Evidence map›Paper›PMID 40615938›Full record

SynthesisBMC infectious diseases2025

Prevalence of invasive fungal infection in critically Ill patients: a systematic review and meta-analysis.

Mauricio Trelles, José Murillo, Luis Fuenmayor-González, Yunqi Yu-Liu, Harold Alexander-León, Joanna Acebo, Diego Cuicapuza, Marco Morales, Christopher Peña, María Fernanda García-Aguilera

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Trial
  2. New Perspectives on Antimicrobial Agents: Fosmanogepix.Antimicrobial agents and chemotherapy · 2026
    Review
  3. Article
  4. Article
  5. An Evolving Challenge: Fungal Infections in the Contemporary ICU.Journal of fungi (Basel, Switzerland) · 2026
    Article
  6. Article
  7. Article
  8. Observational
  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

10 authors.

Mauricio TrellesSOLCA Unidad Oncológica Chimborazo, Riobamba, Ecuador.
José MurilloSOLCA Unidad Oncológica Chimborazo, Riobamba, Ecuador.
Luis Fuenmayor-GonzálezUnidad de Revisiones Sistemáticas y Metaanálisis-URMA, Facultad de Ciencias Médicas, Universidad Central del Ecuador, Quito, Ecuador.
Yunqi Yu-LiuHospital Oncológico SOLCA Quito. Eloy Alfaro y Los Pinos, Quito, EC170150, Ecuador.
Harold Alexander-LeónHospital Oncológico SOLCA Quito. Eloy Alfaro y Los Pinos, Quito, EC170150, Ecuador.
Joanna AceboHospital Oncológico SOLCA Quito. Eloy Alfaro y Los Pinos, Quito, EC170150, Ecuador.
Diego CuicapuzaUniversidad Peruana Cayetano Heredia, Faculty of Administration and Public Health, Lima, Perú.
Marco MoralesHospital Oncológico SOLCA Quito. Eloy Alfaro y Los Pinos, Quito, EC170150, Ecuador.
Christopher PeñaUnidad de Revisiones Sistemáticas y Metaanálisis-URMA, Facultad de Ciencias Médicas, Universidad Central del Ecuador, Quito, Ecuador.
María Fernanda García-AguileraUnidad de Revisiones Sistemáticas y Metaanálisis-URMA, Facultad de Ciencias Médicas, Universidad Central del Ecuador, Quito, Ecuador. mafergarcia.g@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInvasive fungal infections (IFI) contribute significantly to morbidity and mortality among critically ill patients, particularly in intensive care units (ICUs). Accurate prevalence estimates are essential to inform clinical strategies. This study aimed to determine the prevalence of IFI, and assess regional and methodological variations.

methodsA systematic review and meta-analysis were conducted following PRISMA guidelines. Literature from PubMed, Scopus, Web of Science, and Cochrane Library were searched for observational studies published between 1999 and 2024. Inclusion criteria targeted studies reporting IFI prevalence in ICU populations. Data extraction and bias assessment were performed independently by two reviewers. A random-effects meta-analysis assessed pooled prevalence and heterogeneity (Cochran's Q and I2 statistics).

resultsOut of 2838 screened articles, 34 studies comprising 655,169 critically ill patients met inclusion criteria. The pooled prevalence of IFI was 5% (95% CI: 3-7%). Aspergillus spp. accounted for 10% and Candida spp. for 3%. Regional prevalence ranged from 3% in high-income countries to 21% in lower-middle-income countries. Diagnostic and methodological heterogeneity were notable contributors to variability.

conclusionsIFIs represent a significant burden in ICUs, particularly in resource-limited settings. Standardized diagnostic criteria and region-specific strategies are crucial to improving patient outcomes.

trial registrationPROSPERO ID CRD42023472191.

Indexed as

Critical IllnessInvasive Fungal InfectionsHumansIntensive Care UnitsPrevalenceCritically Ill PatientsInvasive fungal infectionPrevalence

Identifiers

PMID40615938
PMCPMC12228309

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.