Evidence map›Paper›PMID 38918058›Full record

ArticleMedical mycology2024

Comparative efficacies of the three echinocandins for Candida auris candidemia: real world evidence from a tertiary centre in India.

Parikshit S Prayag, Sampada A Patwardhan, Rasika S Joshi, Surabhi Dhupad, Tejashree Rane, Amrita P Prayag

Abstract readComparative Study
In one paragraph

Article in Medical mycology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Clinical Outcomes of Micafungin and Anidulafungin inJournal of fungi (Basel, Switzerland) · 2026
    Article
  4. Review
  5. Repositioning Antimicrobial Peptides Against WHO-Priority Fungi.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  6. Article
  7. Review
  8. Review
  9. 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.

Parikshit S PrayagDepartment of Infectious Diseases, Deenanath Mangeshkar Hospital, Pune, India.
Sampada A PatwardhanDepartment of Microbiology, Deenanath Mangeshkar Hospital, Pune, India.
Rasika S JoshiDepartment of Infectious Diseases, Deenanath Mangeshkar Hospital, Pune, India.
Surabhi DhupadDepartment of Clinical Pharmacology, Deenanath Mangeshkar Hospital, Pune, India.
Tejashree RaneDepartment of Clinical Pharmacology, Deenanath Mangeshkar Hospital, Pune, India.
Amrita P PrayagDepartment of In house research, Deenanath Mangeshkar Hospital, Pune, India.ORCID 0000-0002-2498-9576

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Though echinocandins are the first line of therapy for C. auris candidemia, there is little clinical data to guide the choice of therapy within this class. This was the first study to compare the three echinocandins in terms of efficacy and outcomes for C. auris candidemia. This was a retrospective analysis of 82 episodes of candidemia caused by C. auris comparing outcomes across the three echinocandins. Majority patients in our study were treated with micafungin. Susceptibility rates were the lowest for caspofungin (35.36% resistance), with no resistance reported for the other two echinocandins. When a susceptible echinocandin was chosen, caspofungin resistance was not a factor significantly associated with mortality. Also, when a susceptible echinocandin was used for therapy, the choice within the class did not affect clinical cure, microbiological cure, or mortality (P > 0.05 for all). Failure to achieve microbiological cure (P = 0.018) and receipt of immune-modulatory therapy (P = 0.01) were significantly associated with increased mortality. Significant cost variation was noted among the echinocandins. Considering the significant cost variation, comparable efficacies can be reassuring for the prescribing physician.

Indexed as

Antifungal AgentsCandidemiaCaspofunginEchinocandinsMicafunginMicrobial Sensitivity TestsTertiary Care CentersAdolescentAdultAgedCandida aurisDrug Resistance, FungalFemaleHumansIndiaMaleAntifungal AgentsCaspofunginEchinocandinsMicafunginCandida aurisCandida auris candidemiaechinocandins

Identifiers

PMID38918058
PMCPMC11250272

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Registered trials

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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.