Evidence map›Paper›PMID 38864945›Full record

ArticleMycopathologia2024

High Prevalence of Terbinafine Resistance Among Trichophyton mentagrophytes/T. interdigitale Species Complex, a Cross-Sectional Study from 2021 to 2022 in Northern Parts of Iran.

Iman Haghani, Maryam Babaie, Akbar Hoseinnejad, Ali Rezaei-Matehkolaei, Ramin Mofarrah, Zahra Yahyazadeh, Firoozeh Kermani, Javad Javidnia, Tahereh Shokohi, Maryam Azish and 10 more

Abstract read
PubMed Publisher
In one paragraph

Article in Mycopathologia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trichophyton indotineae: Epidemiology, antifungal resistance and antifungal stewardship strategies.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Review
  3. Global Emergence ofInfection and drug resistance · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Terbinafine Resistance inAntibiotics (Basel, Switzerland) · 2025
    Review
  12. Review
  13. Review
  14. 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

20 authors.

Iman HaghaniInvasive Fungi Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.
Maryam BabaieInvasive Fungi Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.
Akbar HoseinnejadStudent Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Ali Rezaei-MatehkolaeiDepartment of Medical Mycology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Ramin MofarrahDepartment of Dermatology, Faculty of Medicine, Sari Branch, Islamic Azad University, Sari, Iran.
Zahra YahyazadehInvasive Fungi Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.
Firoozeh KermaniDepartment of Parasitology and Mycology, Infectious Diseases and Tropical Medicine Research Center, Health Research Center, School of Medicine, Babol University of Medical Sciences, Babol, Iran.
Javad JavidniaInvasive Fungi Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.
Tahereh ShokohiInvasive Fungi Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.
Maryam AzishDepartment of Parasitology and Medical Mycology, School of Medicine, Dezful University of Medical Sciences, Dezful, Iran.
Kambiz Kamyab HesariDepartment of Dermatopathology, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Majid SaeediDepartment of Pharmaceutics, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran.
Zeinab GhasemiDepartment of Dermatopathology, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Shaghayegh KhojastehMolecular Medicine Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, 7916613885, Iran.
Zohreh HajheydariDepartment of Dermatology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Elham MosayebiInvasive Fungi Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.
Reza ValadanMolecular and Cell Biology Research Center (MCBRC), Mazandaran University of Medical Sciences, Sari, Iran.
Seyedmojtaba SeyedmousaviMicrobiology Service, Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD, USA.
Mahdi AbastabarInvasive Fungi Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran. mabastabar@gmail.com.
Mohammad Taghi HedayatiInvasive Fungi Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran. hedayatimt@gmail.com.ORCID http://orcid.org/0000-0001-6415-4648

Funding

Antifungal Resistance and Novel Mycology DiagnosticsZIACL090089 · CLC · CLINICAL CENTER · PI SEYEDMOUSAVI, AMIR · 2022 to 2025
$0k
Invasive Fungi Research Center, Mazandaran University of Medical Sciences 8367
6 · The paper itself

Abstract

Treatment-resistant dermatophytosis caused by the members of the Trichophyton mentagrophytes/Trichophyton interdigitale species group (TMTISG) is increasing worldwide. We aimed to determine the prevalence of TMTISG in patients with dermatophytosis in two centers from north of Iran and detect the possible mutations in the squalene epoxidase (SQLE) gene in relevant terbinafine (TRB) resistant pathogenic isolates. From November 2021 to December 2022, 1960 patients suspected to dermatophytosis and referred to two mycology referral laboratories in the north of Iran were included in the study. Identification of all dermatophyte isolates was confirmed by RFLP of rDNA internal transcribed spacer (ITS) regions. Antifungal susceptibility testing against five common antifungals using the CLSI-M38-A3 protocol was performed. The TMTISG isolates resistant to TRB, were further analyzed to determine the possible mutations in the SQLE gene. Totally, 647 cases (33%) were positive for dermatophytosis of which 280 cases (43.3%) were identified as members of TMTISG. These were more frequently isolated from tinea corporis 131 (44.56%) and tinea cruris 116 (39.46%). Of 280 TMTISG isolates, 40 (14.3%) were resistant to TRB (MIC ≥ 4 µg/mL), all found to be T. indotineae in ITS sequencing. In SQLE sequencing 34 (85%) of TRB-resistant isolates had coincident mutations of Phe

Indexed as

Antifungal AgentsArthrodermataceaeDrug Resistance, FungalMicrobial Sensitivity TestsSqualene MonooxygenaseTerbinafineTineaAdolescentAdultAgedChildCross-Sectional StudiesDNA, FungalDNA, Ribosomal SpacerFemaleHumansAntifungal AgentsDNA, FungalDNA, Ribosomal SpacerSqualene MonooxygenaseTerbinafineDermatophytosisFungal skin lesionsPhe397Leu mutationSqualene epoxidaseT. indotineaeTrichophyton mentagrophytes/Trichophyton interdigitale complex

Identifiers

What Socratic holds

Textmetadata
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 Socratic graph.