Evidence map›Paper›PMID 38935907›Full record

SynthesisMedical mycology2024

Aspergillus fumigatus-a systematic review to inform the World Health Organization priority list of fungal pathogens.

C Orla Morrissey, Hannah Y Kim, Tra-My N Duong, Eric Moran, Ana Alastruey-Izquierdo, David W Denning, John R Perfect, Marcio Nucci, Arunaloke Chakrabarti, Volker Rickerts and 8 more

Abstract readSystematic Review
In one paragraph

Synthesis in Medical mycology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing 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

35 citing papers in PubMed.

  1. Ten-Year Voriconazole Susceptibility Trends Among 1482 ClinicalJournal of fungi (Basel, Switzerland) · 2026
    Article
  2. Epidemiological Characteristics of ClinicalJournal of fungi (Basel, Switzerland) · 2026
    Article
  3. Article
  4. Article
  5. Antifungal Susceptibility andMicroorganisms · 2026
    Article
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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

18 authors.

C Orla MorrisseyDepartment of Infectious Diseases, Alfred Health and Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-9970-9575
Hannah Y KimThe University of Sydney Infectious Diseases Institute (Sydney ID), New South Wales, Australia.ORCID 0000-0002-1808-5036
Tra-My N DuongThe University of Sydney Infectious Diseases Institute (Sydney ID), New South Wales, Australia.ORCID 0000-0002-5337-1054
Eric MoranSinclair Dermatology, East Melbourne, Victoria, Australia.ORCID 0000-0003-0875-3982
Ana Alastruey-IzquierdoMycology Reference Laboratory, National Centre for Microbiology, Instituto de Salud Carlos III, Majadahonda, Madrid, Spain.ORCID 0000-0001-8651-4405
David W DenningGlobal Action for Fungal Infections, Geneva, Switzerland.ORCID 0000-0001-5626-2251
John R PerfectDivision of Infectious Diseases and International Health, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0003-0019-8638
Marcio NucciUniversidade Federal do Rio de Janeiro and Grupo Oncoclinicas, Rio de Janeiro, RJ, Brazil.ORCID 0000-0003-4867-0014
Arunaloke ChakrabartiDoodhadhari Burfani Hospital and Research Institute, Haridwar, India.ORCID 0000-0003-1555-3807
Volker RickertsRobert Koch Institute Berlin, FG16, Seestrasse 10, 13353 Berlin, Germany.ORCID 0000-0002-6154-4920
Tom M ChillerMycotic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA.ORCID 0000-0002-2251-8033
Retno WahyuningsihDepartment of Parasitology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.ORCID 0000-0002-3294-5792
Raph L HamersOxford University Clinical Research Unit Indonesia, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.ORCID 0000-0002-5007-7896
Alessandro CassiniInfectious Diseases Service, Lausanne University Hospital, Lausanne, Switzerland.ORCID 0000-0002-7973-6445
Valeria GiganteAMR Division, World Health Organization, Geneva, Switzerland.ORCID 0000-0003-2496-6048
Hatim SatiAMR Division, World Health Organization, Geneva, Switzerland.ORCID 0000-0003-2358-0522
Jan-Willem AlffenaarThe University of Sydney Infectious Diseases Institute (Sydney ID), New South Wales, Australia.ORCID 0000-0001-6703-0288
Justin BeardsleyThe University of Sydney Infectious Diseases Institute (Sydney ID), New South Wales, Australia.ORCID 0000-0003-1978-1559

Funding

Ministry of Education and ScienceWorld Health Organization 001
6 · The paper itself

Abstract

Recognizing the growing global burden of fungal infections, the World Health Organization established a process to develop a priority list of fungal pathogens (FPPL). In this systematic review, we aimed to evaluate the epidemiology and impact of invasive infections caused by Aspergillus fumigatus to inform the first FPPL. The pre-specified criteria of mortality, inpatient care, complications and sequelae, antifungal susceptibility, risk factors, preventability, annual incidence, global distribution, and emergence were used to search for relevant articles between 1 January 2016 and 10 June 2021. Overall, 49 studies were eligible for inclusion. Azole antifungal susceptibility varied according to geographical regions. Voriconazole susceptibility rates of 22.2% were reported from the Netherlands, whereas in Brazil, Korea, India, China, and the UK, voriconazole susceptibility rates were 76%, 94.7%, 96.9%, 98.6%, and 99.7%, respectively. Cross-resistance was common with 85%, 92.8%, and 100% of voriconazole-resistant A. fumigatus isolates also resistant to itraconazole, posaconazole, and isavuconazole, respectively. The incidence of invasive aspergillosis (IA) in patients with acute leukemia was estimated at 5.84/100 patients. Six-week mortality rates in IA cases ranged from 31% to 36%. Azole resistance and hematological malignancy were poor prognostic factors. Twelve-week mortality rates were significantly higher in voriconazole-resistant than in voriconazole-susceptible IA cases (12/22 [54.5%] vs. 27/88 [30.7%]; P = .035), and hematology patients with IA had significantly higher mortality rates compared with solid-malignancy cases who had IA (65/217 [30%] vs. 14/78 [18%]; P = .04). Carefully designed surveillance studies linking laboratory and clinical data are required to better inform future FPPL.

Indexed as

Antifungal AgentsAspergillosisAspergillus fumigatusDrug Resistance, FungalWorld Health OrganizationHumansIncidenceInvasive Fungal InfectionsMicrobial Sensitivity TestsRisk FactorsVoriconazoleAntifungal AgentsVoriconazoleAspergillus fumigatusepidemiologyincidenceinvasive aspergillosisinvasive fungal diseasemortalityrisk factorssusceptibility

Identifiers

PMID38935907
PMCPMC11210617

What OpenQuestion holds

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LicenceCC BY-NC
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.