Evidence map›Paper›PMID 36294584›Full record

ArticleJournal of fungi (Basel, Switzerland)2022

Identification of Dermatophyte and Non-Dermatophyte Agents in Onychomycosis by PCR and DNA Sequencing-A Retrospective Comparison of Diagnostic Tools.

Isabella Pospischil, Charlotte Reinhardt, Olympia Bontems, Karine Salamin, Marina Fratti, Gabriela Blanchard, Yun-Tsan Chang, Helga Wagner, Philipp Hermann, Michel Monod and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of fungi (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
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  4. Specific Primers and Nested PCR FindJournal of fungi (Basel, Switzerland) · 2025
    Article
  5. Article
  6. First Report ofJournal of fungi (Basel, Switzerland) · 2025
    Article
  7. Article
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  9. Review
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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

12 authors at 3 institutions in 2 countries.

Isabella PospischilDepartment of Dermatology, Kepler University Hospital, Johannes Kepler University Linz, 4020 Linz, Austria.
Charlotte ReinhardtDepartment of Dermatology, Kepler University Hospital, Johannes Kepler University Linz, 4020 Linz, Austria.
Olympia BontemsDepartment of Dermatology, Lausanne University Hospital (CHUV) and the Faculty of Biology and Medicine, University of Lausanne, 1007 Lausanne, Switzerland.
Karine SalaminDepartment of Dermatology, Lausanne University Hospital (CHUV) and the Faculty of Biology and Medicine, University of Lausanne, 1007 Lausanne, Switzerland.
Marina FrattiDepartment of Dermatology, Lausanne University Hospital (CHUV) and the Faculty of Biology and Medicine, University of Lausanne, 1007 Lausanne, Switzerland.
Gabriela BlanchardDepartment of Dermatology, Lausanne University Hospital (CHUV) and the Faculty of Biology and Medicine, University of Lausanne, 1007 Lausanne, Switzerland.ORCID 0000-0001-7020-0751
Yun-Tsan ChangDepartment of Dermatology, Lausanne University Hospital (CHUV) and the Faculty of Biology and Medicine, University of Lausanne, 1007 Lausanne, Switzerland.
Helga WagnerCenter for Clinical Studies (CCS Linz), Johannes Kepler University Linz, 4020 Linz, Austria.ORCID 0000-0002-7003-9512
Philipp HermannCenter for Clinical Studies (CCS Linz), Johannes Kepler University Linz, 4020 Linz, Austria.
Michel MonodDepartment of Dermatology, Lausanne University Hospital (CHUV) and the Faculty of Biology and Medicine, University of Lausanne, 1007 Lausanne, Switzerland.
Wolfram HoetzeneckerDepartment of Dermatology, Kepler University Hospital, Johannes Kepler University Linz, 4020 Linz, Austria.
Emmanuella GuenovaDepartment of Dermatology, Lausanne University Hospital (CHUV) and the Faculty of Biology and Medicine, University of Lausanne, 1007 Lausanne, Switzerland.ORCID 0000-0001-5478-8735
University of Lausanne · CHJohannes Kepler University of Linz · ATUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rapid and reliable fungal identification is crucial to delineate infectious diseases, and to establish appropriate treatment for onychomycosis. Compared to conventional diagnostic methods, molecular techniques are faster and feature higher accuracy in fungal identification. However, in current clinical practice, molecular mycology is not widely available, and its practical applicability is still under discussion. This study summarizes the results of 16,094 consecutive nail specimens with clinical suspicion of onychomycosis. We performed PCR/sequencing on all primary nail specimens for which conventional mycological diagnostics remained inconclusive. In specimens with a positive direct microscopy but negative or contaminated culture, molecular mycology proved superior and specified a fungal agent in 65% (587/898). In 75% (443/587), the identified pathogen was a dermatophyte. Positive cultures for dermatophytes, yeasts and non-dermatophyte molds (NDMs) were concordant with primary-specimen-DNA PCR/sequencing in 83% (10/12), 34% (22/65) and 45% (76/169), respectively. Among NDMs, agreement was high for

Indexed as

dermatophytefungal culturemolecular mycologyNDMonychomycosisPCRsequencingtinea pedisTrichophyton

Identifiers

PMID36294584
PMCPMC9605175
OpenAlexW4297541646

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.