Evidence map›Paper›PMID 32756879›Full record

ReviewThe Journal of infectious diseases2020

Core Recommendations for Antifungal Stewardship: A Statement of the Mycoses Study Group Education and Research Consortium.

Melissa D Johnson, Russell E Lewis, Elizabeth S Dodds Ashley, Luis Ostrosky-Zeichner, Theoklis Zaoutis, George R Thompson, David R Andes, Thomas J Walsh, Peter G Pappas, Oliver A Cornely and 2 more

Abstract readReview
In one paragraph

Review in The Journal of infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 5 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

92 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Deep and disseminated dermatophytosis in immunocompromised populations-A systematic review.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Antifungal Stewardship in Invasive Fungal Infections, a Systematic Review.Advances in experimental medicine and biology · 2025
    Pooled it
  5. Pooled it
  6. Trial
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  8. Article
  9. Review
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  11. Article
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  15. Article
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  17. Observational
  18. Outcomes Following Antifungal Treatment forJournal of fungi (Basel, Switzerland) · 2026
    Article
  19. Review
  20. Article

32 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Melissa D JohnsonDivision of Infectious Diseases and International Health, Duke University Medical Center, Durham, North Carolina, USA.
Russell E LewisDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Elizabeth S Dodds AshleyDivision of Infectious Diseases and International Health, Duke University Medical Center, Durham, North Carolina, USA.
Luis Ostrosky-ZeichnerDivision of Infectious Diseases, Laboratory of Mycology Research, McGovern Medical School, Houston, Texas, USA.
Theoklis ZaoutisDivision of Infectious Diseases, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
George R ThompsonDivision of Infectious Diseases, Department of Internal Medicine, University of California, Davis, Sacramento, California, USA.
David R AndesDepartment of Medicine and Department of Medical Microbiology and Immunology, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Thomas J WalshTransplantation-Oncology Infectious Diseases, Weill Cornell Medicine of Cornell University, New York, New York, USA.
Peter G PappasDivision of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Oliver A CornelyDepartment I of Internal Medicine, University Hospital of Cologne, Cologne, Germany.
John R PerfectDivision of Infectious Diseases and International Health, Duke University Medical Center, Durham, North Carolina, USA.
Dimitrios P KontoyiannisDepartment of Infectious Diseases, Infection Control and Employee Health, MD Anderson Cancer Center, Houston, Texas, USA.

Funding

Evolution of Cryptococcus neoformans Strains from Patients with HIV/AIDSR01AI093257 · NIAID · DUKE UNIVERSITY · PI PERFECT, JOHN R. · 2011 to 2022
$3.8M
NIAID NIH HHS R01 AI093257
6 · The paper itself

Abstract

In recent years, the global public health community has increasingly recognized the importance of antimicrobial stewardship (AMS) in the fight to improve outcomes, decrease costs, and curb increases in antimicrobial resistance around the world. However, the subject of antifungal stewardship (AFS) has received less attention. While the principles of AMS guidelines likely apply to stewarding of antifungal agents, there are additional considerations unique to AFS and the complex field of fungal infections that require specific recommendations. In this article, we review the literature on AMS best practices and discuss AFS through the lens of the global core elements of AMS. We offer recommendations for best practices in AFS based on a synthesis of this evidence by an interdisciplinary expert panel of members of the Mycoses Study Group Education and Research Consortium. We also discuss research directions in this rapidly evolving field. AFS is an emerging and important component of AMS, yet requires special considerations in certain areas such as expertise, education, interventions to optimize utilization, therapeutic drug monitoring, and data analysis and reporting.

Indexed as

Practice Guidelines as TopicAntifungal AgentsAntimicrobial StewardshipClinical CompetenceDrug MonitoringDrug PrescriptionsDrug Resistance, FungalEvidence-Based MedicineHumansInappropriate PrescribingMycosesAntifungal Agentsantifungalaspergillosiscandidiasisdiagnosticsguidelinesstewardship

Identifiers

PMID32756879
PMCPMC7403757

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.