Evidence map›Paper›PMID 9565801›Full record

ReviewIntensive care medicine1998

Epidemiology, diagnosis and treatment of systemic Candida infection in surgical patients under intensive care.

J L Vincent, E Anaissie, H Bruining, W Demajo, M el-Ebiary, J Haber, Y Hiramatsu, G Nitenberg, P O Nyström, D Pittet and 5 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Intensive care medicine, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 3 pooled it
8.5field-weighted citation impact, top 2% of its field
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

47 citing papers in PubMed, 3 syntheses or guidelines pooled it, 279 citations in OpenAlex.

  1. Pooled it
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  7. Characterization and susceptibility of non-albicansFrontiers in public health · 2023
    Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 2 countries.

J L VincentDepartment of Intensive Care, Erasme University Hospital, Brussels, Belgium.
E Anaissie
H Bruining
W Demajo
M el-Ebiary
J Haber
Y Hiramatsu
G Nitenberg
P O Nyström
D Pittet
T Rogers
P Sandven
G Sganga
M D Schaller
J Solomkin
Mie University Hospital · JPErasmus Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The incidence of systemic Candida infections in patients requiring intensive care has increased substantially in recent years as a result of a combination of factors. More patients with severe underlying disease or immunosuppression from anti-neoplastic or anti-rejection chemotherapy and at risk from fungal infection are now admitted to the ICU. Improvements in supportive medical and surgical care have led to many patients who would previously have died as a result of trauma or disease surviving to receive intensive care. Moreover, some therapeutic interventions used in the ICU, most notably broad-spectrum antibiotics and intravascular catheters, are also associated with increased risks of candidiasis. Systemic Candida infections are associated with a high morbidity and mortality, but remain difficult to diagnose and ICU staff need to be acutely aware of this often insidious pathogen. A number of studies have identified risk factors for systemic Candida infection which may be used to identify those at highest risk. Such patients may be potential candidates for early, presumptive therapy. Here we review the epidemiology, pathogenesis, morbidity and mortality of systemic Candida infections in the ICU setting, and examine predisposing risk factors. Antifungal treatment, including the use of amphotericin B, flucytosine and fluconazole, and the roles of early presumptive therapy and prophylaxis, is also reviewed.

Indexed as

CandidiasisCritical CareCross InfectionFungemiaPostoperative ComplicationsAntifungal AgentsCausalityEuropeHumansIncidenceInfection ControlPopulation SurveillanceUnited StatesAntifungal Agents

Identifiers

PMID9565801
OpenAlexW2075579211

What OpenQuestion holds

Textmetadata
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.