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Record W4407468688 · doi:10.1016/s1473-3099(24)00749-7

Global guideline for the diagnosis and management of candidiasis: an initiative of the ECMM in cooperation with ISHAM and ASM

2025· review· en· W4407468688 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
fundA Canadian funder is recorded on the work.

Bibliographic record

VenueThe Lancet Infectious Diseases · 2025
Typereview
Languageen
FieldMedicine
TopicAntifungal resistance and susceptibility
Canadian institutionsUniversity of TorontoMcGill University Health CentreUniversity Health Network
FundersNHLBI Division of Intramural ResearchJanssen PharmaceuticalsNational Institute of Allergy and Infectious DiseasesInstituto de Salud Carlos IIISanofi PasteurFondation de l'Hôpital Général de MontréalMerck CanadaCanadian Institutes of Health ResearchNational Health Laboratory ServiceDirectorate for Biological SciencesMedizinische Universität GrazUniversität zu KölnUniversity of Cape TownAstellas PharmaPfizer CanadaUniversiteit van AmsterdamPfizer JapanInstituto de Investigación Sanitaria Gregorio MarañónShionogiTel Aviv UniversityManchester Biomedical Research CentreAssociation of Medical Microbiology and Infectious Disease CanadaCSL BehringGlenmark PharmaceuticalsNational Institutes of HealthMcGill University Health CentreMylanJazz PharmaceuticalsAstraZenecaLudwig-Maximilians-Universität MünchenCidara TherapeuticsUniversity of TorontoJoint Programming Initiative on Antimicrobial ResistanceBundesministerium für Bildung und ForschungAmerican College of Veterinary Internal MedicinePublic Health Agency of CanadaHELIOS KlinikenNational Institute for Health and Care ResearchDivision of Intramural Research, National Institute of Allergy and Infectious DiseasesInfectious Diseases Society of AmericaMcGill UniversityPublic Health AgencyDeutsches Zentrum für InfektionsforschungKarl-Franzens-Universität GrazDeutsche ForschungsgemeinschaftGilead SciencesSanofiDowager Countess Eleanor Peel TrustSunovionNational Science FoundationJeffrey Modell FoundationModernaPfizer
KeywordsIntensive care medicineFluconazoleCandida aurisMucocutaneous zoneGuidelineMedicineInvasive candidiasisAntifungalChronic mucocutaneous candidiasisThrushDermatologyDiseaseInternal medicinePathology

Abstract

fetched live from OpenAlex

Candida species are the predominant cause of fungal infections in patients treated in hospital, contributing substantially to morbidity and mortality. Candidaemia and other forms of invasive candidiasis primarily affect patients who are immunocompromised or critically ill. In contrast, mucocutaneous forms of candidiasis, such as oral thrush and vulvovaginal candidiasis, can occur in otherwise healthy individuals. Although mucocutaneous candidiasis is generally not life-threatening, it can cause considerable discomfort, recurrent infections, and complications, particularly in patients with underlying conditions such as diabetes or in those taking immunosuppressive therapies. The rise of difficult-to-treat Candida infections is driven by new host factors and antifungal resistance. Pathogens, such as Candida auris (Candidozyma auris) and fluconazole-resistant Candida parapsilosis, pose serious global health risks. Recent taxonomic revisions have reclassified several Candida spp, potentially causing confusion in clinical practice. Current management guidelines are limited in scope, with poor coverage of emerging pathogens and new treatment options. In this Review, we provide updated recommendations for managing Candida infections, with detailed evidence summaries available in the appendix.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.571
Threshold uncertainty score0.277

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.055
GPT teacher head0.382
Teacher spread0.327 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it