Evidence map›Paper›PMID 28994001›Full record

ArticleMycopathologia2018

Comparison Between Etest and Broth Microdilution Methods for Testing Itraconazole-Resistant Aspergillus fumigatus Susceptibility to Antifungal Combinations.

Laura Bedin Denardi, Jéssica Tairine Keller, Maria Isabel de Azevedo, Vanessa Oliveira, Fernanda Baldissera Piasentin, Cecília Bittencourt Severo, Janio Morais Santurio, Sydney Hartz Alves

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Mycopathologia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Investigation of azole resistance inJournal of medical microbiology · 2026
    Article
  3. Article
  4. Article
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  6. Review
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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

8 authors.

Laura Bedin DenardiPostgraduate Program in Pharmaceutical Sciences, Health Sciences Center, Federal University of Santa Maria, Santa Maria, RS, 97105-900, Brazil. laura-denardi@hotmail.com.
Jéssica Tairine KellerPostgraduate Program in Pharmaceutical Sciences, Health Sciences Center, Federal University of Santa Maria, Santa Maria, RS, 97105-900, Brazil.
Maria Isabel de AzevedoPostgraduate Program in Pharmacology, Health Sciences Center, Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil.
Vanessa OliveiraMycological Research Laboratory, Federal University of Santa Maria, UFSM, Santa Maria, RS, Brazil.
Fernanda Baldissera PiasentinPostgraduate Program in Pharmaceutical Sciences, Health Sciences Center, Federal University of Santa Maria, Santa Maria, RS, 97105-900, Brazil.
Cecília Bittencourt SeveroUniversity of Health Sciences of Porto Alegre (UCSPA), Porto Alegre, RS, Brazil.
Janio Morais SanturioPostgraduate Program in Pharmacology, Health Sciences Center, Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil.
Sydney Hartz AlvesPostgraduate Program in Pharmaceutical Sciences, Health Sciences Center, Federal University of Santa Maria, Santa Maria, RS, 97105-900, Brazil.

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 470229/2012-8FAPERGS 2378-2551/14-8
6 · The paper itself

Abstract

The checkerboard broth microdilution assay (BMD) is the most frequently used method for the in vitro evaluation of drug combinations. However, its use to evaluate the effect of antifungal drugs on filamentous fungi is sometimes associated with endpoint-reading difficulties, and different degrees of interaction are assigned to the same drug combination. We evaluated combinations of the azoles, itraconazole, posaconazole, and voriconazole, with the echinocandins, anidulafungin, caspofungin, and micafungin, against 15 itraconazole-resistant Aspergillus fumigatus clinical strains via the checkerboard BMD and Etest assay. Readings after 24 and 48 h, considering the two reading endpoints, the minimum inhibitory concentration (MIC) and minimum effective concentration (MEC), were performed for both methods. Our results showed that the correlation coefficients between the BMD and Etest methods were quite diverse to the drug combinations tested. The highest correlation coefficients of the Etest with the BMD assays (MEC and MIC reading) were the Etest-MIC reading at 24 h and the Etest-MEC reading at 48 h. Improvements in experimental conditions may increase the correlation between the two methods and ensure that Etest assay can be safely used in the evaluation of antifungal combinations against Aspergillus species.

Indexed as

Drug Resistance, FungalAntifungal AgentsAspergillosisAspergillus fumigatusDrug InteractionsEchinocandinsHumansItraconazoleMicrobial Sensitivity TestsAntifungal AgentsEchinocandinsItraconazoleAntifungal combinationsAspergillus fumigatusBroth microdilutionEtest

Identifiers

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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.