Evidence map›Paper›PMID 26486705›Full record

ReviewClinical infectious diseases : an official publication of the Infectious Diseases Society of America2016

Azole Resistance in Aspergillus fumigatus: Can We Retain the Clinical Use of Mold-Active Antifungal Azoles?

Paul E Verweij, Anuradha Chowdhary, Willem J G Melchers, Jacques F Meis

Registry-linked trialAbstract readReview
In one paragraph

Review in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2016. 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 305 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
305citing 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.

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

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Expression Profiling and Molecular Modeling Analysis ofJournal of fungi (Basel, Switzerland) · 2026
    Article
  11. Review
  12. Review
  13. Azole Resistance inOpen forum infectious diseases · 2026
    Article
  14. Article
  15. Review
  16. Article
  17. BeyondAntimicrobial agents and chemotherapy · 2026
    Article
  18. Article
  19. Global epidemiology of azole resistance inJAC-antimicrobial resistance · 2026
    Review
  20. Article

245 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

4 authors.

Paul E VerweijDepartment of Medical Microbiology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Anuradha ChowdharyDepartment of Medical Mycology, Vallabhbhai Patel Chest Institute, University of Delhi, India.
Willem J G MelchersDepartment of Medical Microbiology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Jacques F MeisDepartment of Medical Microbiology, Radboud University Medical Centre, Nijmegen, The Netherlands Department of Medical Microbiology and Infectious Diseases, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Azole resistance in Aspergillus fumigatus has emerged as a global health problem. Although the number of cases of azole-resistant aspergillosis is still limited, resistance mechanisms continue to emerge, thereby threatening the role of the azole class in the management of diseases caused by Aspergillus. The majority of cases of azole-resistant disease are due to resistant A. fumigatus originating from the environment. Patient management is difficult due to the absence of patient risk factors, delayed diagnosis, and limited treatment options, resulting in poor treatment outcome. International and collaborative efforts are required to understand how resistance develops in the environment to allow effective measures to be implemented aimed at retaining the use of azoles both for food production and human medicine.

Indexed as

Drug Resistance, FungalEnvironmental MicrobiologyAntifungal AgentsAspergillosisAspergillus fumigatusAzolesHumansAntifungal AgentsAzolesaspergillomaazole fungicideschronic pulmonary aspergillosisemergence of azole resistanceinvasive aspergillosis

Identifiers

PMID26486705
PMCPMC4706635

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.