Evidence map›Paper›PMID 41502907›Full record

ArticleOpen forum infectious diseases2026

Impact of Candida Care Bundle Compliance on the Prognosis of Patients With Candidemia: A Multicenter Retrospective Cohort Study With Propensity Score Matching Analysis (2016-2023).

Hidemasa Akazawa, Shinnosuke Fukushima, Toshie Higuchi, Tomoko Miyoshi, Yasuhiro Nakano, Koji Iio, Yukinobu Akamatsu, Yuto Haruki, Yoshitaka Iwamoto, Shuichi Tanaka and 3 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Impact of a pharmacist-led infectious disease support team on candidemia bundle adherence and 28-day mortality: a single-center retrospective cohort study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    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

13 authors.

Hidemasa AkazawaDepartment of Infectious Diseases, Okayama University Hospital, Okayama, Japan.ORCID https://orcid.org/0009-0004-1123-7991
Shinnosuke FukushimaDepartment of Infectious Diseases, Okayama University Hospital, Okayama, Japan.
Toshie HiguchiDepartment of General Internal Medicine, Okayama Red Cross Hospital, Okayama, Japan.
Tomoko MiyoshiCenter for Medical Education and Internationalization, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Yasuhiro NakanoDepartment of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.ORCID https://orcid.org/0000-0001-9972-791X
Koji IioMicrobiology Division, Clinical Laboratory, Okayama University Hospital, Okayama, Japan.
Yukinobu AkamatsuDepartment of General Medicine, Tottori Municipal Hospital, Tottori, Japan.
Yuto HarukiDepartment of Pharmacy, Tsuyama Chuo Hospital, Okayama, Japan.
Yoshitaka IwamotoDepartment of General Medicine, NHO Okayama Medical Center, Okayama, Japan.
Shuichi TanakaDepartment of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Shun FujisatoDepartment of Pharmacy, Okayama Rousai Hospital, Okayama, Japan.
Soichiro AkoDepartment of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Hideharu HagiyaDepartment of Infectious Diseases, Okayama University Hospital, Okayama, Japan.ORCID https://orcid.org/0000-0002-5086-1891

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Candidemia is a life-threatening infection with high mortality, and appropriate management is essential to improve patient outcomes. The Candida Care Bundle aims to standardize hospital management for patients with candidemia and reduce mortality. Methods: This retrospective multicenter cohort study included candidemia cases from 9 hospitals in Japan between 2016 and 2023. Compliance to the Candida Care Bundle was evaluated based on 5 elements: central venous catheter removal within 24 hours, appropriate antifungal therapy, ophthalmologic examination, follow-up blood cultures, and antifungal treatment for ≥2 weeks after clearance. Patients were categorized into high (4-5 items) and low (0-3 items) compliance groups. The primary and secondary outcomes were defined as 30-day survival and the development of endophthalmitis, with propensity score matching used to adjust for potential confounders. Results: Among 230 patients, 160 (69.5%) were classified into the high compliance group, which exhibited significantly lower 30-day mortality than the low compliance group (8.8% vs 57.1%, Conclusions: Strict compliance to the Candida Care Bundle significantly improves survival, underscoring its importance in candidemia management.

Indexed as

candida bundlecandidemiaendophthalmitisprognosispropensity score matching

Identifiers

PMID41502907
PMCPMC12771640

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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.