Evidence map›Paper›PMID 34821412›Full record

ReviewMycoses2022

Collateral consequences of agricultural fungicides on pathogenic yeasts: A One Health perspective to tackle azole resistance.

Débora Castelo-Branco, Shawn R Lockhart, Yee-Chun Chen, Daniel Assis Santos, Ferry Hagen, Nichola Jane Hawkins, Rose-Anne Lavergne, Jacques F Meis, Patrice Le Pape, Marcos Fabio Gadelha Rocha and 3 more

Open access · greenAbstract readReview
In one paragraph

Review in Mycoses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
1.4field-weighted citation impact, top 15% 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

29 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Article
  3. Incidence of azole resistance among clinical isolates ofNew microbes and new infections · 2026
    Article
  4. Review
  5. Article
  6. Pathogenesis and Triazole Resistance inInfection and drug resistance · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Antifungal Drug Resistance.Current topics in microbiology and immunology · 2025
    Review
  15. Review
  16. Review
  17. Current research in microbial sciences · 2025
    Article
  18. The Human Mycobiome.Current topics in microbiology and immunology · 2025
    Review
  19. 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

13 authors at 9 institutions in 7 countries.

Débora Castelo-BrancoSpecialized Medical Mycology Center, Group of Applied Medical Microbiology, Federal University of Ceará, Fortaleza, Brazil.
Shawn R LockhartCenters for Disease Control and Prevention, Mycotic Diseases Branch, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-4383-5994
Yee-Chun ChenDepartment of Internal Medicine, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan.
Daniel Assis SantosMycology Lab, Universidade Federal de Minas Gerais, Minas Gerais, Brazil.ORCID https://orcid.org/0000-0002-1108-5666
Ferry HagenWesterdijk Fungal Biodiversity Institute, Utrecht, The Netherlands.
Nichola Jane HawkinsNational Institute of Agricultural Botany, Cambridge, UK.
Rose-Anne LavergneNantes University Hospital and EA1155 IICiMed, Nantes University, Nantes, France.
Jacques F MeisCenter of Expertise in Mycology, Department of Medical Microbiology and Infectious Diseases, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
Patrice Le PapeNantes University Hospital and EA1155 IICiMed, Nantes University, Nantes, France.
Marcos Fabio Gadelha RochaSpecialized Medical Mycology Center, Group of Applied Medical Microbiology, Federal University of Ceará, Fortaleza, Brazil.
José Julio Costa SidrimSpecialized Medical Mycology Center, Group of Applied Medical Microbiology, Federal University of Ceará, Fortaleza, Brazil.
Maiken ArendrupCopenhagen University Hospital, and Statens Serum Institut, Copenhagen, Denmark.
Florent MorioNantes University Hospital and EA1155 IICiMed, Nantes University, Nantes, France.ORCID https://orcid.org/0000-0002-5859-6105
Cibles et Médicaments des Infections et de l'ImmunitéUniversidade Federal do Ceará · BRCanisius-Wilhelmina Ziekenhuis · NLCenters for Disease Control and Prevention · USNational Institute of Agricultural Botany · GBNational Taiwan University Hospital · TWStatens Serum Institut · DKUniversidade Federal de Minas Gerais · BRWesterdijk Fungal Biodiversity Institute · NL

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Candida and Cryptococcus affect millions of people yearly, being responsible for a wide array of clinical presentations, including life-threatening diseases. Interestingly, most human pathogenic yeasts are not restricted to the clinical setting, as they are also ubiquitous in the environment. Recent studies raise concern regarding the potential impact of agricultural use of azoles on resistance to medical antifungals in yeasts, as previously outlined with Aspergillus fumigatus. Thus, we undertook a narrative review of the literature and provide lines of evidence suggesting that an alternative, environmental route of azole resistance, may develop in pathogenic yeasts, in addition to patient route. However, it warrants sound evidence to support that pathogenic yeasts cross border between plants, animals and humans and that environmental reservoirs may contribute to azole resistance in Candida or other yeasts for humans. As these possibilities could concern public health, we propose a road map for future studies under the One Health perspective.

Indexed as

Fungicides, IndustrialOne HealthAnimalsAntifungal AgentsAspergillus fumigatusAzolesDrug Resistance, FungalHumansMicrobial Sensitivity TestsAntifungal AgentsAzolesFungicides, Industrialantifungal resistanceCandida spp.cross-resistanceenvironmental fungicidesmedical antifungalsOne Health

Identifiers

PMID34821412
PMCPMC11268486
OpenAlexW3216725096

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.