Evidence map›Paper›PMID 35104010›Full record

ArticleMycoses2022

Azole resistance in Aspergillus fumigatus. The first 2-year's Data from the Danish National Surveillance Study, 2018-2020.

Malene Risum, Rasmus Krøger Hare, Jan Berg Gertsen, Lise Kristensen, Flemming Schønning Rosenvinge, Sofia Sulim, Nissrine Abou-Chakra, Jette Bangsborg, Bent Løwe Røder, Ea Sofie Marmolin and 5 more

Abstract read
In one paragraph

Article in Mycoses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–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

28 citing papers in PubMed.

  1. Review
  2. Genotype-Phenotype Relationships in Azole-ResistantJournal of fungi (Basel, Switzerland) · 2026
    Review
  3. Review
  4. Azole-ResistantJournal of fungi (Basel, Switzerland) · 2025
    Review
  5. Article
  6. Observational
  7. Refractory versus resistant invasive aspergillosis.The Journal of antimicrobial chemotherapy · 2025
    Review
  8. Review
  9. Molecular Identification ofInfection and drug resistance · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Genomic Epidemiology Identifies Azole Resistance Due to TRJournal of fungi (Basel, Switzerland) · 2023
    Article
  20. Drug-ResistantPathogens (Basel, Switzerland) · 2023
    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

15 authors.

Malene RisumMycology Unit, Statens Serum Institut, Copenhagen, Denmark.ORCID https://orcid.org/0000-0003-0123-5015
Rasmus Krøger HareMycology Unit, Statens Serum Institut, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-9796-023X
Jan Berg GertsenDepartment of Clinical Microbiology, Aarhus University Hospital, Aarhus, Denmark.
Lise KristensenDepartment of Clinical Microbiology, Aarhus University Hospital, Aarhus, Denmark.
Flemming Schønning RosenvingeDepartment of Clinical Microbiology, Odense University Hospital and Research Unit of Clinical Microbiology, University of Southern Denmark, Odense, Denmark.
Sofia SulimDepartment of Clinical Microbiology, Aalborg University Hospital, Aarhus, Denmark.
Nissrine Abou-ChakraMycology Unit, Statens Serum Institut, Copenhagen, Denmark.
Jette BangsborgDepartment of Clinical Microbiology, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark.
Bent Løwe RøderDepartment of Clinical Microbiology, Slagelse Sygehus, Slagelse, Denmark.
Ea Sofie MarmolinDepartment of Clinical Microbiology, Sygehus Lillebaelt, Vejle Sygehus, Vejle, Denmark.
Karen Marie Thyssen AstvadMycology Unit, Statens Serum Institut, Copenhagen, Denmark.
Michael PedersenDepartment of Clinical Microbiology, Hvidovre Hospital, University of Copenhagen, Copenhagen, Denmark.
Esad DzajicDepartment of Clinical Microbiology, Sydvestjysk Sygehus, Esbjerg Sygehus, Esbjerg, Denmark.
Steen Lomborg AndersenDepartment of Clinical Microbiology, Sygehus Sønderjylland, Sønderborg, Denmark.
Maiken Cavling ArendrupMycology Unit, Statens Serum Institut, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-4747-0144

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAzole resistance complicates treatment of patients with invasive aspergillosis with an increased mortality. Azole resistance in Aspergillus fumigatus is a growing problem and associated with human and environmental azole use. Denmark has a considerable and highly efficient agricultural sector. Following reports on environmental azole resistance in A. fumigatus from Danish patients, the ministry of health requested a prospective national surveillance of azole-resistant A. fumigatus and particularly that of environmental origin.

objectivesTo present the data from the first 2 years of the surveillance programme.

methodsUnique isolates regarded as clinically relevant and any A. fumigatus isolated on a preferred weekday (background samples) were included. EUCAST susceptibility testing was performed and azole-resistant isolates underwent cyp51A gene sequencing.

resultsThe azole resistance prevalence was 6.1% (66/1083) at patient level. The TR

conclusionThe azole resistance prevalence does not lead to a change in the initial treatment of aspergillosis at this point, but causes concern and leads to therapeutic challenges in the affected patients.

Indexed as

Aspergillus fumigatusAzolesAntifungal AgentsDenmarkDrug Resistance, FungalFungal ProteinsHumansMicrobial Sensitivity TestsProspective StudiesAntifungal AgentsAzolesFungal Proteinsantifungal susceptibilityAspergillus fumigatusazole resistanceenvironmental routeitraconazolemedical routeTR34/L98Hvoriconazole

Identifiers

PMID35104010
PMCPMC9302650

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LicenceCC BY-NC-ND
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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.