Evidence map›Paper›PMID 36547618›Full record

ArticleJournal of fungi (Basel, Switzerland)2022

Diagnostic Mycology Laboratories Should Have a Central Role for the Management of Fungal Disease.

Narda Medina, Ana Alastruey-Izquierdo, Danicela Mercado, David W Denning, Eduardo Arathoon, Juan Luis Rodriguez-Tudela

Open access · goldAbstract read
In one paragraph

Article in Journal of fungi (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
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  5. Antimicrobial agents and chemotherapy · 2024
    Article
  6. Article
  7. Evaluation of the yeast phase-specific monoclonal antibody 4D1 andFrontiers in cellular and infection microbiology · 2023
    Article
  8. 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

6 authors at 4 institutions in 3 countries.

Narda MedinaAsociación de Salud Integral, Guatemala 01001, Guatemala.ORCID 0000-0001-6176-0052
Ana Alastruey-IzquierdoGlobal Action for Fungal Infections, 1208 Geneva, Switzerland.ORCID 0000-0001-8651-4405
Danicela MercadoClínica Familiar "Luis Ángel García"/Hospital General San Juan de Dios, Guatemala 01001, Guatemala.
David W DenningAsociación de Salud Integral, Guatemala 01001, Guatemala.ORCID 0000-0001-5626-2251
Eduardo ArathoonAsociación de Salud Integral, Guatemala 01001, Guatemala.ORCID 0000-0002-6225-7413
Juan Luis Rodriguez-TudelaGlobal Action for Fungal Infections, 1208 Geneva, Switzerland.
Hospital General San Juan de Dios · GTInstituto de Salud Carlos III · ESManchester Academic Health Science Centre · GBUnidad de Cirugía Cardiovascular de Guatemala · GT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The absence of awareness of fungal diseases as part of the differential diagnosis in at-risk populations has severe consequences. Here, we show how the active role of laboratories can improve patients’ survival. Recently, major advances have been made in non-culture-based assays for fungal diseases, improving accuracy and turnaround time. Furthermore, with the introduction of proficiency control systems, laboratories are an easily monitored environment with good analytical accuracy. Diagnostic packages for opportunistic infections can overcome many deficiencies caused by the absence of awareness. In Guatemala, to make diagnosis accessible, we set up a diagnostic laboratory hub (DLH) providing screening for cryptococcosis, histoplasmosis and tuberculosis to a network of 13 healthcare facilities attending people living with HIV (PLWHIV). In two years, we screened 2127 newly HIV-diagnosed patients. The frequency of opportunistic infections was 21%, rising to 30.3% in patients with advanced HIV disease (<200 CD4); 8.1% of these patients had more than one infection. With the implementation of this diagnostic package, mortality decreased by 7%, a key goal of many public health interventions. Screening for serious infection in high-risk populations can partially overcome training or experiential deficiencies among clinicians for life-threatening fungal diseases.

Indexed as

cryptococcosishistoplasmosisHIVLatin Americaopportunistic infectionspublic healthtuberculosis

Identifiers

PMID36547618
PMCPMC9787327
OpenAlexW4311959562

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.