Evidence map›Paper›PMID 29468746›Full record

ArticleMycoses2018

Surveillance for azoles resistance in Aspergillus spp. highlights a high number of amphotericin B-resistant isolates.

Franqueline Reichert-Lima, Luzia Lyra, Lais Pontes, Maria Luiza Moretti, Cau D Pham, Shawn R Lockhart, Angélica Zaninelli Schreiber

Abstract read
In one paragraph

Article in Mycoses, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 5% 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.

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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. The proteomic response ofmicroLife · 2025
    Article
  9. Amphotericin B ResistantInfectious diseases & clinical microbiology · 2024
    Article
  10. Insights intoJournal of fungi (Basel, Switzerland) · 2024
    Article
  11. Article
  12. Uncovering a NovelJournal of fungi (Basel, Switzerland) · 2024
    Article
  13. Surveillance of Amphotericin B and Azole Resistance inJournal of fungi (Basel, Switzerland) · 2023
    Article
  14. Drug-ResistantPathogens (Basel, Switzerland) · 2023
    Review
  15. Article
  16. Review
  17. Article
  18. Azole Resistance andJournal of fungi (Basel, Switzerland) · 2022
    Article
  19. Antifungal Activity of the Frog Skin Peptide Temporin G and Its Effect onInternational journal of molecular sciences · 2022
    Article
  20. Article
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

7 authors at 2 institutions in 3 countries.

Franqueline Reichert-LimaClinical Pathology Department, School of Medical Sciences, State University of Campinas, Sao Paulo, Brazil.
Luzia LyraClinical Pathology Department, School of Medical Sciences, State University of Campinas, Sao Paulo, Brazil.
Lais PontesClinical Pathology Department, School of Medical Sciences, State University of Campinas, Sao Paulo, Brazil.
Maria Luiza MorettiInternal Medicine Department, School of Medical Sciences, State University of Campinas, Sao Paulo, Brazil.
Cau D PhamMycotic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Shawn R LockhartMycotic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Angélica Zaninelli SchreiberClinical Pathology Department, School of Medical Sciences, State University of Campinas, Sao Paulo, Brazil.ORCID http://orcid.org/0000-0002-5095-5054
Universidade Estadual de Campinas (UNICAMP) · BRCenters for Disease Control and Prevention · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Aspergillus spp. are the most common invasive mould infection and are responsible for high mortality. Aspergillus fumigatus is currently of interest because resistance to azole antifungals has emerged. The Campinas University Hospital (HC-UNICAMP) receives high-risk patients susceptible to opportunistic infections but there have been no reports of resistant A. fumigatus. This study aimed to assess the susceptibility profile of Aspergillus isolates, specifically looking for azole resistance. ITS and β-tubulin DNA sequencing was performed on 228 sequential clinical isolates. Broth microdilution susceptibility testing was performed for all isolates. A. fumigatus represented 74% of the isolates followed by Aspergillus flavus (12%). Nine A. fumigatus isolates from 9 different patients showed high MIC values to at least 1 azole, but cyp51A polymorphisms were detected in only 6 isolates and none correlated with known resistance mutations. The most troubling observation was that the minimum inhibitory concentration for amphotericin B was elevated (≥2 mg L

Indexed as

Drug Resistance, FungalAmphotericin BAntifungal AgentsAspergillosisAspergillusAspergillus fumigatusAzolesDNA, Ribosomal SpacerGenotypeHumansMicrobial Sensitivity TestsMutationSequence Analysis, DNATubulinAmphotericin BAntifungal AgentsAzolesDNA, Ribosomal SpacerTubulinamphotericin B resistanceantifungal susceptibilityAspergillosisAspergillus spp.azole resistance

Identifiers

PMID29468746
PMCPMC11956695
OpenAlexW2791419973

What OpenQuestion holds

Textmetadata
LicenceTDM
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.