Biofilm formation is a risk factor for mortality in patients with Candida albicans bloodstream infection—Scotland, 2012–2013
Open accessAbstract
Bloodstream infections caused by Candida species remain a significant cause of morbidity and mortality in hospitalized patients. Biofilm formation by Candida species is an important virulence factor for disease pathogenesis. A prospective analysis of patients with Candida bloodstream infection (n = 217) in Scotland (2012-2013) was performed to assess the risk factors associated with patient mortality, in particular the impact of biofilm formation. Candida bloodstream isolates (n = 280) and clinical records for 157 patients were collected through 11 different health boards across Scotland. Biofilm formation by clinical isolates was assessed in vitro with standard biomass assays. The role of biofilm phenotype on treatment efficacy was also evaluated in vitro by treating preformed biofilms with fixed concentrations of different classes of antifungal. Available mortality data for 134 patients showed that the 30-day candidaemia case mortality rate was 41%, with predisposing factors including patient age and catheter removal. Multivariate Cox regression survival analysis for 42 patients showed a significantly higher mortality rate for Candida albicans infection than for Candida glabrata infection. Biofilm-forming ability was significantly associated with C. albicans mortality (34 patients). Finally, in vitro antifungal sensitivity testing showed that low biofilm formers and high biofilm formers were differentially affected by azoles and echinocandins, but not by polyenes. This study provides further evidence that the biofilm phenotype represents a significant clinical entity, and that isolates with this phenotype differentially respond to antifungal therapy in vitro. Collectively, these findings show that greater clinical understanding is required with respect to Candida biofilm infections, and the implications of isolate heterogeneity.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
C. albicans biofilms exhibit high tolerance to antifungal drugs, posing a substantial challenge in clinical treatment.
“Once established, these biofilms exhibit a high tolerance to antifungal drugs, posing a substantial challenge in clinical treatment [54,55,56,57].”
From Disruption of the UPC2 Gene Enhances Fluconazole Antifungal Activity by Inhibiting HAC1 mRNA Splicing in Candida albicans (2026) · cites this paper as [54]
The Results section (‘Biofilm sensitivity to antifungals’) reports that voriconazole was ineffective against mature C. albicans biofilms, supporting a treatment challenge for that drug. It also reports that caspofungin and amphotericin B were effective against both groups tested, so the source does not support high tolerance to antifungal drugs generally; these susceptibility findings were measured in vitro. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Wisplinghoff, H., Bischoff, T., Tallent, S. M., Seifert, H., Wenzel, R. P., & Edmond, M. B. (2004) · Clinical Infectious Diseases · doi:10.1086/421946 · Cited by 4,496 · see citing works
Mermel, L. A., Allon, M., Bouza, E., Craven, D. E., Flynn, P., O'Grady, N. P., Raad, I. I., Rijnders, B. J. A., Sherertz, R. J., & Warren, D. K. (2009) · Clinical Infectious Diseases · doi:10.1086/599376 · Cited by 3,638 · see citing works
Cornely, O. A., Bassetti, M., Calandra, T., Garbino, J., Kullberg, B. J., Lortholary, O., Meersseman, W., Akova, M., Arendrup, M. C., Arikan-Akdagli, S., et al. (2012) · Clinical Microbiology and Infection · doi:10.1111/1469-0691.12039 · Cited by 1,217 · see citing works
Sardi, J. C. O., Scorzoni, L., Bernardi, T., Fusco-Almeida, A. M., & Mendes Giannini, M. J. S. (2013) · Journal of Medical Microbiology · doi:10.1099/jmm.0.045054-0 · Cited by 1,184 · see citing works
<i>Candida</i> Infections of Medical Devices
Kojic, E. M., & Darouiche, R. O. (2004) · Clinical Microbiology Reviews · doi:10.1128/cmr.17.2.255-267.2004 · Cited by 1,055 · see citing works
Pierce, C. G., Uppuluri, P., Tristan, A. R., Wormley, F. L., Mowat, E., Ramage, G., & Lopez-Ribot, J. L. (2008) · Nature Protocols · doi:10.1038/nprot.2008.141 · Cited by 1,041 · see citing works
Self-citationAndes, D. R., Safdar, N., Baddley, J. W., Playford, G., Reboli, A. C., Rex, J. H., Sobel, J. D., Pappas, P. G., Kullberg, B. J., & for the Mycoses Study Group (2012) · Clinical Infectious Diseases · doi:10.1093/cid/cis021 · Cited by 793 · see citing works
Ramage, G., Vande Walle, K., Wickes, B. L., & López-Ribot, J. L. (2001) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.45.9.2475-2479.2001 · Cited by 753 · see citing works
Self-citationBacterial and Fungal Biofilm Infections
Lynch, A. S., & Robertson, G. T. (2007) · Annual Review of Medicine · doi:10.1146/annurev.med.59.110106.132000 · Cited by 448 · see citing works
Tumbarello, M., Posteraro, B., Trecarichi, E. M., Fiori, B., Rossi, M., Porta, R., de Gaetano Donati, K., La Sorda, M., Spanu, T., Fadda, G., et al. (2007) · Journal of Clinical Microbiology · doi:10.1128/jcm.00131-07 · Cited by 343 · see citing works
Intravascular Catheter Exchange and Duration of Candidemia
Rex, J. H., Bennett, J. E., Sugar, A. M., Pappas, P. G., Serody, J., Edwards, J. E., Washburn, R. G., NIAID Mycoses Study Group, & Candidemia Study Group (1995) · Clinical Infectious Diseases · doi:10.1093/clinids/21.4.994 · Cited by 252 · see citing works
Nucci, M., Anaissie, E., Betts, R. F., Dupont, B. F., Wu, C., Buell, D. N., Kovanda, L., & Lortholary, O. (2010) · Clinical Infectious Diseases · doi:10.1086/653935 · Cited by 228 · see citing works
Arendrup, M. C., Dzajic, E., Jensen, R. H., Johansen, H. K., Kjaldgaard, P., Knudsen, J. D., Kristensen, L., Leitz, C., Lemming, L. E., Nielsen, L., et al. (2013) · Clinical Microbiology and Infection · doi:10.1111/1469-0691.12212 · Cited by 206 · see citing works
Tumbarello, M., Fiori, B., Trecarichi, E. M., Posteraro, P., Losito, A. R., Luca, A. D., Sanguinetti, M., Fadda, G., Cauda, R., & Posteraro, B. (2012) · PLoS ONE · doi:10.1371/journal.pone.0033705 · Cited by 197 · see citing works
Dimopoulos, G., Ntziora, F., Rachiotis, G., Armaganidis, A., & Falagas, M. E. (2008) · Anesthesia & Analgesia · doi:10.1213/ane.0b013e3181607262 · Cited by 189 · see citing works
One year prospective survey of Candida bloodstream infections in Scotland
Odds, F. C., Hanson, M. F., Davidson, A. D., Jacobsen, M. D., Wright, P., Whyte, J. A., Gow, N. A. R., & Jones, B. L. (2007) · Journal of Medical Microbiology · doi:10.1099/jmm.0.47239-0 · Cited by 176 · see citing works
Self-citationDas, I., Nightingale, P., Patel, M., & Jumaa, P. (2011) · International Journal of Infectious Diseases · doi:10.1016/j.ijid.2011.06.006 · Cited by 136 · see citing works
Sherry, L., Rajendran, R., Lappin, D. F., Borghi, E., Perdoni, F., Falleni, M., Tosi, D., Smith, K., Williams, C., Jones, B., et al. (2014) · BMC Microbiology · doi:10.1186/1471-2180-14-182 · Cited by 134 · see citing works
Self-citationWalraven, C. J., & Lee, S. A. (2013) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.01351-12 · Cited by 132 · see citing works
Honraet, K., Goetghebeur, E. J. T., & Nelis, H. J. C. F. (2005) · Journal of Microbiological Methods · doi:10.1016/j.mimet.2005.03.014 · Cited by 114 · see citing works
Swindell, K., Lattif, A. A., Chandra, J., Mukherjee, P. K., & Ghannoum, M. A. (2009) · The Journal of Infectious Diseases · doi:10.1086/600106 · Cited by 63 · see citing works
Candida albicansand non-Candida albicansfungemia in an institutional hospital during a decade
Parmeland, L., Gazon, M., Guérin, C., Argaud, L., Lehot, J.-J., Bastien, O. H., Allaouchiche, B., Michallet, M., Picot, S., Bienvenu, A., et al. (2012) · Medical Mycology · doi:10.3109/13693786.2012.686673 · Cited by 45 · see citing works
Our 2014 approach to candidaemia
Koehler, P. A., Tacke, D., & Cornely, O. A. (2014) · Mycoses · doi:10.1111/myc.12207 · Cited by 30 · see citing works
Treatment of critically ill patients with candidemia
Mensa, J., Pitart, C., & Marco, F. (2008) · International Journal of Antimicrobial Agents · doi:10.1016/s0924-8579(08)70007-4 · Cited by 23 · see citing works
Candida glabrata fungaemia in a tertiary centre in Taiwan: antifungal susceptibility and outcomes
Ruan, S., Huang, Y., Chu, C.-C., Yu, C., & Hsueh, P. (2009) · International Journal of Antimicrobial Agents · doi:10.1016/j.ijantimicag.2009.02.021 · Cited by 21 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Biofilm-Forming Capability of Highly Virulent, Multidrug-Resistant <i>Candida auris</i>
Sherry, L., Ramage, G., Kean, R., Borman, A., Johnson, E. M., Richardson, M. D., & Rautemaa-Richardson, R. (2017) · Emerging Infectious Diseases · doi:10.3201/eid2302.161320 · Cited by 420 · see citing works
Self-citationBiofilm of Candida albicans : formation, regulation and resistance
Pereira, R., Fontenelle, R. O. D. S., de Brito, É. H. S., & de Morais, S. M. (2020) · Journal of Applied Microbiology · doi:10.1111/jam.14949 · Cited by 388 · see citing works
d’Enfert, C., Kaune, A.-K., Alaban, L. R., Chakraborty, S., Cole, N. L., Delavy, M., Kosmala, D., Marsaux, B., Fróis-Martins, R., Morelli, M., et al. (2020) · FEMS Microbiology Reviews · doi:10.1093/femsre/fuaa060 · Cited by 351 · see citing works
Self-citation<i>Candida albicans</i> biofilms and polymicrobial interactions
Ponde, N. O., Lortal, L., Ramage, G., Naglik, J. R., & Richardson, J. P. (2021) · Critical Reviews in Microbiology · doi:10.1080/1040841x.2020.1843400 · Cited by 281 · see citing works
Self-citationVirulence Factors in Candida species
Staniszewska, M. (2019) · Current Protein and Peptide Science · doi:10.2174/1389203720666190722152415 · Cited by 281 · see citing works
Candida albicans biofilm growth and dispersal: contributions to pathogenesis
Wall, G., Montelongo-Jauregui, D., Vidal Bonifacio, B., Lopez-Ribot, J. L., & Uppuluri, P. (2019) · Current Opinion in Microbiology · doi:10.1016/j.mib.2019.04.001 · Cited by 263 · see citing works
Daneshnia, F., de Almeida Júnior, J. N., Ilkit, M., Lombardi, L., Perry, A. M., Gao, M., Nobile, C. J., Egger, M., Perlin, D. S., Zhai, B., et al. (2023) · The Lancet Microbe · doi:10.1016/s2666-5247(23)00067-8 · Cited by 257 · see citing works
Kean, R., Delaney, C., Sherry, L., Borman, A., Johnson, E. M., Richardson, M. D., Rautemaa-Richardson, R., Williams, C., & Ramage, G. (2018) · mSphere · doi:10.1128/msphere.00334-18 · Cited by 220 · see citing works
Self-citationMolecular Mechanisms Associated with Antifungal Resistance in Pathogenic Candida Species
Czajka, K. M., Venkataraman, K., Brabant-Kirwan, D., Santi, S. A., Verschoor, C. P., Appanna, V. D., Singh, R. I., Saunders, D., & Tharmalingam, S. (2023) · Cells · doi:10.3390/cells12222655 · Cited by 196 · see citing works
Risk factors for chronic biofilm-related infection associated with implanted medical devices
Stewart, P. S., & Bjarnsholt, T. (2020) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2020.02.027 · Cited by 177 · see citing works
Fan, F., Liu, Y., Liu, Y., Lv, R., Sun, W., Ding, W., Cai, Y., Li, W., Liu, X., & Qu, W. (2022) · International Journal of Antimicrobial Agents · doi:10.1016/j.ijantimicag.2022.106673 · Cited by 137 · see citing works
Astvad, K. M. T., Johansen, H. K., Røder, B. L., Rosenvinge, F. S., Knudsen, J. D., Lemming, L., Schønheyder, H. C., Hare, R. K., Kristensen, L., Nielsen, L., et al. (2018) · Journal of Clinical Microbiology · doi:10.1128/jcm.01564-17 · Cited by 125 · see citing works
Molecular basis of antifungal drug resistance in yeasts
Morio, F., Jensen, R. H., Le Pape, P., & Arendrup, M. C. (2017) · International Journal of Antimicrobial Agents · doi:10.1016/j.ijantimicag.2017.05.012 · Cited by 114 · see citing works
Şahal, G., Woerdenbag, H. J., Hinrichs, W. L. J., Visser, A., Tepper, P. G., Quax, W. J., van der Mei, H. C., & Bilkay, I. S. (2019) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2019.112188 · Cited by 112 · see citing works
Prevalence of biofilms in Candida spp. bloodstream infections: A meta-analysis
Atiencia-Carrera, M. B., Cabezas-Mera, F. S., Tejera, E., & Machado, A. (2022) · PLoS ONE · doi:10.1371/journal.pone.0263522 · Cited by 112 · see citing works
Rosmarinic acid–Modes of antimicrobial and antibiofilm activities of a common plant polyphenol
Ivanov, M., Kostić, M., Stojković, D., & Soković, M. (2022) · South African Journal of Botany · doi:10.1016/j.sajb.2021.11.050 · Cited by 98 · see citing works
Sztukowska, M. N., Dutton, L. C., Delaney, C., Ramsdale, M., Ramage, G., Jenkinson, H. F., Nobbs, A. H., & Lamont, R. J. (2018) · mBio · doi:10.1128/mbio.00202-18 · Cited by 96 · see citing works
Self-citationde Jong, A. W., & Hagen, F. (2019) · Mycopathologia · doi:10.1007/s11046-019-00351-w · Cited by 98 · see citing works
Parente-Rocha, J. A., Bailão, A. M., Amaral, A. C., Taborda, C. P., Paccez, J. D., Borges, C. L., & Pereira, M. (2017) · Mediators of Inflammation · doi:10.1155/2017/9870679 · Cited by 93 · see citing works
Piperine Impedes Biofilm Formation and Hyphal Morphogenesis of Candida albicans
Priya, A., & Pandian, S. K. (2020) · Frontiers in Microbiology · doi:10.3389/fmicb.2020.00756 · Cited by 96 · see citing works
Chang, W., Liu, J., Zhang, M., Shi, H., Zheng, S., Jin, X., Gao, Y., Wang, S., Ji, A., & Lou, H. (2018) · Nature Communications · doi:10.1038/s41467-018-07633-9 · Cited by 91 · see citing works
Candida auris: A Decade of Understanding of an Enigmatic Pathogenic Yeast
Kean, R., Brown, J. L., Gülmez, D., Ware, A., & Ramage, G. (2020) · Journal of Fungi · doi:10.3390/jof6010030 · Cited by 86 · see citing works
Self-citationAntibiofilm Activities of Biogenic Silver Nanoparticles Against Candida albicans
Ahamad, I., Bano, F., Anwer, R., Srivastava, P., Kumar, R., & Fatma, T. (2022) · Frontiers in Microbiology · doi:10.3389/fmicb.2021.741493 · Cited by 86 · see citing works
Rajendran, R., Sherry, L., Deshpande, A., Johnson, E. M., Hanson, M., Williams, C., Munro, C. A., Jones, B., & Ramage, G. (2016) · Frontiers in Microbiology · doi:10.3389/fmicb.2016.00915 · Cited by 82 · see citing works
Self-citationBiofilm Specific Activity: A Measure to Quantify Microbial Biofilm
Corte, L., Pierantoni, D. C., Tascini, C., Roscini, L., & Cardinali, G. (2019) · Microorganisms · doi:10.3390/microorganisms7030073 · Cited by 80 · see citing works
Candida auris Phenotypic Heterogeneity Determines Pathogenicity <i>In Vitro</i>
Brown, J. L., Delaney, C., Short, B., Butcher, M. C., McKloud, E., Williams, C., Kean, R., & Ramage, G. (2020) · mSphere · doi:10.1128/msphere.00371-20 · Cited by 76 · see citing works
Self-citationCandida glabrata Antifungal Resistance and Virulence Factors, a Perfect Pathogenic Combination
León, M. G. F.-D., Hernández‐Castro, R., Conde-Cuevas, E., García-Coronel, I. H., Vázquez-Aceituno, V. A., Soriano-Ursua, M. A., Farfán‐García, E. D., Ocharan-Hernández, M. E., Rodríguez‐Cerdeira, C., Arenas, R., et al. (2021) · Pharmaceutics · doi:10.3390/pharmaceutics13101529 · Cited by 78 · see citing works
Fungal biofilms in human health and disease
Ramage, G., Kean, R., Rautemaa-Richardson, R., Williams, C., & Lopez-Ribot, J. L. (2025) · Nature Reviews Microbiology · doi:10.1038/s41579-025-01147-0 · Cited by 72 · see citing works
Self-citationCandida biofilm production is associated with higher mortality in patients with candidaemia
Vitális, E., Nagy, F., Tóth, Z., Forgács, L., Bozó, A., Kardos, G., Majoros, L., & Kovács, R. (2020) · Mycoses · doi:10.1111/myc.13049 · Cited by 72 · see citing works
Gandra, R. M., Carron, P. M., Fernandes, M. F., Ramos, L. S., de Mello, T. P., Aor, A. C., Branquinha, M. H., McCann, M., Devereux, M. M., & dos Santos, A. L. S. (2017) · Frontiers in Microbiology · doi:10.3389/fmicb.2017.01257 · Cited by 71 · see citing works
Virus-Derived Peptides for Clinical Applications
Yang, M., Sunderland, K. S., & Mao, C. (2017) · Chemical Reviews · doi:10.1021/acs.chemrev.7b00100 · Cited by 68 · see citing works
Candida auris: a comparison between planktonic and biofilm susceptibility to antifungal drugs
Romera, D., Aguilera-Correa, J. J., Gadea, I., Viñuela-Sandoval, L., García‐Rodríguez, J., & Esteban, J. (2019) · Journal of Medical Microbiology · doi:10.1099/jmm.0.001036 · Cited by 68 · see citing works
Screening the Pathogen Box for Identification of Candida albicans Biofilm Inhibitors
Vila, T. V. M., & Lopez-Ribot, J. L. (2016) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.02006-16 · Cited by 64 · see citing works
Olson, M. L., Jayaraman, A., & Kao, K. C. (2018) · Applied and Environmental Microbiology · doi:10.1128/aem.02769-17 · Cited by 73 · see citing works
The Impact of Biofilm Formation on the Persistence of Candidemia
Li, W., Chen, Y., Kuo, S., Chen, F., & Lee, C. (2018) · Frontiers in Microbiology · doi:10.3389/fmicb.2018.01196 · Cited by 63 · see citing works
Ganapathy, A. S., Swetha, T. K., Prasanth, M. I., Balamurugan, K., & Pandian, S. K. (2017) · Microbiological Research · doi:10.1016/j.micres.2017.11.002 · Cited by 60 · see citing works
Chong, P. P., Chin, V. K., Wong, W. F., Madhavan, P., Yong, P. V. C., & Looi, C. Y. (2018) · Genes · doi:10.3390/genes9110540 · Cited by 56 · see citing works
Advances in Biomaterials for the Prevention and Disruption of Candida Biofilms
Vera‐González, N., & Shukla, A. (2020) · Frontiers in Microbiology · doi:10.3389/fmicb.2020.538602 · Cited by 59 · see citing works
Soldini, S., Posteraro, B., Vella, A., Carolis, E. D., Borghi, E., Falleni, M., Losito, A. R., Maiuro, G., Trecarichi, E. M., Sanguinetti, M., et al. (2017) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2017.11.005 · Cited by 56 · see citing works
Gaining Insights from Candida Biofilm Heterogeneity: One Size Does Not Fit All
Kean, R., Delaney, C., Rajendran, R., Sherry, L., Metcalfe, R., Thomas, R., McLean, W., Williams, C., & Ramage, G. (2018) · Journal of Fungi · doi:10.3390/jof4010012 · Cited by 53 · see citing works
Self-citationMarcos-Zambrano, L. J., Puig‐Asensio, M., Pérez‐García, F., Escribano, P., Sánchez‐Carrillo, C., Zaragoza, Ó., Padilla, B., Cuenca‐Estrella, M., Almirante, B., Martín-Gómez, M. T., et al. (2017) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.00099-17 · Cited by 54 · see citing works
Potential Strategies to Control the Risk of Antifungal Resistance in Humans: A Comprehensive Review
Rabaan, A. A., Sulaiman, T., Al-Ahmed, S. H., Buhaliqah, Z. A., Buhaliqah, A. A., AlYuosof, B., Alfaresi, M. S., Fares, M. A. A., Alwarthan, S. M., Alkathlan, M. S., et al. (2023) · Antibiotics · doi:10.3390/antibiotics12030608 · Cited by 53 · see citing works
Vila, T. V. M., Ishida, K., Seabra, S. H., & Rozental, S. (2016) · International Journal of Antimicrobial Agents · doi:10.1016/j.ijantimicag.2016.07.022 · Cited by 52 · see citing works
Beardsley, J., Kim, H. Y., Dao, A., Kidd, S. E., Alastruey‐Izquierdo, A., Sorrell, T. C., Tacconelli, E., Chakrabarti, A., Harrison, T. S., Bongomin, F., et al. (2024) · Medical Mycology · doi:10.1093/mmy/myae041 · Cited by 51 · see citing works
Biofilm Formation by Pseudallescheria/Scedosporium Species: A Comparative Study
Rollin‐Pinheiro, R., de Meirelles, J. V., Vila, T. V. M., Fonseca, B. B., Alves, V., Frasés, S., Rozental, S., & Barreto‐Bergter, E. (2017) · Frontiers in Microbiology · doi:10.3389/fmicb.2017.01568 · Cited by 50 · see citing works
Integrating Candida albicans metabolism with biofilm heterogeneity by transcriptome mapping
Rajendran, R., May, A., Sherry, L., Kean, R., Williams, C., Jones, B., Burgess, K., Heringa, J., Abeln, S., Brandt, B. W., et al. (2016) · Scientific Reports · doi:10.1038/srep35436 · Cited by 48 · see citing works
Self-citationMaurya, A., & Raj, A. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-819001-2.00005-x · Cited by 49 · see citing works
Zhong, L., Zhang, S., Tang, K., Zhou, F., Zheng, C., Zhang, K., Cai, J., Zhou, H., Wang, Y., Tian, B., et al. (2020) · BMC Infectious Diseases · doi:10.1186/s12879-020-05536-z · Cited by 48 · see citing works
Daneshnia, F., de Almeida, J. N., Arastehfar, A. A., Lombardi, L., Shor, E., Moreno, L., Mendes, A. V. A., Barberino, M. G., Thomaz, D. Y., Butler, G., et al. (2022) · Emerging Microbes & Infections · doi:10.1080/22221751.2022.2117093 · Cited by 47 · see citing works
Trindade, L. A., Cordeiro, L. V., Silva, D., de Figueiredo, P. T. R., de Pontes, M. L. C., Lima, E. D. O., & Carvalho, A. D. A. T. (2022) · Brazilian Journal of Microbiology · doi:10.1007/s42770-022-00740-2 · Cited by 45 · see citing works
Our current clinical understanding of Candida biofilms: where are we two decades on?
Ramage, G., Borghi, E., Rodrigues, C. F., Kean, R., Williams, C., & Lopez-Ribot, J. L. (2023) · Apmis · doi:10.1111/apm.13310 · Cited by 45 · see citing works
Self-citationRole of the extracellular matrix in Candida biofilm antifungal resistance
Massey, J., Żarnowski, R., & Andes, D. R. (2023) · FEMS Microbiology Reviews · doi:10.1093/femsre/fuad059 · Cited by 47 · see citing works
Pinto, H., Simões, M. V., & Borges, A. D. S. (2021) · Antibiotics · doi:10.3390/antibiotics10070825 · Cited by 44 · see citing works
Tascini, C., Sozio, E., Corte, L., Sbrana, F., Scarparo, C., Ripoli, A., Bertolino, G., Merelli, M., Tagliaferri, E., Corcione, A., et al. (2017) · Scandinavian Journal of Infectious Diseases · doi:10.1080/23744235.2017.1384956 · Cited by 45 · see citing works
Kovács, R., Nagy, F., Tóth, Z., Bozó, A., Balázs, B., & Majoros, L. (2019) · Letters in Applied Microbiology · doi:10.1111/lam.13204 · Cited by 42 · see citing works
Marc, G., Araniciu, C., Oniga, S. D., Vlase, L., Pı̂rnău, A., Duma, M. N., Marutescu, L. G., Chifiriuc, M. C., & Oniga, O. (2018) · Molecules · doi:10.3390/molecules23102522 · Cited by 40 · see citing works
Mattana, S., Cardinali, M. A., Caponi, S., Pierantoni, D. C., Corte, L., Roscini, L., Cardinali, G., & Fioretto, D. (2017) · Biophysical Chemistry · doi:10.1016/j.bpc.2017.06.008 · Cited by 36 · see citing works
Interkingdom interactions on the denture surface: Implications for oral hygiene
Delaney, C., O’Donnell, L. E., Kean, R., Sherry, L., Brown, J. L., Calvert, G., Nile, C. J., Cross, L. J., Bradshaw, D. J., Brandt, B. W., et al. (2019) · Biofilm · doi:10.1016/j.bioflm.2019.100002 · Cited by 36 · see citing works
Self-citationBrunetti, G., Navazio, A. S., Giuliani, A., Giordano, A., Proli, E. M., Antonelli, G., & Raponi, G. (2019) · PLoS ONE · doi:10.1371/journal.pone.0224678 · Cited by 36 · see citing works
Khairat, S. M., Sayed, A. M., Nabih, M., Soliman, N. S., & Hassan, Y. M. (2019) · Infection and Drug Resistance · doi:10.2147/idr.s196972 · Cited by 35 · see citing works
Functional diversification accompanies gene family expansion of MED2 homologs in Candida albicans
Dunn, M. J., Kinney, G. M., Washington, P. M., Berman, J. G., & Anderson, M. Z. (2018) · PLoS Genetics · doi:10.1371/journal.pgen.1007326 · Cited by 34 · see citing works
Li, L., Zhang, T., Xu, J., Wu, J., Wang, Y., Qiu, X.-R., Zhang, Y., Hou, W.-T., Yan, L., An, M., et al. (2019) · Frontiers in Microbiology · doi:10.3389/fmicb.2019.02071 · Cited by 34 · see citing works
Candida Pathogenicity and Interplay with the Immune System
Valand, N., & Girija, U. V. (2021) · Advances in experimental medicine and biology · doi:10.1007/978-3-030-67452-6_11 · Cited by 36 · see citing works
Hacıoğlu, M., Oyardı, Ö., Guzel, C. B., & Savage, P. B. (2020) · The Journal of Antibiotics · doi:10.1038/s41429-020-0299-0 · Cited by 33 · see citing works
Sasani, E., Khodavaisy, S., Rezaie, S., Salehi, M., & Yadegari, M. H. (2021) · Microbial Pathogenesis · doi:10.1016/j.micpath.2021.104889 · Cited by 33 · see citing works
Fungal Metabolites for the Control of Biofilm Infections
Estrela, A. B., & Abraham, W. (2016) · Agriculture · doi:10.3390/agriculture6030037 · Cited by 33 · see citing works
Chen, S., Xia, J., Li, C., Zuo, L., & Wei, X. (2018) · BMC Microbiology · doi:10.1186/s12866-018-1344-z · Cited by 32 · see citing works
Abe, M., Katano, H., Nagi, M., Higashi, Y., Sato, Y., Kikuchi, K., Hasegawa, H., & Miyazaki, Y. (2020) · PLoS ONE · doi:10.1371/journal.pone.0243223 · Cited by 32 · see citing works
Macrophage Migration Is Impaired within Candida albicans Biofilms
Alonso, M., Gow, N. A. R., Erwig, L. P., & Bain, J. M. (2017) · Journal of Fungi · doi:10.3390/jof3030031 · Cited by 32 · see citing works
Maione, A., Bellavita, R., de Alteriis, E., Galdiero, S., Albarano, L., Pietra, A. L., Guida, M., Parrilli, E., D’Angelo, C., Galdiero, E., et al. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23042151 · Cited by 31 · see citing works
Zhang, Q., Gao, H.-Y., Ding, L., Li, Z., Qi, S., Zheng, S., Bai, C., & Zhang, S. (2019) · Infection and Drug Resistance · doi:10.2147/idr.s192072 · Cited by 30 · see citing works
Guo, Y., Wang, Y., Wang, Y., Jin, Y., & Wang, C. (2020) · Frontiers in Microbiology · doi:10.3389/fmicb.2020.596459 · Cited by 30 · see citing works
Nanoscale Surface Roughness Influences Candida albicans Biofilm Formation
Le, P. H., Nguyen, H., Aburto‐Medina, A., Linklater, D. P., Crawford, R. J., MacLaughlin, S. A., & Ivanova, E. P. (2020) · ACS Applied Bio Materials · doi:10.1021/acsabm.0c00985 · Cited by 29 · see citing works
Ellagic Acid–Cyclodextrin Complexes for the Treatment of Oral Candidiasis
Sampaio, A. D. G., Gontijo, A. V. L., Lima, G. D. M. G., de Oliveira, M. A. C., Lepesqueur, L. S. S., & Koga‐Ito, C. Y. (2021) · Molecules · doi:10.3390/molecules26020505 · Cited by 29 · see citing works
Helmstetter, N., Chybowska, A. D., Delaney, C., Dantas, A. D. S., Gifford, H., Wacker, T., Munro, C. A., Warris, A., Jones, B. L., Cuomo, C. A., et al. (2022) · Genetics · doi:10.1093/genetics/iyac031 · Cited by 29 · see citing works
Self-citationMicrobiota-driven interleukin-17 production provides immune protection against invasive candidiasis
Li, M., Li, C., Wu, X., Chen, T., Ren, L., Xu, B., & Cao, J. (2020) · Critical Care · doi:10.1186/s13054-020-02977-5 · Cited by 28 · see citing works
Garipov, M. R., Sabirova, A. E., Pavelyev, R. S., Валерьевич, Ш. Н., Lisovskaya, S. А., Bondar, O. V., Laikov, A. V., Romanova, J. G., Bogachev, M. I., Kayumov, A. R., et al. (2020) · Bioorganic Chemistry · doi:10.1016/j.bioorg.2020.104306 · Cited by 28 · see citing works
Maione, A., Imparato, M., Buonanno, A., Carraturo, F., Schettino, A., Schettino, M. T., Galdiero, M., de Alteriis, E., Guida, M., & Galdiero, E. (2023) · Journal of Fungi · doi:10.3390/jof9030355 · Cited by 28 · see citing works
Angiolella, L., Rojas, F. D., Giammarino, A., Bellucci, N., & Giusiano, G. (2024) · Microorganisms · doi:10.3390/microorganisms12010212 · Cited by 27 · see citing works
Sulaiman, R. K., Trizna, E. Y., Kolesnikova, A. I., Мунавировна, Х. А., Рафаэловна, К. А., Bogachev, M. I., & Kayumov, A. R. (2022) · Pathogens · doi:10.3390/pathogens12010026 · Cited by 28 · see citing works
Skin and hard surface disinfection against Candida auris – What we know today
Omardien, S., & Teska, P. J. (2024) · Frontiers in Medicine · doi:10.3389/fmed.2024.1312929 · Cited by 29 · see citing works
Inhibitory Effects of Photodynamic Inactivation on Planktonic Cells and Biofilms of Candida auris
Tan, J., Liu, Z., Sun, Y., Yang, L., & Gao, L. (2019) · Mycopathologia · doi:10.1007/s11046-019-00352-9 · Cited by 26 · see citing works
Alshanta, O. A., Shaban, S. M. A., Nile, C. J., McLean, W., & Ramage, G. (2019) · Antibiotics · doi:10.3390/antibiotics8040204 · Cited by 26 · see citing works
Self-citationFiołka, M. J., Wójcik-Mieszawska, S., Czaplewska, P., Szymańska, A., Stępnik, K. E., Sofińska-Chmiel, W., Buchwald, T., & Lewtak, K. (2020) · Scientific Reports · doi:10.1038/s41598-020-73044-w · Cited by 27 · see citing works
Guembe, M., Alonso, B., Lucio, J., Pérez-Granda, M. J., Cruces, R., Sánchez‐Carrillo, C., Fernández‐Cruz, A., & Bouza, E. (2017) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2017.10.018 · Cited by 26 · see citing works
Sidrim, J. J. C., Amando, B. R., Gomes, F. I. F., Amaral, M. S. M. G., de Sousa, P. C. P., Ocadaque, C. J., Brilhante, R. S., Cordeiro, R. D. A., Rocha, M. F. G., & de, S. C. M. C.-B. D. (2019) · Future Microbiology · doi:10.2217/fmb-2019-0092 · Cited by 27 · see citing works
Corte, L., Roscini, L., Colabella, C., Tascini, C., Leonildi, A., Sozio, E., Menichetti, F., Merelli, M., Scarparo, C., Meyer, W., et al. (2016) · Scientific Reports · doi:10.1038/srep26860 · Cited by 24 · see citing works
O’Donnell, L. E., Alalwan, H. K. A., Kean, R., Calvert, G., Nile, C. J., Lappin, D. F., Robertson, D. P., Williams, C., Ramage, G., & Sherry, L. (2016) · Journal of Medical Microbiology · doi:10.1099/jmm.0.000419 · Cited by 25 · see citing works
Self-citationClinical impact of Candida spp. biofilm production in a cohort of patients with candidemia
Monfredini, P. M., Souza, A. C. R., Cavalheiro, R. P., Siqueira, R. A., & Colombo, A. L. (2017) · Medical Mycology · doi:10.1093/mmy/myx133 · Cited by 25 · see citing works
Synthesis of novel proxyphylline derivatives with dual Anti-Candida albicans and anticancer activity
Borowiecki, P., Wińska, P., Bretner, M., Gizińska, M., Koronkiewicz, M., & Staniszewska, M. (2018) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2018.02.077 · Cited by 25 · see citing works
Candida isolates causing candidemia show different degrees of virulence in Galleria mellonella
Marcos-Zambrano, L. J., Bordallo-Cardona, M. Á., Borghi, E., Falleni, M., Tosi, D., Muñoz, P., Escribano, P., & Guinea, J. (2020) · Medical Mycology · doi:10.1093/mmy/myz027 · Cited by 25 · see citing works
Ramage, G. (2016) · Journal of Medical Microbiology · doi:10.1099/jmm.0.000237 · Cited by 24 · see citing works
Self-citationContact Active Antimicrobial Coatings Prepared by Polymer Blending
Cuervo‐Rodríguez, R., López, F., Gómez-Garcés, J. L., Muñoz‐Bonilla, A., & Fernández‐García, M. (2017) · Macromolecular Bioscience · doi:10.1002/mabi.201700258 · Cited by 24 · see citing works
de Almeida, J. N., Francisco, E. C., Barberino, M. G., Filho, L. V. R. F. D. S., Brandão, O. M., Colombo, A. L., & Padovan, A. C. B. (2017) · Memórias do Instituto Oswaldo Cruz · doi:10.1590/0074-02760170011 · Cited by 23 · see citing works
Is biofilm production a prognostic marker in adults with candidaemia?
Muñóz, P., Agnelli, C., Guinea, J., Vena, A., Álvarez-Uría, A., Marcos-Zambrano, L. J., Escribano, P., Valerio, M., & Bouza, E. (2018) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2018.01.022 · Cited by 23 · see citing works
Jiang, Y. Y., Su, L., Liao, Y.-C., Shen, Y., Gao, H., Zhang, Y., Wang, R., & Mao, Z. (2022) · Bioorganic & Medicinal Chemistry Letters · doi:10.1016/j.bmcl.2022.128525 · Cited by 22 · see citing works
Bordallo-Cardona, M. Á., Marcos-Zambrano, L. J., Sánchez‐Carrillo, C., de la Pedrosa, E. G. G., Cantón, R., Bouza, E., Escribano, P., & Guinea, J. (2018) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.01982-17 · Cited by 21 · see citing works
Effect of Cold Atmospheric Plasma Jet Associated to Polyene Antifungals on Candida albicans Biofilms
Leite, L. D. P., de Oliveira, M. A. C., Vegian, M. R. D. C., Sampaio, A. D. G., Nishime, T. M. C., Kostov, K. G., & Koga‐Ito, C. Y. (2021) · Molecules · doi:10.3390/molecules26195815 · Cited by 21 · see citing works
Li, L., Wu, H., Wang, J., Ji, Z., Fang, T., Lu, H., Yan, L., Shen, F., Zhang, D., Jiang, Y., et al. (2023) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.3c01771 · Cited by 21 · see citing works
Sidrim, J. J. C., Carvalho, V. L., Castelo‐Branco, D. D. S. C. M., Brilhante, R. S. N., Guedes, G. M. D. M., Riello, G. B. C., Lazzarini, S. M., Oliveira, D. C. R., de Meirelles, A. C. O., Attademo, F. L. N., et al. (2016) · EcoHealth · doi:10.1007/s10393-015-1090-8 · Cited by 21 · see citing works
- Authors
- Rajendran, R., Sherry, L., Nile, C. J., Sherriff, A., Johnson, E. M., Hanson, M. F., Williams, C., Munro, C. A., Jones, B. J., & Ramage, G.
- Affiliations
- University of Glasgow (GB)
- Public Health England (GB)
- NHS Lothian (GB)
- University of the West of Scotland (GB)
- University of Aberdeen (GB)
- Glasgow Royal Infirmary (GB)
- Corresponding author
- Ramage, G.
- Venue
- Clinical Microbiology and Infection
- Publisher
- Elsevier BV
- Published
- 2016-01
- Volume
- 22
- Issue
- 1
- Pages
- 87-93
- ISSN
- 1198-743X (ISSN-L)
- PMC
- PMC4721535
- OpenAlex
- W1960109612
- Cited by
- 228
- References
- 25
- Citations by year
- 2026: 14 · 2025: 16 · 2024: 18 · 2023: 22 · 2022: 25 · 2021: 17 · 2020: 25 · 2019: 22 · 2018: 24 · 2017: 29 · 2016: 16
- FWCI
- 17.91
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Clinical Microbiology and Infection (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion)
- The UWS Academic Portal (University of the West of Scotland) (submittedVersion, cc-by)
- Aberdeen University Research Archive (Aberdeen University) (submittedVersion)
- Newcastle University ePrints (Newcastle Univesity) (cc-by)
- Funders
- Wellcome Trust (097377/Z/11/Z)
- Pfizer
- Gilead Sciences
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Health Sciences › Medicine › Epidemiology › Fungal Infections and Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Fungal and yeast genetics research
- Keywords
- Candida albicans, Candida glabrata, biofilm formation, candidemia, bloodstream infection, mortality risk factors, antifungal susceptibility, echinocandins, azoles, polyenes, virulence factors, catheter removal
- MeSH terms
- Adult, Aged, Aged, 80 and over, Antifungal Agents, Candida albicans, Female, Humans, Male, Middle Aged, Mortality, Retrospective Studies, Scotland, Incidence, Biofilms, Risk Assessment, Candida glabrata, Candidemia
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review