Evidence map›Paper›PMID 25987612›Full record

ArticleAntimicrobial agents and chemotherapy2015

Nationwide Surveillance of Azole Resistance in Aspergillus Diseases.

Edith Vermeulen, Johan Maertens, Annelies De Bel, Eric Nulens, Jerina Boelens, Ignace Surmont, Anna Mertens, An Boel, Katrien Lagrou

Registry-linked trialOpen access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03121235 (PCR Based Detection of Azole Resistance in A. Fumigatus to Improve Patient Outcome. A Prospective Multicenter Observational Study.), which is not on this map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
7.0field-weighted citation impact, top 2% of its field
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.

NCT03121235 completednot on this mapstarted 2017, after this paper: background citation

PCR Based Detection of Azole Resistance in A. Fumigatus to Improve Patient Outcome. A Prospective Multicenter Observational Study.

TypeobservationalSponsorErasmus Medical CenterRan2017 to 2022Enrolled320ConditionsAspergillosis, Invasive PulmonaryArmsPCR based detection of azole resistance in A. fumigatus
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 93 citations in OpenAlex.

  1. Trial
  2. Trans-Kingdom dsRNA Sensing:bioRxiv : the preprint server for biology · 2026
    Article
  3. Global epidemiology of azole resistance inJAC-antimicrobial resistance · 2026
    Review
  4. Review
  5. Doubling of triazole resistance rates in invasive aspergillosis over a 10-year period, Belgium, 1 April 2022 to 31 March 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Therapeutic Approaches for CombatingCurrent drug targets · 2022
    Review
  17. Article
  18. Review
  19. Genetic Analyses of Amphotericin B Susceptibility inJournal of fungi (Basel, Switzerland) · 2021
    Article
  20. Studies in mycology · 2021
    Review
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 at 6 institutions in 2 countries.

Edith VermeulenDepartment of Microbiology and Immunology, Catholic University Leuven, Leuven, Belgium.
Johan MaertensDepartment of Microbiology and Immunology, Catholic University Leuven, Leuven, Belgium Department of Haematology, University Hospitals Leuven, Leuven, Belgium.
Annelies De BelDepartment of Microbiology and Infection Control, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Eric NulensDepartment of Microbiology, AZ Sint-Jan Brugge-Oostende AV, Bruges, Belgium.
Jerina BoelensDepartment of Microbiology, Ghent University Hospital, Ghent, Belgium.
Ignace SurmontDepartment of Microbiology, Heilig Hart Ziekenhuis Roeselare-Menen, Roeselare, Belgium.
Anna MertensDepartment of Microbiology, ZNA Hospitals Site Middelheim, Antwerp, Belgium.
An BoelDepartment of Clinical Microbiology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium.
Katrien LagrouDepartment of Microbiology and Immunology, Catholic University Leuven, Leuven, Belgium National Reference Center for Mycosis, Department of Laboratory Medicine, University Hospitals Leuven, Leuven, Belgium katrien.lagrou@uzleuven.be.
KU Leuven · BEAZ Sint-Jan · BEGhent University Hospital · BEOnze Lieve Vrouwziekenhuis Hospital · BEVrije Universiteit Brussel · BEZNA Middelheim Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aspergillus disease affects a broad patient population, from patients with asthma to immunocompromised patients. Azole resistance has been increasingly reported in both clinical and environmental Aspergillus strains. The prevalence and clinical impact of azole resistance in different patient populations are currently unclear. This 1-year prospective multicenter cohort study aimed to provide detailed epidemiological data on Aspergillus resistance among patients with Aspergillus disease in Belgium. Isolates were prospectively collected in 18 hospitals (April 2011 to April 2012) for susceptibility testing. Clinical and treatment data were collected with a questionnaire. The outcome was evaluated to 1 year after a patient's inclusion. A total of 220 Aspergillus isolates from 182 patients were included. The underlying conditions included invasive aspergillosis (n = 122 patients), allergic bronchopulmonary aspergillosis (APBA) (n = 39 patients), chronic pulmonary aspergillosis (n = 10 patients), Aspergillus bronchitis (n = 7 patients), and aspergilloma (n = 5 patients). The overall azole resistance prevalence was 5.5% (95% confidence interval [CI] 2.8 to 10.2%) and was 7.0% (4/57; 95% CI, 2.3 to 17.2%) in patients with APBA, bronchitis, aspergilloma, or chronic aspergillosis and 4.6% in patients with invasive aspergillosis (5/108; 95% CI, 1.7 to 10.7%). The 6-week survival in invasive aspergillosis was 52.5%, while susceptibility testing revealed azole resistance in only 2/58 of the deceased patients. The clinical impact of Aspergillus fumigatus resistance was limited in our patient population with Aspergillus diseases.

Indexed as

AdultAgedAged, 80 and overAntifungal AgentsAspergillosisAspergillusAzolesBelgiumDrug Resistance, FungalFemaleHumansMaleMiddle AgedPrevalenceProspective StudiesAntifungal AgentsAzoles

Identifiers

PMID25987612
PMCPMC4505291
OpenAlexW1937265692

What OpenQuestion holds

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Registered trials

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.