Evidence map›Paper›PMID 38935906›Full record

SynthesisMedical mycology2024

Candida albicans-A systematic review to inform the World Health Organization Fungal Priority Pathogens List.

Sarika Parambath, Aiken Dao, Hannah Yejin Kim, Shukry Zawahir, Ana-Alastruey Izquierdo, Evelina Tacconelli, Nelesh Govender, Rita Oladele, Arnaldo Colombo, Tania Sorrell and 7 more

Erratum issuedAbstract 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. An erratum has been issued. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
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  5. Review
  6. Morphotype-specific susceptibility toMicrobiology spectrum · 2026
    Article
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  18. Polymers · 2026
    Article
  19. EditingBiomolecules · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Sarika ParambathSydney Infectious Diseases Institute, The University of Sydney, Sydney, NSW, Australia.
Aiken DaoSydney Infectious Diseases Institute, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0002-0631-2975
Hannah Yejin KimSydney Infectious Diseases Institute, The University of Sydney, Sydney, NSW, Australia.
Shukry ZawahirSydney Infectious Diseases Institute, The University of Sydney, Sydney, NSW, Australia.
Ana-Alastruey IzquierdoMycology Reference Laboratory, National Centre for Microbiology, Instituto de Salud Carlos III, Majadahonda, Madrid, Spain.ORCID 0000-0001-8651-4405
Evelina TacconelliDepartment of Diagnostics and Public Health, Verona University, Verona, Italy.
Nelesh GovenderNational Institute for Communicable Diseases, Division of the National Health Laboratory Service, Johannesburg, South Africa.ORCID 0000-0001-7869-9462
Rita OladeleDepartment of Medical Microbiology and Parasitology, College of Medicine, University of Lagos, Lagos, Nigeria.ORCID 0000-0003-1488-3345
Arnaldo ColomboUniversidade Federal de São Paulo, São Paulo, Brazil.
Tania SorrellSydney Infectious Diseases Institute, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0001-9460-0960
Pilar Ramon-PardoAntimicrobial Research Division, World Health Organization, Geneva, Switzerland.
Terence FusireAntimicrobial Research Division, World Health Organization, Geneva, Switzerland.
Valeria GiganteAntimicrobial Research Division, World Health Organization, Geneva, Switzerland.
Hatim SatiAntimicrobial Research Division, World Health Organization, Geneva, Switzerland.
C Orla MorrisseyDepartment of Infectious Diseases, Alfred Health, VIC, Australia.
Jan-Willem AlffenaarSydney Infectious Diseases Institute, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0001-6703-0288
Justin BeardsleySydney Infectious Diseases Institute, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0003-1978-1559

Funding

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

Abstract

Candida albicans is a common fungal pathogen and amongst the leading causes of invasive candidiasis globally. This systematic review examines the characteristics and global impact of invasive infections caused by C. albicans. We searched on PubMed and Web of Science for studies reporting on criteria such as mortality, morbidity, drug resistance, preventability, yearly incidence, and distribution/emergence during the period from 2016 to 2021. Our findings indicate that C. albicans is the most common Candida species causing invasive disease and that standard infection control measures are the primary means of prevention. However, we found high rates of mortality associated with infections caused by C. albicans. Furthermore, there is a lack of data on complications and sequelae. Resistance to commonly used antifungals remains rare. Although, whilst generally susceptible to azoles, we found some evidence of increasing resistance, particularly in middle-income settings-notably, data from low-income settings were limited. Candida albicans remains susceptible to echinocandins, amphotericin B, and flucytosine. We observed evidence of a decreasing proportion of infections caused by C. albicans relative to other Candida species, although detailed epidemiological studies are needed to confirm this trend. More robust data on attributable mortality, complications, and sequelae are needed to understand the full extent of the impact of invasive C. albicans infections.

Indexed as

Antifungal AgentsCandida albicansDrug Resistance, FungalCandidiasisCandidiasis, InvasiveGlobal HealthHumansIncidenceWorld Health OrganizationAntifungal Agentsantifungal resistanceCandida albicansepidemiologyinvasive candidiasismortality

Identifiers

PMID38935906
PMCPMC11210619

What OpenQuestion holds

Textmetadata
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.