisOral candidosisSusceptibility

Identifiers

PMID36167858
PMCPMC9514684
OpenAlexW4297206856

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.