Evidence map›Paper›PMID 38001054›Full record

ArticleThe Journal of infectious diseases2024

Impact of Intravenous Fat Emulsion Choice on Candida Biofilm, Hyphal Growth, and Catheter-Related Bloodstream Infections in Pediatric Patients.

Gustavo R Alvira-Arill, Hubertine M E Willems, Jabez P Fortwendel, April Yarbrough, Jessica Tansmore, Caroline M Sierra, Ferras Bashqoy, Jeremy S Stultz, Brian M Peters

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in The Journal of infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Heterogeneity of Biofilm Formation AmongAntibiotics (Basel, Switzerland) · 2025
    Article
  5. 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

9 authors at 5 institutions in 1 country.

Gustavo R Alvira-ArillDepartment of Clinical Pharmacy and Outcomes Sciences, College of Pharmacy, Medical University of South Carolina, Charleston, South Carolina, USA.
Hubertine M E WillemsDepartment of Clinical Pharmacy and Translational Science, College of Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Jabez P FortwendelDepartment of Clinical Pharmacy and Translational Science, College of Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
April YarbroughDepartment of Pharmacy, Children's of Alabama, Birmingham, Alabama, USA.
Jessica TansmoreDepartment of Pharmacy, Nationwide Children's Hospital, Columbus, Ohio, USA.
Caroline M SierraDepartment of Pharmacy Practice, School of Pharmacy, Loma Linda University, Loma Linda, California, USA.
Ferras BashqoyDepartment of Pharmacy, Hassenfeld Children's Hospital at NYU Langone, NewYork, New York, USA.
Jeremy S StultzDepartment of Clinical Pharmacy and Translational Science, College of Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Brian M PetersDepartment of Clinical Pharmacy and Translational Science, College of Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee, USA.ORCID 0000-0002-0445-2077
University of Tennessee Health Science Center · USChildren's of Alabama · USLoma Linda University · USMedical University of South Carolina · USNationwide Children's Hospital · US

Funding

Lipid emulsion composition as a determinant of fungal biofilm formation and incidence of candidemiaR21AI153768 · NIAID · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI PETERS, BRIAN M, STULTZ, JEREMY S · 2021 to 2022
$418k
NIAID NIH HHS R21 AI153768
6 · The paper itself

Abstract

backgroundUse of mixed-oil (MO) intravenous fat emulsion (IFE) was shown to inhibit Candida albicans biofilm formation and overall rate of catheter-related bloodstream infections (CR-BSIs) compared with soybean-oil (SO) IFE). We aimed to delineate this inhibitory mechanism and impact of IFE choice on distribution of fungal CR-BSIs.

methodsTranscriptional profiling was conducted on C. albicans grown in SO-IFE, MO-IFE, or SO-IFE with capric acid. Overexpression strains of shared down-regulated genes were constructed using a tetracycline-off system to assess hypha and biofilm formation in IFEs. A 5-year retrospective multicenter cohort study was performed to assess differences in CR-BSIs caused by Candida species based on the IFE formulation received in pediatric patients.

resultsGenes significantly down-regulated in MO-IFE and SO-IFE with capric acid included CDC11, HGC1, and UME6. Overexpression of HGC1 or UME6 enabled filamentation in capric acid and MO-IFE. Interestingly, only overexpression of UME6 was sufficient to rescue biofilm growth in MO-IFE. MO-IFE administration was associated with a higher proportion of non-albicans Candida versus C. albicans CR-BSIs (42% vs 33%; odds ratio, 1.22 [95% confidence interval, .46-3.26]).

conclusionsMO-IFE affects C. albicans biofilm formation and hyphal growth via a UME6-dependent mechanism. A numerical but not statistically significant difference in distribution of Candida spp. among CR-BSIs was observed.

Indexed as

CandidaSepsisBiofilmsCandida albicansCathetersChildCohort StudiesFat Emulsions, IntravenousHumansHyphaeFat Emulsions, IntravenousbiofilmCandidacatheter-related infectionsintravenous fat emulsionsparenteral nutrition

Identifiers

PMID38001054
PMCPMC10873182
OpenAlexW4389003006

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.