Evidence map›Paper›PMID 39136534›Full record

SynthesisJournal of the European Academy of Dermatology and Venereology : JEADV2025

Virulence and resistance factors of Nakaseomyces glabratus (formerly known as Candida glabrata) in Europe: A systematic review.

Carmen Rodríguez-Cerdeira, Rodolfo Pinto-Almazán, Ditte M L Saunte, R Hay, Jacek C Szepietowski, Gabriela Moreno-Coutiño, Mihael Skerlev, Asja Prohic, Erick Martínez-Herrera

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of the European Academy of Dermatology and Venereology : JEADV, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Pooled it
  2. Pooled it
  3. Anandamide Targets Membrane Integrity in Non-Journal of fungi (Basel, Switzerland) · 2026
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  10. Mechanism of azole resistance inJournal of medical microbiology · 2025
    Article
  11. Biochemical and Physiological Profiles ofLife (Basel, Switzerland) · 2025
    Article
  12. International journal of molecular sciences · 2025
    Article
  13. Microorganisms · 2025
    Review
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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

9 authors.

Carmen Rodríguez-CerdeiraDermatology Department, Hospital Vithas Vigo, Vigo, Spain.ORCID https://orcid.org/0000-0001-9939-0771
Rodolfo Pinto-AlmazánFundación Vithas, Grupo Hospitalario Vithas, Madrid, Spain.ORCID https://orcid.org/0000-0002-5210-5395
Ditte M L SaunteDepartment of Dermatology, Zealand University Hospital, Roskilde, Denmark.ORCID https://orcid.org/0000-0001-7953-1047
R HayDepartment of Dermatology, Kings College Hospital NHS Trust, London, UK.
Jacek C SzepietowskiDepartment of Dermatology, Venereology and Allergology, Wroclaw Medical University, Wroclaw, Poland.
Gabriela Moreno-CoutiñoServicio de Micología, Hospital General "Dr. Manuel Gea González", Ciudad de México, Mexico.ORCID https://orcid.org/0000-0003-0906-1101
Mihael SkerlevDepartment of Dermatology and Venereology, Zagreb University School of Medicine and Zagreb University Hospital, Zagreb, Croatia.
Asja ProhicDepartment of Dermatovenereology, University Clinical Center of Sarajevo, Sarajevo, Bosnia and Herzegovina.
Erick Martínez-HerreraFundación Vithas, Grupo Hospitalario Vithas, Madrid, Spain.ORCID https://orcid.org/0000-0001-7298-158X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNakaseomyces glabratus (N. glabratus) formerly known as Candida glabrata (C. glabrata), is an endogenous opportunistic pathogen, which is generally located in the gastrointestinal tract but can spread in immunocompromised patients. N. glabratus is the second most common pathogen that causes candidemia in several countries. N. glabratus virulence factors may increase antifungal resistance and reduce the number of available treatment options. High resistance to azoles and increasing resistance to echinocandins have been previously reported in N. glabratus.

objectiveTo establish the distribution of N. glabratus isolates in Europe and its drug susceptibility/resistance in each country over the last 7 years.

methodsThe search was performed across three databases: PubMed, Scopus and Scielo, using the MeSH terms: "Candida glabrata", "Nakaseomyces glabratus", "Europe", "resistance" and "Epidemiology" exclusively in English. All available information from January 2002 to December 2022 was included, excluding reviews, meta-analyses and book chapters.

resultsFifty-seven articles with information on antifungal susceptibility in Europe were retrieved and analysed with a total of 15,400 reported C. glabrata isolates. Remarkably, nations that presented the maximum number of cases during the study period included the United Kingdom (n = 7241, 47.02%), France (n = 3190, 20.71%), Spain (n = 900, 5.84%), Hungary (n = 745, 4.84%) and Italy (n = 486, 3.16%). C. glabrata isolates presented resistance to azoles [voriconazole (n = 2225, 14.45%), fluconazole (n = 1612, 10.47%), itraconazole (n = 337, 2.19%) and clotrimazole (n = 89, 0.58%)], increased resistance to echinocandins, especially to anidulafungin (n = 138, 0.89%), and high sensitivity to amphotericin B.

conclusionsThe number of candidemia cases associated with triazole-resistant N. glabratus isolates have been increasing in Europe. Therefore, echinocandins and amphotericin B can be considered optional empirical treatments; however, antifungal susceptibility testing is required to determine the best therapeutic options.

Indexed as

Antifungal AgentsCandida glabrataDrug Resistance, FungalSaccharomycetalesVirulence FactorsEuropeHumansMicrobial Sensitivity TestsAntifungal AgentsVirulence Factors

Identifiers

PMID39136534
PMCPMC11760688

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.