Evidence map›Paper›PMID 42116798›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2026

Changes in Epidemiology of Candidemia in the United States With a Focus on Candida auris.

María Alejandra Pérez, Khush A Patel, Laila Rasmy, Hisato Yoshida, Cesar A Arias, Masayuki Nigo, Max W Adelman

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Mortality ofFrontiers in cellular and infection microbiology · 2026
    Pooled it
  2. Article
  3. 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

7 authors.

María Alejandra PérezCenter for Infectious Diseases, Houston Methodist Research Institute, Houston, Texas, USA.ORCID 0000-0002-4901-824X
Khush A PatelDepartment of Surgery, Houston Methodist Hospital, Houston, Texas, USA.ORCID 0000-0002-7451-3103
Laila RasmyMcWilliams School of Biomedical Informatics, UTHealth at Houston, Houston, Texas, USA.ORCID 0000-0002-2644-4908
Hisato YoshidaCenter for Infectious Diseases, Houston Methodist Research Institute, Houston, Texas, USA.
Cesar A AriasCenter for Infectious Diseases, Houston Methodist Research Institute, Houston, Texas, USA.
Masayuki NigoCenter for Infectious Diseases, Houston Methodist Research Institute, Houston, Texas, USA.ORCID 0000-0003-4898-1808
Max W AdelmanCenter for Infectious Diseases, Houston Methodist Research Institute, Houston, Texas, USA.ORCID 0000-0002-9277-6046

Funding

Project 3: Functional Microbiome and Host Signatures in Transition from Commensal to pathogenP01AI152999 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI HAAG, ANTHONY · 2020 to 2025
$12.0M
VENOUS: A translational study of enterococcal bacteremiaR01AI148342 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI ARIAS, CESAR AUGUSTO · 2020 to 2024
$3.9M
The LiaFSR system and antimicrobial peptide resistance in enterococciR01AI134637 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Cesar Augusto Arias · 2018 to 2026
$3.7M
Deep Learning Based Pharmacokinetic Model for VancomycinR01AI175699 · NIAID · METHODIST HOSPITAL RESEARCH INSTITUTE · PI NIGO, MASAYUKI · 2023 to 2025
$2.4M
POR Program on Genomic Prediction of Antimicrobial Resistance in VREK24AI121296 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI ARIAS, CESAR AUGUSTO · 2016 to 2025
$1.5M
Pathogen and patient determinants of Candida gut colonization in critically ill patientsK23AI185174 · NIAID · METHODIST HOSPITAL RESEARCH INSTITUTE · PI Max Wiener Adelman · 2024 to 2026
$582k
Houston Methodist Academic Institute #23550001National Institute of Allergy and Infectious Diseases 1R01AI175699National Institute of Allergy and Infectious Diseases K23AI185174National Institute of Allergy and Infectious Diseases K24AI121296National Institute of Allergy and Infectious Diseases P01AI152999National Institute of Allergy and Infectious Diseases R01AI134637National Institute of Allergy and Infectious Diseases R01AI148342NIAID NIH HHS K23 AI185174NIAID NIH HHS K24 AI121296NIAID NIH HHS P01 AI152999NIAID NIH HHS R01 AI134637NIAID NIH HHS R01 AI148342NIAID NIH HHS R01 AI175699NIH HHS
6 · The paper itself

Abstract

backgroundCandidemia is a common complication in hospitalized and critically ill patients. Nationwide US data on candidemia risk factors, species, antifungal resistance, and outcomes remain limited. Our objective was to describe candidemia trends from 2015 to 2024 and identify risk factors for Candida auris candidemia.

methodsRetrospective study using the Epic Cosmos database. We analyzed trends in candidemia risk factors and outcomes. Thirty-day mortality was evaluated using multivariable logistic regression adjusted for age, Elixhauser comorbidity index, COVID-19-related hospitalization, ICU-acquired candidemia, and calendar year. We compared characteristics of patients with C. auris vs. non-C. auris candidemia.

resultsA total of 29 454 candidemia cases were identified among 27 926 unique patients; candidemia incidence increased over time (P = .02). Overall 30-day mortality was 31.5% and increased significantly over the study period (from 24.7% to 31.8%; P = .02). There were similar trends in in-hospital mortality (P = .01) and intensive care unit-acquired candidemia (P = .03). The proportion of cases involving C. albicans decreased (P = .05) while C. auris cases increased (P = .008). Patients with C. auris candidemia were more likely to be Black, have renal failure, and have a higher social vulnerability index (P < .001 for all comparisons). Fluconazole resistance increased in C. parapsilosis (from 2.5% to 10.8%, P = .02) and C. tropicalis (from 6.2% to 18.1%, P = .03).

conclusionsCandidemia-associated 30-day mortality increased over the past decade, aligning with a trend toward older, more acutely ill patients developing candidemia. Candida auris candidemia was associated with Black race, higher social vulnerability, and renal failure. Overall, our findings highlight concerning nationwide US candidemia trends.

Indexed as

Candida aurisCandidemiaCandidiasisAgedAged, 80 and overAntifungal AgentsCandidaFemaleHospital MortalityHumansIncidenceIntensive Care UnitsMaleMiddle AgedRetrospective StudiesRisk FactorsAntifungal AgentsCandidaCandida auriscandidemiadrug resistanceepidemiology

Identifiers

PMID42116798
PMCPMC13644864

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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.