Evidence map›Paper›PMID 38935905›Full record

SynthesisMedical mycology2024

Candida tropicalis-A systematic review to inform the World Health Organization of a fungal priority pathogens list.

Caitlin Keighley, Hannah Yejin Kim, Sarah Kidd, Sharon C-A Chen, Ana Alastruey, Aiken Dao, Felix Bongomin, Tom Chiller, Retno Wahyuningsih, Agustina Forastiero and 7 more

Abstract readSystematic Review
In one paragraph

Synthesis in Medical mycology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–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

29 citing papers in PubMed.

  1. Article
  2. Microorganisms · 2026
    Review
  3. Persistent Non-Journal of fungi (Basel, Switzerland) · 2026
    Article
  4. Article
  5. Article
  6. Species-specific antifungal resistance trends in yeast bloodstream isolates causing candidemia before, during, and after the COVID-19 pandemic: insights from the INVIFAR Mexican multicenter network.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  7. Article
  8. Article
  9. Observational
  10. Draft genome sequences of two clinical isolates ofMicrobiology resource announcements · 2026
    Article
  11. Non-Life (Basel, Switzerland) · 2026
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Biofilm · 2025
    Article
  18. Article
  19. Article
  20. 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

17 authors.

Caitlin KeighleySydney Infectious Diseases Institute, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0002-8892-3488
Hannah Yejin KimSydney Infectious Diseases Institute, The University of Sydney, Sydney, NSW, Australia.
Sarah KiddNational Mycology Reference Centre, Microbiology & Infectious Diseases, SA Pathology, Adelaide, SA, Australia.ORCID 0000-0002-5957-4178
Sharon C-A ChenSydney Infectious Diseases Institute, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0002-9983-6603
Ana AlastrueyMycology Reference Laboratory, National Centre for Microbiology, Instituto de Salud Carlos III, Majadahonda, Madrid, Spain.ORCID 0000-0001-8651-4405
Aiken DaoSydney Infectious Diseases Institute, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0002-0631-2975
Felix BongominDepartment of Medical Microbiology & Immunology, Faculty of Medicine, Gulu University, Gulu, Uganda.
Tom ChillerMycotic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, GE, USA.
Retno WahyuningsihDepartment of Parasitology, Faculty of Medicine, Universitas Kristen Indonesia, Jakarta, Indonesia.ORCID 0000-0002-3294-5792
Agustina ForastieroServicio de Micologia, Laboratorio de Microbiologia, Hospital Britanico, Buenos Aires, Argentina.
Adi Al-NuseiratWorld Health Organization Regional Office for the Eastern Mediterranean, Cairo 11371, Egypt.
Peter BeyerAMR Division, World Health Organization, Geneva.
Valeria GiganteAMR Division, World Health Organization, Geneva.
Justin BeardsleySydney Infectious Diseases Institute, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0003-1978-1559
Hatim SatiAMR Division, World Health Organization, Geneva.
C Orla MorrisseyThe Alfred Hospital, Department of Infectious Diseases, Melbourne, Victoria, Australia.
Jan-Willem AlffenaarSydney Infectious Diseases Institute, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0001-6703-0288

Funding

Ministry of Education and ScienceWorld Health Organization 001
6 · The paper itself

Abstract

In response to the growing global burden of fungal infections with uncertain impact, the World Health Organization (WHO) established an Expert Group to identify priority fungal pathogens and establish the WHO Fungal Priority Pathogens List for future research. This systematic review aimed to evaluate the features and global impact of invasive candidiasis caused by Candida tropicalis. PubMed and Web of Science were searched for studies reporting on criteria of mortality, morbidity (defined as hospitalization and disability), drug resistance, preventability, yearly incidence, diagnostics, treatability, and distribution/emergence from 2011 to 2021. Thirty studies, encompassing 436 patients from 25 countries were included in the analysis. All-cause mortality due to invasive C. tropicalis infections was 55%-60%. Resistance rates to fluconazole, itraconazole, voriconazole and posaconazole up to 40%-80% were observed but C. tropicalis isolates showed low resistance rates to the echinocandins (0%-1%), amphotericin B (0%), and flucytosine (0%-4%). Leukaemia (odds ratio (OR) = 4.77) and chronic lung disease (OR = 2.62) were identified as risk factors for invasive infections. Incidence rates highlight the geographic variability and provide valuable context for understanding the global burden of C. tropicalis infections. C. tropicalis candidiasis is associated with high mortality rates and high rates of resistance to triazoles. To address this emerging threat, concerted efforts are needed to develop novel antifungal agents and therapeutic approaches tailored to C. tropicalis infections. Global surveillance studies could better inform the annual incidence rates, distribution and trends and allow informed evaluation of the global impact of C. tropicalis infections.

Indexed as

Antifungal AgentsCandida tropicalisDrug Resistance, FungalWorld Health OrganizationCandidiasis, InvasiveGlobal HealthHumansIncidenceRisk FactorsAntifungal AgentscandidaemiaCandida tropicalisglobal epidemiologyinvasive fungal infectionmortality

Identifiers

PMID38935905
PMCPMC11210624

What OpenQuestion holds

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LicenceCC BY-NC
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.