Evidence map›Paper›PMID 41953278›Full record

ReviewFrontiers in toxicology2026

Predicted no effect concentrations of antifungals for wastewater management and agricultural use.

D Gil, S José, A Ascenso, M Novak Babič, E Segal, J Meletiadis, J P Gangneux, C J Weiskerger, H M Solo-Gabriele, E Valério and 1 more

Abstract readReview
In one paragraph

Review in Frontiers in toxicology, 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. 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

11 authors.

D Gil *Department of Environmental Health, National Institute of Health Doutor Ricardo Jorge, Lisboa, Portugal.
S José *Department of Environmental Health, National Institute of Health Doutor Ricardo Jorge, Lisboa, Portugal.
A AscensoDepartment of Environmental Health, National Institute of Health Doutor Ricardo Jorge, Lisboa, Portugal.
M Novak BabičDepartment of Biology, Biotechnical Faculty, University of Ljubljana, Ljubljana, Slovenia.
E SegalDepartment of Clinical Microbiology and Immunology, School of Medicine, Tel Aviv University, Tel Aviv, Israel.
J MeletiadisClinical Microbiology Laboratory, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
J P GangneuxCentre National de Référence des Mycoses et Antifongiques LA-AspC Aspergilloses chroniques, European Excellence Center for Medical Mycology (ECMM EC), Centre hospitalier Universitaire de Rennes, Rennes, France.
C J WeiskergerUnited States Environmental Protection Agency, Atlanta, GA, United States.
H M Solo-GabrieleDepartment of Chemical, Environmental, and Materials Engineering, University of Miami, Coral Gables, FL, United States.
E ValérioDepartment of Environmental Health, National Institute of Health Doutor Ricardo Jorge, Lisboa, Portugal.
J BrandãoDepartment of Environmental Health, National Institute of Health Doutor Ricardo Jorge, Lisboa, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antifungal resistance is an on-growing public health concern due to the difficulty in managing or treating medical conditions that often favour fatal fungal infections. The changing climate and globalisation, which increase fungal persistence and propagation, adds to that concern. Wastewater disposal is one potential source to the environment as antifungals are released into it. Considering that most fungal infections originate from the environment and considering the One Health principle, introducing antifungals through wastewater effluents has the potential to promote the emergence and dissemination of antifungal resistance. The objective of this study was to generate knowledge that can assist regulating the release of antifungals in the environment by quantifying predicted no-effect concentrations (PNECs) that would not promote antifungal resistance. For this purpose, a systematic review was performed to consolidate information on antifungals released to the environment and respective concentrations. The systematic literature review followed Preferred Reporting Items for Systematic literature reviews and Meta Analyses extension for Scoping Reviews (PRISMA-SLR). The analysis of 122 reviewed articles using this approach showed high concentrations and dispersion of antifungals in water, wastewater or soil. This highlights their potential dispersion in the environment, thus increasing the potential of fungal antimicrobial resistance. Due to the lack of PNEC values using fungi as model organisms in this review, PNECs for 17 antifungals were calculated using

Indexed as

antifungal resistanceantifungals dispersion in environmentOne HealthPNECsystematic literature reviewswastewater

Identifiers

PMID41953278
PMCPMC13055602

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.