Title
Triazole-resistance in environmental aspergillus fumigatus in latin american and african countries
Date Issued
01 April 2021
Access level
open access
Resource Type
journal article
Author(s)
Resendiz-Sharpe A.
Dewaele K.
Merckx R.
Vega-Gomez M.C.
Rolon M.
Jacobs J.
Verweij P.E.
Maertens J.
Lagrou K.
Universidad Peruana Cayetano Heredia
Publisher(s)
MDPI AG
Abstract
Triazole-resistance has been reported increasingly in Aspergillus fumigatus. An international expert team proposed to avoid triazole monotherapy for the initial treatment of invasive aspergillosis in regions with >10% environmental-resistance, but this prevalence is largely unknown for most American and African countries. Here, we screened 584 environmental samples (soil) from urban and rural locations in Mexico, Paraguay, and Peru in Latin America and Benin and Nigeria in Africa for triazole-resistant A. fumigatus. Samples were screened using triazole-containing agars and confirmed as triazole-resistant by the European Committee on Antimicrobial Susceptibility Testing (EUCAST) broth dilution reference method. Isolates were further characterized by cyp51A sequencing and short-tandem repeat typing. Fungicide presence in samples was likewise determined. Among A. fumigatus positive samples, triazole-resistance was detected in 6.9% (7/102) of samples in Mexico, 8.3% (3/36) in Paraguay, 9.8% (6/61) in Peru, 2.2% (1/46) in Nigeria, and none in Benin. Cyp51A gene mutations were present in most of the triazole-resistant isolates (88%; 15/17). The environmentally-associated mutations TR34/L98H and TR46/Y121F/T289A were prevalent in Mexico and Peru, and isolates harboring these mutations were closely related. For the first time, triazole-resistant A. fumigatus was found in environmental samples in Mexico, Paraguay, Peru, and Nigeria with a prevalence of 7–10% in the Latin American countries. Our findings emphasize the need to establish triazole-resistance surveillance programs in these countries.
Volume
7
Issue
4
Language
English
OCDE Knowledge area
Micología Epidemiología
Scopus EID
2-s2.0-85104941401
Source
Journal of Fungi
ISSN of the container
2309-608X
Sponsor(s)
Conflicts of Interest: K.L. has received consultancy fees from MSD, SMB Laboratories Brussels, and Gilead; travel support from Pfizer and MSD; and speaker fees from Gilead, MSD, FUJIFILM WAKO, and Pfizer. J.M. has received research grants from Merck/MSD, Gilead Sciences, and Pfizer; is a consultant to Astellas, Basilea, Bio-Rad, Merck/MSD, Pfizer, Schering-Plough, F2G, Gilead Sciences, Cidara, Scynexis, Amplyx, and Luminex; and has served on the speaker’s bureau of Astellas, Gilead Sciences, Bio-Rad, Merck/MSD, Pfizer, Schering-Plough, Basilea, and Viropharma/Shire. P.E.V. received research grants from Gilead Sciences, Astellas, MSD, F2G, and Bio-Rad; he is a speaker for Gilead Sciences and MSD; and is on the advisory boards for Pfizer, MundiPharma, Cidara, MSD, and F2G. The remaining authors have nothing to declare.
Sources of information: Directorio de Producción Científica Scopus