Evidence map›Paper›PMID 36514110›Full record

ArticleCritical care (London, England)2022

Impact of COVID-19 pandemic on antifungal consumption: a multicenter retrospective analysis.

Anne-Lise Bienvenu, Audrey Bestion, Pierre Pradat, Jean-Christophe Richard, Laurent Argaud, Céline Guichon, Sandrine Roux, Vincent Piriou, Carole Paillet, Gilles Leboucher and 1 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Critical care (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trends in antifungal use characteristics in primary care in Spain, 2019 to 2024: a nationwide study.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    Observational
  3. Article
  4. Article
  5. Antifungal stewardship in the UK: where are we now?JAC-antimicrobial resistance · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. A quasi-experimental analysis comparing antimicrobial usage on COVID-19 and non-COVID-19 wards.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024
    Article
  11. Review
  12. Typing ofPathogens (Basel, Switzerland) · 2023
    Article
  13. Article
  14. Article
  15. 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

11 authors at 3 institutions in 1 country.

Anne-Lise BienvenuService Pharmacie, Groupement Hospitalier Nord, Hospices Civils de Lyon, 103 Grande rue de la Croix-Rousse, 69004, Lyon, France. anne-lise.bienvenu@chu-lyon.fr.
Audrey BestionDépartement d'Information Médicale, Hospices Civils de Lyon, Lyon, France.
Pierre PradatCentre de Recherche Clinique, Groupement Hospitalier Nord, Hospices Civils de Lyon, Lyon, France.
Jean-Christophe RichardService de reanimation medicale, Groupement Hospitalier Nord, Hospices Civils de Lyon, Lyon, France.
Laurent ArgaudService de medecine intensive-reanimation, Hôpital Edouard Herriot, Hospices Civils de Lyon, Lyon, France.
Céline GuichonService de reanimation chirurgicale, Groupement Hospitalier Nord, Hospices Civils de Lyon, Lyon, France.
Sandrine RouxService des Maladies Infectieuses et Tropicales, Groupement Hospitalier Nord, Hospices Civils de Lyon, Lyon, France.
Vincent PiriouService d'anesthésie-reanimation, Groupement Hospitalier Sud, Hospices Civils de Lyon, Lyon, France.
Carole PailletService Pharmacie, Groupement Hospitalier Centre, Hospices Civils de Lyon, Lyon, France.
Gilles LeboucherService Pharmacie, Groupement Hospitalier Nord, Hospices Civils de Lyon, 103 Grande rue de la Croix-Rousse, 69004, Lyon, France.
Antifungal study group
Hospices Civils de Lyon · FRLaboratoire de Biométrie et Biologie Evolutive · FRUniversité Claude Bernard Lyon 1 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the context of COVID-19 pandemic, antifungal overuse may have occurred in our hospitals as it has been previously reported for antibacterials.

methodsTo investigate the impact of COVID-19 on antifungal consumption, a multicenter retrospective study including four medical sites and 14 intensive care units (ICU) was performed. Antifungal consumption and incidences of invasive fungal diseases before and during COVID-19 pandemic, for non-COVID-19 patients and COVID-19 patients, were described.

resultsAn increase in voriconazole consumption was observed in 2020 compared with 2019 for both the whole hospital and the ICU (+ 40.3% and + 63.7%, respectively), whereas the incidence of invasive aspergillosis significantly increased in slightly lower proportions in the ICU (+ 46%). Caspofungin consumption also increased in 2020 compared to 2019 for both the whole hospital and the ICU (+ 34.9% and + 17.0%, respectively) with an increased incidence of invasive candidiasis in the whole hospital and the ICU but in lower proportions (+ 20.0% and + 10.9%, respectively).

conclusionsWe observed an increased consumption of antifungals including voriconazole and caspofungin in our hospital during the COVID-19 pandemic and explained in part by an increased incidence of invasive fungal diseases in COVID-19 patients. These results are of utmost importance as it raises concern about the urgent need for appropriate antifungal stewardship activities to control antifungal consumption.

Indexed as

CandidiasisCOVID-19Antifungal AgentsCaspofunginHumansIntensive Care UnitsPandemicsRetrospective StudiesVoriconazoleAntifungal AgentsCaspofunginVoriconazoleAntifungalsConsumptionCOVID-19Defined daily doseInvasive fungal disease

Identifiers

PMID36514110
PMCPMC9745268
OpenAlexW4311929145

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.