Evidence map›Paper›PMID 33313977›Full record

ArticleMycopathologia2021

Regional Differences in Antifungal Susceptibility of the Prevalent Dermatophyte Trichophyton rubrum.

Y Jiang, W Luo, P E Verweij, Y Song, B Zhang, Z Shang, A M S Al-Hatmi, S A Ahmed, Z Wan, R Li and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Mycopathologia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 20 citations in OpenAlex.

  1. Determination of the susceptibility of onychomycosis agents isolated in Sakarya to octenidine dihydrochloride and hypochlorous acid.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  2. Emerging Global Patterns of Terbinafine Resistance inAntibiotics (Basel, Switzerland) · 2026
    Review
  3. Article
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  11. The in vitro Activity of Echinocandins Against ClinicalInfection and drug resistance · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Molecular Epidemiology and Antifungal Susceptibility ofJournal of fungi (Basel, Switzerland) · 2021
    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

11 authors at 6 institutions in 4 countries.

Y Jiang *Department of Dermatology, The Affiliated Hospital, Guizhou Medical University, Guiyang, China.
W Luo *Department of Dermatology, The Affiliated Hospital, Guizhou Medical University, Guiyang, China.
P E VerweijDepartment of Medical Microbiology, Radboud University Medical Center, Center of Expertise in Mycology Radboudumc/CWZ, Nijmegen, The Netherlands.
Y SongDepartment of Dermatology, Peking University First Hospital, Beijing, China. syg3515@163.com.
B ZhangSchool of Public Health, Guizhou Medical University, Guiyang, China.
Z ShangDepartment of Immunology, Basic Medical School, Guizhou Medical University, Guiyang, China.
A M S Al-HatmiDepartment of Medical Microbiology, Radboud University Medical Center, Center of Expertise in Mycology Radboudumc/CWZ, Nijmegen, The Netherlands.
S A AhmedDepartment of Medical Microbiology, Radboud University Medical Center, Center of Expertise in Mycology Radboudumc/CWZ, Nijmegen, The Netherlands.
Z WanDepartment of Dermatology, Peking University First Hospital, Beijing, China.
R LiDepartment of Dermatology, Peking University First Hospital, Beijing, China.
G S de HoogDepartment of Medical Microbiology, Radboud University Medical Center, Center of Expertise in Mycology Radboudumc/CWZ, Nijmegen, The Netherlands.
Guiyang Medical University · CNRadboud University Nijmegen · NLNational Clinical Research Center for Digestive Diseases · CNAffiliated Hospital of Guizhou Medical University · CNPeking University · CNUniversity of Khartoum · SD

Funding

Department of Health of Guizhou Province gzwjkj 2019-1-114National Natural Science Foundation of China No. 81960368Natural Science Foundation of Beijing Municipality No. 7194326
6 · The paper itself

Abstract

In vitro susceptibility testing for Trichophyton rubrum has shown resistance to terbinafine, azoles and amorolfine, locally, but epidemiological cutoffs are not available. In order to assess the appropriateness of current first-line antifungal treatment for T. rubrum in China, we characterized antifungal susceptibility patterns of Chinese T. rubrum strains to nine antifungals and also described the upper limits of wild-type (WT) minimal inhibitory concentrations (MIC) (UL-WT) based on our study and another six studies published during the last decades. Sixty-two clinical isolates originating from seven provinces in China were identified as T. rubrum sensu stricto; all Chinese strains showed low MICs to eight out of nine antifungal drugs. Terbinafine (TBF) showed the lowest MICs of all antifungal classes tested in both the Chinese and global groups, with a 97.5% UL-WT MIC-value of 0.03 mg/L. No non-WT isolates were observed for TBF in China, but were reported in 18.5% of the global group. Our study indicated that TBF was still the most active drug for Chinese T. rubrum isolates, and all strains were within the WT-population. TBF therefore remains recommended for primary therapy to dermatophytosis caused by T. rubrum in China now, but regular surveillance of dermatophytes and antifungal susceptibility is recommended.

Indexed as

Antifungal AgentsArthrodermataceaeChinaDrug Resistance, FungalHumansMicrobial Sensitivity TestsTrichophytonAntifungal AgentsAntifungal agentsDermatologyDrug resistanceTerbinafineTrichophyton

Identifiers

PMID33313977
PMCPMC7946697
OpenAlexW3118073473

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.