Evidence map›Paper›PMID 19692558›Full record

ArticleJournal of clinical microbiology2009

Patterns of susceptibility of Aspergillus isolates recovered from patients enrolled in the Transplant-Associated Infection Surveillance Network.

John W Baddley, Kieren A Marr, David R Andes, Thomas J Walsh, Carol A Kauffman, Dimitrios P Kontoyiannis, James I Ito, S Arunmozhi Balajee, Peter G Pappas, Stephen A Moser

Abstract read
In one paragraph

Article in Journal of clinical microbiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing 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

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

  1. Pooled it
  2. Practice Guidelines for the Diagnosis and Management of Aspergillosis: 2016 Update by the Infectious Diseases Society of America.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    Guideline
  3. Trial
  4. Article
  5. Article
  6. Role of liposomal amphotericin B in intensive care unit: an expert opinion paper.Journal of anesthesia, analgesia and critical care · 2025
    Review
  7. Article
  8. Comparative genomics ofCurrent research in microbial sciences · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Species Distribution and Antifungal Susceptibilities ofPathogens (Basel, Switzerland) · 2023
    Article
  14. Systemic Antifungal Therapy for Invasive Pulmonary Infections.Journal of fungi (Basel, Switzerland) · 2023
    Review
  15. Epidemiology of Clinically SignificantInfection and drug resistance · 2023
    Article
  16. Journal of laboratory physicians · 2022
    Article
  17. New Perspectives on Antimicrobial Agents: Isavuconazole.Antimicrobial agents and chemotherapy · 2022
    Review
  18. Article
  19. Clinical utility of antifungal susceptibility testing.JAC-antimicrobial resistance · 2022
    Review
  20. Species Distribution and Antifungal Susceptibilities ofJournal of clinical microbiology · 2022
    Article

26 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

10 authors.

John W BaddleyDepartment of Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL 35294-0006, USA. jbaddley@uab.edu
Kieren A Marr
David R Andes
Thomas J Walsh
Carol A Kauffman
Dimitrios P Kontoyiannis
James I Ito
S Arunmozhi Balajee
Peter G Pappas
Stephen A Moser

Funding

Treatment of Infections in Immunocompromised Children with Cancer, HematopoieticZ01SC006830 · SC · DIVISION OF CLINICAL SCIENCES - NCI · PI WALSH, THOMAS J. · 1996 to 2008
$5.8M
Treatment of Infections in Immunocompromised ChildrenZIASC006830 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI WALSH, THOMAS J. · 2009 to 2009
$2.4M
Mortality in Transplant Patients with AspergillosisK23AI064613 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BADDLEY, JOHN W. · 2005 to 2009
$474k
NIAID NIH HHS K23 AI064613NIAID NIH HHS K23AI064613
6 · The paper itself

Abstract

We analyzed antifungal susceptibilities of 274 clinical Aspergillus isolates from transplant recipients with proven or probable invasive aspergillosis collected as part of the Transplant-Associated Infection Surveillance Network (TRANSNET) and examined the relationship between MIC and mortality at 6 or 12 weeks. Antifungal susceptibility testing was performed by the Clinical and Laboratory Standards Institute (CLSI) M38-A2 broth dilution method for amphotericin B (AMB), itraconazole (ITR), voriconazole (VOR), posaconazole (POS), and ravuconazole (RAV). The isolate collection included 181 Aspergillus fumigatus, 28 Aspergillus niger, 27 Aspergillus flavus, 22 Aspergillus terreus, seven Aspergillus versicolor, five Aspergillus calidoustus, and two Aspergillus nidulans isolates and two isolates identified as Aspergillus spp. Triazole susceptibilities were < or = 4 microg/ml for most isolates (POS, 97.6%; ITR, 96.3%; VOR, 95.9%; RAV, 93.5%). The triazoles were not active against the five A. calidoustus isolates, for which MICs were > or = 4 microg/ml. AMB inhibited 93.3% of isolates at an MIC of < or = 1 microg/ml. The exception was A. terreus, for which 15 (68%) of 22 isolates had MICs of >1 microg/ml. One of 181 isolates of A. fumigatus showed resistance (MIC > or = 4 microg/ml) to two of three azoles tested. Although there appeared to be a correlation of higher VOR MICs with increased mortality at 6 weeks, the relationship was not statistically significant (R2 = 0.61; P = 0.065). Significant relationships of in vitro MIC to all-cause mortality at 6 and 12 weeks for VOR or AMB were not found.

Indexed as

Antifungal AgentsAspergillosisAspergillusDrug Resistance, FungalHumansImmunocompromised HostMicrobial Sensitivity TestsTransplantationAntifungal Agents

Identifiers

PMID19692558
PMCPMC2756905

What OpenQuestion holds

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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.