Background: In the European Union, assessments of resistance risk are required by the regulatory authorities for each fungicide product and are used to guide the extent of anti-resistance strategies. This paper reports an evaluation of a widely used 'risk matrix', to determine its predictive value. Sixty-seven unique cases of fungicide resistance in Europe were identified for testing the risk assessment scheme, where each case was the first occurrence of resistance in a pathogen species against a fungicide group.
Results: In most cases, high-, moderate- and low-risk categories for fungicide, pathogen and agronomic systems were each associated with significant differences in the number of years from fungicide introduction to the first detection of resistance (FDR time). The combined risk, calculated by multiplying the individual risk factors using the risk matrix, had useful predictive power (72.8% of FDR time variance accounted for; VAF) for all fungicides, but only limited predictive power (25.8% VAF) for single-site acting fungicides (the predominant type).
Conclusion: The resistance risk matrix has significant, but limited, predictive value. New fungicide modes of action, or pathogens that have become newly prevalent, cannot be assigned to risk categories until new methods of resistance risk assessment are developed.
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http://dx.doi.org/10.1002/ps.3646 | DOI Listing |
Drugs
December 2024
The Aurum Institute, Parktown, South Africa.
Tuberculosis (TB) is the leading cause of death from a single infectious agent. The burden is highest in some low- and middle-income countries. One-quarter of the world's population is estimated to have been infected with TB, which is the seedbed for progressing from TB infection to the deadly and contagious disease itself.
View Article and Find Full Text PDFProstate Cancer Prostatic Dis
December 2024
Department of Radiation Oncology, Peking University First Hospital, 100034, Beijing, China.
Background: Metastatic prostate cancer (PCa) has much lower survival and ultimately develops castration resistance, which expects novel targets and therapeutic approaches. As a result of iron-dependent lipid peroxidation, ferroptosis triggers programmed cell death and has been associated with castration-resistant prostate cancer (CRPC).
Subjects: To better understand how ferroptosis can be used to treat CRPC, we reviewed the following: First, ferroptosis mechanisms and characteristics.
Sci Rep
December 2024
American University of Beirut, Cairo Street, Riad El Solh, PO Box 11-0236/11D, Beirut, 1107 2020, Lebanon.
Febrile neutropenia is a major complication in patients with acute leukemia or those undergoing hematopoietic stem cell transplantation (HSCT). Understanding patient characteristics and susceptibility patterns in febrile neutropenia is essential for appropriate antimicrobial therapy. First-line agents should have Pseudomonas aeruginosa coverage, but with the increase in multi-drug resistant organisms, ceftazidime-avibactam has emerged as a new therapeutic option.
View Article and Find Full Text PDFSci Rep
December 2024
Cancer Center, Department of Pulmonary and Critical Care Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China.
Hospital-acquired infection (HAI) and antimicrobial resistance (AMR) represent major challenges in healthcare system. Despite numerous studies have assessed environmental and patient samples, very few studies have explored the microbiome and resistome profiles of medical staff including nursing workers. This cross-sectional study was performed in a tertiary hospital in China and involved 25 nurses (NSs), 25 nursing workers (NWs), and 55 non-medical control (NC).
View Article and Find Full Text PDFSci Rep
December 2024
Department of Hematology, Transplantation and Internal Medicine, Medical University of Warsaw, Warsaw, Poland.
Patients undergoing autologous stem cell transplantation (auto-SCT) face elevated risks of infections. Additionally, patients colonized in the gastrointestinal tract with antibiotic-resistant bacteria (ARB) are at higher risk of infection with ARB and other infections. Therefore, patients colonized with ARB before auto-SCT should present with an exceptionally high incidence of infections.
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