Evidence map›Paper›PMID 30632048›Full record

ArticleMycopathologia2019

In Vitro Interactions of Amphotericin B Combined with Non-antifungal Agents Against Rhodotorula mucilaginosa Strains.

Tatiana Borba Spader, Mauricio Ramírez-Castrillón, Patricia Valente, Sydney Hartz Alves, Luiz Carlos Severo

Abstract read
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In one paragraph

Article in Mycopathologia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Water Quality, Heavy Metals, and Antifungal Susceptibility to Fluconazole of Yeasts from Water Systems.International journal of environmental research and public health · 2023
    Article
  3. Article
  4. Rhodotorula spp. in the gut - foe or friend?GMS infectious diseases · 2019
    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

5 authors at 3 institutions in 2 countries.

Tatiana Borba SpaderLaboratório de Patologia e Micologia, Hospital Santa Casa de Misericórdia de Porto Alegre, Rua Sarmento Leite, Porto Alegre, RS, Brazil. tatispader@gmail.com.ORCID http://orcid.org/0000-0001-9987-1647
Mauricio Ramírez-CastrillónDepartamento de Microbiologia, Imunologia e Parasitologia, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
Patricia ValenteDepartamento de Microbiologia, Imunologia e Parasitologia, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
Sydney Hartz AlvesLaboratório de Pesquisas Micológicas (LAPEMI), Departamento de Microbiologia e Parasitologia, Universidade Federal de Santa Maria (UFSM), Avenida Roraima, Santa Maria, RS, Brazil.
Luiz Carlos SeveroLaboratório de Patologia e Micologia, Hospital Santa Casa de Misericórdia de Porto Alegre, Rua Sarmento Leite, Porto Alegre, RS, Brazil.
Santa Casa Hospital · BRUniversidade Federal do Rio Grande do Sul · BRUniversidade Federal de Santa Maria · BR

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 026/15
6 · The paper itself

Abstract

Rhodotorula species are emerging as opportunistic pathogens, causing catheter-associated fungemia in patients with compromised immunity. R. mucilaginosa is considered the most common species involved in human infections. Correct identification and susceptibility testing of Rhodotorula isolates recovered from the blood stream or central nervous system are essential to determine the best management of this unusual infection. The antifungal susceptibility tests showed that Rhodotorula was susceptible to low concentrations of amphotericin B (AMB) but was less susceptible to voriconazole. Combinations of AMB plus several non-antifungal medications were evaluated against 35 susceptible (Rm AMB-S) and resistant (Rm AMB-R) clinical Rhodotorula isolates using the broth microdilution checkerboard technique. We showed that in vitro exposure to increasing concentrations of AMB changed the susceptibility profile to these strains, which were named the Rm AMB-R group. The most synergistic interactions were AMB + simvastatin, followed by AMB + amlodipine and AMB + warfarin. Synergism and antagonism were observed in both groups for the combination AMB + cyclosporine A. AMB combined with a fluoroquinolone (AMB + levofloxacin) also demonstrated antagonism for the Rm AMB-S strains, but a high percentage of synergistic interactions was observed for the Rm AMB-R group. A combination drug approach can provide a different strategy to treat infections caused by AMB-resistant R. mucilaginosa.

Indexed as

Drug SynergismAmphotericin BAntifungal AgentsEnzyme InhibitorsHumansMicrobial Sensitivity TestsRhodotorulaAmphotericin BAntifungal AgentsEnzyme InhibitorsAmphotericin BCombination testResistanceRhodotorula mucilaginosaSynergism

Identifiers

PMID30632048
OpenAlexW2909041751

What OpenQuestion holds

Textmetadata
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.