Evidence map›Paper›PMID 38381662›Full record

ReviewDeutsches Arzteblatt international2024

Indoor Mold—Important Considerations for Medical Advice to Patients.

Julia Hurraß, Dennis Nowak, Birger Heinzow, Marcus Joest, Jannik Stemler, Gerhard A Wiesmüller

Open access · greenAbstract readReview
In one paragraph

Review in Deutsches Arzteblatt international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

7 citing papers in PubMed, 3 citations in OpenAlex.

  1. [Environmental relative humidity, frailty, and risk of incident stroke among middle-aged and older adults in China: A prospective cohort study].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Article
  2. Article
  3. Article
  4. Measuring COSensors (Basel, Switzerland) · 2025
    Article
  5. Toxic Events Were Insufficiently Considered.Deutsches Arzteblatt international · 2025
    Article
  6. In Reply.Deutsches Arzteblatt international · 2025
    Article
  7. 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

6 authors at 1 institution in 1 country.

Julia HurraßHygiene in healthcare facilities, Department of Infection and environmental hygiene, Health Department of Cologne, Germany; Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Member of German Center for Lung Research (DZL), Comprehensive Pneumology Center (CPC München), Clinical Center of the Ludwig Maximilian University Munich, LMU Munich, Germany; Formerly: State Office for Social Services (LAsD) Schleswig-Holstein, Kiel, Germany; Helios Lung and Allergy Centre Bonn, Allergological-immunological laboratory, Germany; Institute for Translational Research, CECAD Cluster of Excellence, University of Cologne, Germany; Department I of Internal Medicine, University of Cologne, European Excellence Center for Invasive Fungal Infections (ECMM), Germany; Institute for Occupational, Social and Environmental Medicine, University Hospital RWTH Aachen, Germany; Laboratory Dr. Wisplinghoff; ZfMK - Center for Environment, Hygiene and Mycology, Cologne, Germany.
Dennis Nowak
Birger Heinzow
Marcus Joest
Jannik Stemler
Gerhard A Wiesmüller
German Center for Lung Research · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccording to self-reported frequencies, every fifth or sixth dwelling in Germany is affected by dampness and/or mold. This carries a potential risk to health.

methodsThis review is based on pertinent publications retrieved by a selective literature search and inquiry in the GENESIS database, on the AWMF guideline on the medical clinical diagnosis of indoor mold exposure, as updated in 2023, and on the relevant contents of other current guidelines. Based on this research, we present an algorithm for the evaluation of health problems that may be due to mold in indoor environments.

resultsA rational diagnostic work-up begins with history-taking and physical examination, with attention to risk factors-above all, immune compromise and atopy. If there is evidence of atopy, targeted allergy diagnostics should be performed, consisting of a skin prick test and/or measurement of specific IgE antibodies, supplemented whenever indicated by provocative testing and cellular test systems. If the patient's immune response is compromised, the immediate cessation of mold exposure has absolute priority. Any suspected invasive fungal infection should be evaluated with radiological, microbiological, serological, and immunological testing. Indoor measurements of mold fungi, microbial volatile organic compounds (MVOC), and/or mycotoxins are generally not indicated as part of the medical evaluation; nor are blood or urine tests for particular mold components or metabolites.

conclusionMold in indoor environments should be dealt with by rapid exposure elimination for patients at risk, the rational diagnostic evaluation of any symptoms and signs of disease, and patient education about the possibilities and limitations of diagnostic testing and the generally limited utility of measurements in the affected interior spaces.

Indexed as

Air Pollution, IndoorFungiGermanyHumansMycoses

Identifiers

PMID38381662
PMCPMC11381209
OpenAlexW4394631255

What OpenQuestion holds

Textmetadata
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.