Evidence map›Paper›PMID 36675909›Full record

ArticleJournal of fungi (Basel, Switzerland)2023

Invasive Fungal Infections in Hospitalized Patients with COVID-19: A Non-Intensive Care Single-Centre Experience during the First Pandemic Waves.

Letizia Cattaneo, Antonio Riccardo Buonomo, Carmine Iacovazzo, Agnese Giaccone, Riccardo Scotto, Giulio Viceconte, Simona Mercinelli, Maria Vargas, Emanuela Roscetto, Francesco Cacciatore and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of fungi (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.9field-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

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

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Fungal coinfection/superinfection in COVID-19 patients in a tertiary hospital in MexicoBiomedica : revista del Instituto Nacional de Salud · 2024
    Article
  6. A Lateral-Flow Device for the Rapid Detection ofDiagnostics (Basel, Switzerland) · 2024
    Article
  7. Article
  8. Review
  9. Trends in the Epidemiology ofJournal of fungi (Basel, Switzerland) · 2023
    Review
  10. Article
  11. InvasiveFrontiers in cellular and infection microbiology · 2023
    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

16 authors at 1 institution in 1 country.

Letizia CattaneoDepartment of Clinical Medicine and Surgery-Section of Infectious Diseases, University of Naples "Federico II", 80131 Naples, Italy.
Antonio Riccardo BuonomoDepartment of Clinical Medicine and Surgery-Section of Infectious Diseases, University of Naples "Federico II", 80131 Naples, Italy.
Carmine IacovazzoDepartment of Neurosciences, University of Naples "Federico II", 80131 Naples, Italy.
Agnese GiacconeDepartment of Clinical Medicine and Surgery-Section of Infectious Diseases, University of Naples "Federico II", 80131 Naples, Italy.ORCID 0000-0003-4002-0930
Riccardo ScottoDepartment of Clinical Medicine and Surgery-Section of Infectious Diseases, University of Naples "Federico II", 80131 Naples, Italy.ORCID 0000-0002-0178-2986
Giulio ViceconteDepartment of Clinical Medicine and Surgery-Section of Infectious Diseases, University of Naples "Federico II", 80131 Naples, Italy.
Simona MercinelliDepartment of Clinical Medicine and Surgery-Section of Infectious Diseases, University of Naples "Federico II", 80131 Naples, Italy.
Maria VargasDepartment of Neurosciences, University of Naples "Federico II", 80131 Naples, Italy.
Emanuela RoscettoDepartment of Molecular Medicine and Medical Biotechnology, University of Naples "Federico II", 80131 Naples, Italy.ORCID 0000-0002-8130-1790
Francesco CacciatoreDepartment of Translational Medical Sciences, University of Naples "Federico II", 80131 Naples, Italy.
Paola SalvatoreDepartment of Molecular Medicine and Medical Biotechnology, University of Naples "Federico II", 80131 Naples, Italy.
Maria Rosaria CataniaDepartment of Molecular Medicine and Medical Biotechnology, University of Naples "Federico II", 80131 Naples, Italy.ORCID 0000-0002-8765-137X
Riccardo VillariDepartment of Clinical Medicine and Surgery-Section of Infectious Diseases, University of Naples "Federico II", 80131 Naples, Italy.
Antonio CittadiniDepartment of Translational Medical Sciences, University of Naples "Federico II", 80131 Naples, Italy.
Ivan GentileDepartment of Clinical Medicine and Surgery-Section of Infectious Diseases, University of Naples "Federico II", 80131 Naples, Italy.ORCID 0000-0002-5199-8451
Covid Federico Ii Team
University of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Invasive fungal infections (IFIs) represent a severe complication of COVID-19, yet they are under-estimated. We conducted a retrospective analysis including all the COVID-19 patients admitted to the Infectious Diseases Unit of the Federico II University Hospital of Naples until the 1 July 2021. Among 409 patients, we reported seven cases of IFIs by Candida spp., seven of Pneumocystis jirovecii pneumonia, three of invasive pulmonary aspergillosis, and one of Trichosporon asahii. None of the cases presented underlying predisposing conditions, excluding one oncohematological patient treated with rituximab. Ten cases showed lymphopenia with high rates of CD4+ < 200/µL. All cases received high-dose steroid therapy (mean duration 33 days, mean cumulative dosage 1015 mg of prednisone equivalent), and seven cases had severe COVID-19 disease (OSCI ≥ 5) prior to IFI diagnosis. The cases showed a higher overall duration of hospitalization (63 vs 24 days) and higher mortality rate (23% vs. 7%) compared with the COVID-19 patients who did not developed IFIs. Cases showed a higher prevalence of high-dose steroid therapy and lymphopenia with CD4+ < 200/µL, primarily due to SARS-CoV-2 infection and not related to underlying comorbidities. IFIs strongly impact the overall length of hospitalization and mortality. Therefore, clinicians should maintain a high degree of suspicion of IFIs, especially in severe COVID-19 patients.

Indexed as

COVID-19IFIsinvasive aspergillosispneumocystosis

Identifiers

PMID36675909
PMCPMC9865967
OpenAlexW4313575336

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.