Evidence map›Paper›PMID 37994652›Full record

ArticleMedical mycology2023

Development and validation of a colorimetric antifungal susceptibility testing method for the dimorphic fungus Talaromyces marneffei.

Nguyen Thi Mai Thu, Hannah Borda, Shawin Vitsupakorn, Kaushik Sreerama Reddy, Navsin Kasmani, Joseph Barwatt, Ilan S Schwartz, Charles Giamberardino, John R Perfect, Ngo Thi Hoa and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Medical mycology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

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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

11 authors at 2 institutions in 2 countries.

Nguyen Thi Mai ThuDivision of Infectious Diseases and International Health, Duke University School of Medicine, Durham, NC, USA.
Hannah BordaDivision of Infectious Diseases and International Health, Duke University School of Medicine, Durham, NC, USA.
Shawin VitsupakornDivision of Infectious Diseases and International Health, Duke University School of Medicine, Durham, NC, USA.
Kaushik Sreerama ReddyDivision of Infectious Diseases and International Health, Duke University School of Medicine, Durham, NC, USA.
Navsin KasmaniDivision of Infectious Diseases and International Health, Duke University School of Medicine, Durham, NC, USA.
Joseph BarwattDivision of Infectious Diseases and International Health, Duke University School of Medicine, Durham, NC, USA.
Ilan S SchwartzDivision of Infectious Diseases and International Health, Duke University School of Medicine, Durham, NC, USA.
Charles GiamberardinoDivision of Infectious Diseases and International Health, Duke University School of Medicine, Durham, NC, USA.
John R PerfectDivision of Infectious Diseases and International Health, Duke University School of Medicine, Durham, NC, USA.
Ngo Thi HoaOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Thuy LeDivision of Infectious Diseases and International Health, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0002-3393-6580
Duke University · USPham Ngoc Thach University of Medicine · VN

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI GEORGIA Doris TOMARAS · 2005 to 2026
$50.5M
Development, Clinical Validation, and Readiness for Implementation of a Novel Mp1p D4 Poin Diagnosis of Talaromycosist of Care Test for RapidR01AI177098 · NIAID · DUKE UNIVERSITY · PI Ashutosh Chilkoti, Thuy Le · 2023 to 2026
$2.8M
Making an early diagnosis of talaromycosis - an approach to reduce morbidity and mortality in advanced HIV disease in Southeast AsiaR01AI143409 · NIAID · DUKE UNIVERSITY · PI LE, THUY · 2019 to 2024
$2.8M
Tropical Medicine Research Center for Talaromycosis in VietnamU01AI169358 · NIAID · DUKE UNIVERSITY · PI Thuy Le · 2022 to 2026
$2.5M
Implications of mycoviral infection in Talaromyces marneffei: an analysis of human patient samples, RNAi, and hypermutationR21AI159397 · NIAID · DUKE UNIVERSITY · PI HEITMAN, JOSEPH, LE, THUY · 2021 to 2022
$443k
Mapping of the IgM and IgG antibody responses to Talaromyces marneffei infection in mice and humans - Deciphering acute from reactivated or latent infectionsR21AI162367 · NIAID · DUKE UNIVERSITY · PI LE, THUY · 2021 to 2022
$434k
NIAID NIH HHS P30 AI064518NIAID NIH HHS R01 AI143409NIAID NIH HHS R01 AI177098NIAID NIH HHS R21 AI159397NIAID NIH HHS R21 AI162367NIAID NIH HHS U01 AI169358NIH HHS R01AI143409Wellcome Trust
6 · The paper itself

Abstract

Antifungal drug resistance is an emerging cause of treatment failure in invasive fungal infections, and antifungal susceptibility testing (AFST) may inform treatment decisions. Currently, there are no established AFST guidelines for Talaromyces marneffei (Tm) or other dimorphic fungi. We developed a colorimetric AFST method using a fluorescent redox indicator alamarBlue, which changes from blue to pink in proportion to cellular metabolic activity. We determined the optimal time for alamarBlue addition to be 24 h post-inoculation and for MIC reading to be 72 h post-inoculation. Our method allows three ways to determine minimum inhibitory concentration (MIC): visual inspection of color change, optical density, and fluorescence intensity. We validated the assay by determining the MICs for seven antifungals against 32 Tm clinical isolates and assessed the essential agreement (EA) and inter-rater reliability between our alamarBlue and the Clinical Laboratory Standard Institute (CLSI) broth microdilution methods. The MIC ranges (from low to high) were: 0.008-0.025 μg/ml for itraconazole, 0.004-0.13 μg/ml for voriconazole, 0.03-0.13 μg/ml for posaconazole, 0.06-0.5 µg/ml for flucytosine, 0.5-1 µg/ml for amphotericin B, 0.5-4 µg/ml for caspofungin, and 0.5-16 µg/ml for fluconazole. The EAs were 100% between all three MIC readouts of the alamarBlue method, and 94%-100% between the alamarBlue and CLSI methods. Our alamarBlue method had substantially higher inter-rater agreement and offers a more reliable method that can be standardized across laboratories in both high- and low-resource settings compared to the established CLSI methodology.

Indexed as

Antifungal AgentsTalaromycesAnimalsColorimetryMicrobial Sensitivity TestsReproducibility of ResultsVoriconazoleAntifungal AgentsVoriconazoleantifungal susceptibility testingdimorphic fungiTalaromyces marneffeiTalaromycosis

Identifiers

PMID37994652
PMCPMC10681740
OpenAlexW4388928544

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.