Evidence map›Paper›PMID 41863515›Full record

ArticleEmerging infectious diseases2026

Environmental and Phylogenetic Investigations of Aspergillus flavus Outbreak Linked to Contaminated Building Materials, Denmark, 2025.

Alexander Gewecke, Raphael Niklaus Sieber, Søren Hallstrøm, Marc Stegger, Barbara Kolarik, Jenny D Knudsen, Birgitte Andersen, Astrid Hall, Nadja Hawwa Vissing, Maiken Cavling Arendrup

Abstract read
In one paragraph

Article in Emerging infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Distinct Phenotype and Secondary Metabolite Profile Mark a DominantJournal of fungi (Basel, Switzerland) · 2026
    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

10 authors.

Alexander Gewecke
Raphael Niklaus Sieber
Søren Hallstrøm
Marc Stegger
Barbara Kolarik
Jenny D Knudsen
Birgitte Andersen
Astrid Hall
Nadja Hawwa Vissing
Maiken Cavling Arendrup

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An Aspergillus flavus outbreak occurred in a tertiary hospital in Denmark. We compared environmental sampling methods, investigated the outbreak through short tandem-repeat genotyping, STRAfla, and analyzed isolate phylogeny using whole-genome sequencing. Paired sampling revealed that air sampling underestimated A. flavus burden (8 CFU/81 air samples vs. 585 CFU/81 surface samples), and culturing at 37°C was superior to 25°C (risk ratio 1.77; p<0.001). STRAfla (n = 145) confirmed clonality of the outbreak isolates. Active growth was identified in a kitchen inside the affected ward. Genetically related isolates were also found in the Department of Clinical Microbiology and in 4 unrelated wood-based building materials from retailers in Denmark. Phylogenetic analyses of 167 isolates supported introduction of A. flavus from building materials. We hypothesize that water damage enabled germination of dormant spores in precontaminated wood-based products. Our findings highlight a risk factor for outbreaks and should inform future hospital construction and infection prevention strategies.

Indexed as

AspergillosisAspergillus flavusConstruction MaterialsDisease OutbreaksPhylogenyAir MicrobiologyDenmarkEnvironmental MicrobiologyGenotypeHumansWhole Genome Sequencingair microbiologyaspergillosisAspergillus flavusbuilding materialsclonal expansionDenmarkenvironmental contaminationenvironmental monitoringenvironmental samplingfungal burdenfungigenotyping techniqueshospital outbreak/nosocomial outbreakmolecular epidemiologyoutbreakoutbreak sourcephylogenysurface microbiologywhole-genome sequencing

Identifiers

PMID41863515
PMCPMC13016004

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.