Evidence map›Paper›PMID 26643334›Full record

ArticleAntimicrobial agents and chemotherapy2016

International Evaluation of MIC Distributions and Epidemiological Cutoff Value (ECV) Definitions for Fusarium Species Identified by Molecular Methods for the CLSI Broth Microdilution Method.

A Espinel-Ingroff, A L Colombo, S Cordoba, P J Dufresne, J Fuller, M Ghannoum, G M Gonzalez, J Guarro, S E Kidd, J F Meis and 8 more

Abstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 1 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

83 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Medical mycology case reports · 2026
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  7. Prevalence and diversity of antifungal resistance inAntimicrobial agents and chemotherapy · 2025
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  8. Olorofim activity against multidrug-resistantAntimicrobial agents and chemotherapy · 2025
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  10. Review
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  12. Review
  13. Antifungal susceptibility, clinical findings, and biofilm resistance of Fusarium species causing keratitis: a challenge for disease control.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2025
    Article
  14. Article
  15. Peritoneal dialysis-related peritonitis caused byFrontiers in fungal biology · 2025
    Article
  16. High azole MICs in Fusarium spp.: a key factor in treatment decisions for cancer patients?Revista do Instituto de Medicina Tropical de Sao Paulo · 2025
    Article
  17. Article
  18. Review
  19. Article
  20. Article

23 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

18 authors.

A Espinel-IngroffVCU Medical Center, Richmond, Virginia, USA avingrof@vcu.edu.
A L ColomboUniversidade Federal de São Paulo, São Paulo, Brazil.
S CordobaInstituto Nacional de Enfermedades Infecciosas "Dr. C. G. Malbrán," Buenos Aires, Argentina.
P J DufresneInstitut National de Santé Publique du Québec, Laboratoire de Santé Publique du Québec, Sainte-Anne-de-Bellevue, Quebec, Canada.
J FullerProvincial Laboratory, Alberta Health Services, Edmonton, Canada.
M GhannoumUniversity Hospitals Case Medical Center and Case Western Reserve University, Cleveland, Ohio, USA.
G M GonzalezUniversidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico.
J GuarroFacultat de Medicina, IISPV, URV, Reus, Spain.
S E KiddNational Mycology Reference Centre, SA Pathology, Adelaide, Australia.
J F MeisDepartment of Medical Microbiology and Infectious Diseases, Canisius Wilhelmina Hospital and Radboud University Medical Center, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0003-3253-6080
T M S C MelhemThe Instituto Adolfo Lutz Reference Center, São Paulo, Brazil.
T PelaezHospital General Universitario Gregorio Marañón, School of Medicine-Universidad Complutense, Madrid, Spain.
M A PfallerJMI Laboratories, North Liberty, Iowa, USA.
M W SzeszsMycology Department, The Instituto Adolfo Lutz Reference Center, São Paulo, Brazil.
J P TakahaschiGrupo Fleury, São Paulo, Brazil.
A M TortoranoDepartment of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy.ORCID http://orcid.org/0000-0003-2093-8250
N P WiederholdUniversity of Texas Health Science Center, San Antonio, Texas, USA.
J TurnidgeUniversity of Adelaide, Adelaide, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The CLSI epidemiological cutoff values (ECVs) of antifungal agents are available for various Candida spp., Aspergillus spp., and the Mucorales. However, those categorical endpoints have not been established for Fusarium spp., mostly due to the difficulties associated with collecting sufficient CLSI MICs for clinical isolates identified according to the currently recommended molecular DNA-PCR-based identification methodologies. CLSI MIC distributions were established for 53 Fusarium dimerum species complex (SC), 10 F. fujikuroi, 82 F. proliferatum, 20 F. incarnatum-F. equiseti SC, 226 F. oxysporum SC, 608 F. solani SC, and 151 F. verticillioides isolates originating in 17 laboratories (in Argentina, Australia, Brazil, Canada, Europe, Mexico, and the United States). According to the CLSI guidelines for ECV setting, ECVs encompassing ≥97.5% of pooled statistically modeled MIC distributions were as follows: for amphotericin B, 4 μg/ml (F. verticillioides) and 8 μg/ml (F. oxysporum SC and F. solani SC); for posaconazole, 2 μg/ml (F. verticillioides), 8 μg/ml (F. oxysporum SC), and 32 μg/ml (F. solani SC); for voriconazole, 4 μg/ml (F. verticillioides), 16 μg/ml (F. oxysporum SC), and 32 μg/ml (F. solani SC); and for itraconazole, 32 μg/ml (F. oxysporum SC and F. solani SC). Insufficient data precluded ECV definition for the other species. Although these ECVs could aid in detecting non-wild-type isolates with reduced susceptibility to the agents evaluated, the relationship between molecular mechanisms of resistance (gene mutations) and MICs still needs to be investigated for Fusarium spp.

Indexed as

AmericasAntifungal AgentsDrug Resistance, Multiple, FungalEuropeFusariumHumansMicrobial Sensitivity TestsPolymerase Chain ReactionAntifungal Agents

Identifiers

PMID26643334
PMCPMC4750715

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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.