Evidence map›Paper›PMID 16495251›Full record

ArticleAntimicrobial agents and chemotherapy2006

Head-to-head comparison of the activities of currently available antifungal agents against 3,378 Spanish clinical isolates of yeasts and filamentous fungi.

Manuel Cuenca-Estrella, Alicia Gomez-Lopez, Emilia Mellado, Maria J Buitrago, Araceli Monzon, Juan Luis Rodriguez-Tudela

Abstract readComparative Study
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed
–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

96 citing papers in PubMed.

  1. Article
  2. A Rare Case ofJournal of fungi (Basel, Switzerland) · 2025
    Article
  3. Review
  4. Saprochaete/Magnusiomyces: identification, virulence factors, and antifungal susceptibility of a challenging rare yeast.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2024
    Article
  5. SystemicInfection and drug resistance · 2024
    Article
  6. Article
  7. Review
  8. Non-Journal of fungi (Basel, Switzerland) · 2023
    Review
  9. Article
  10. Fungemia due toMedical mycology case reports · 2022
    Article
  11. Journal of fungi (Basel, Switzerland) · 2022
    Article
  12. Bloodstream Infections Caused byAntimicrobial agents and chemotherapy · 2022
    Article
  13. Article
  14. PrenylatedMolecules (Basel, Switzerland) · 2021
    Article
  15. Review
  16. A fatal invasiveCurrent medical mycology · 2020
    Article
  17. Diffuse primary cutaneous infection byMedical mycology case reports · 2020
    Article
  18. Disseminated Intravascular Infection Caused byOpen forum infectious diseases · 2020
    Article
  19. Article
  20. Article

36 more citing papers are in PubMed but not listed here.

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

6 authors.

Manuel Cuenca-EstrellaServicio de Micología, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Ctra Majadahonda-Pozuelo Km 2, 28220 Majadahonda (Madrid), Spain. mcuenca-estrella@isciii.es
Alicia Gomez-Lopez
Emilia Mellado
Maria J Buitrago
Araceli Monzon
Juan Luis Rodriguez-Tudela

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We have compared the activities of posaconazole and other currently available antifungal agents against a collection of 3,378 clinical isolates of yeasts and filamentous fungi. A total of 1,997 clinical isolates of Candida spp., 359 of other yeast species, 697 strains of Aspergillus spp., and 325 nondermatophyte non-Aspergillus spp. were included. The average geometric means of the MICs of agents that were tested against Candida spp. were 0.23 microg/ml for amphotericin B, 0.29 microg/ml for flucytosine, 0.97 microg/ml for fluconazole, 0.07 microg/ml for itraconazole, 0.04 microg/ml for voriconazole, 0.15 microg/ml for caspofungin, and 0.03 microg/ml for posaconazole. Voriconazole and posaconazole were active in vitro against the majority of isolates, with resistance to fluconazole and itraconazole, and against Cryptococcus neoformans and other Basidiomycota yeasts. Posaconazole was the most active of antifungal agents tested against Aspergillus spp., with an average geometric mean of 0.10 microg/ml. It was active against Paecilomyces spp., Penicillium spp., Scedosporium apiospermum, and some black fungi, such as Alternaria spp. Multiresistant filamentous fungi, such as Scedosporium prolificans, Scopulariopsis brevicaulis, and Fusarium solani, were also resistant to voriconazole, caspofungin, and posaconazole. Amphotericin B and posaconazole were found to be active against most of the Mucorales strains tested. Posaconazole and currently available antifungal agents exhibit a potent activity in vitro against the majority of pathogenic fungal species.

Indexed as

Amphotericin BAntifungal AgentsCaspofunginEchinocandinsFluconazoleFlucytosineFungiHumansItraconazoleLipopeptidesMicrobial Sensitivity TestsMycosesPeptides, CyclicPyrimidinesSpainTriazolesAmphotericin BAntifungal AgentsCaspofunginEchinocandinsFluconazoleFlucytosineItraconazoleLipopeptidesPeptides, CyclicposaconazolePyrimidinesTriazolesVoriconazole

Identifiers

PMID16495251
PMCPMC1426453

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.