Evidence map›Paper›PMID 41747753›Full record

ReviewThe Lancet. Microbe2026

Global perspective on gaps in fungal diagnostics in low-resource settings: WHO landscape analysis and research priorities for invasive fungal diseases.

Maurine Murtagh, P Lewis White, Juan Luis Rodriguez-Tudela, Ana Alastruey-Izquierdo, Sharon C-A Chen, Philippe J Dufresne, Beatriz L Gómez, Guillermo Garcia-Effron, Betsy Wonderly Trainor, Pilar Garcia-Vello and 6 more

Abstract readReview
In one paragraph

Review in The Lancet. Microbe, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. 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

16 authors.

Maurine MurtaghThe Murtagh Group, Woodside, CA, USA; Antimicrobial Resistance (AMR) Department, WHO, Geneva, Switzerland.
P Lewis WhitePublic Health Wales Microbiology, Cardiff, UK.
Juan Luis Rodriguez-TudelaGlobal Action for Fungal Infections, Geneva, Switzerland.
Ana Alastruey-IzquierdoMycology Reference Laboratory, National Centre for Microbiology, Instituto de Salud Carlos III, Madrid, Spain.
Sharon C-A ChenClinical Mycology Reference Laboratory, Centre for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead, NSW, Australia.
Philippe J DufresneMycology Reference Laboratory, Laboratoire de Santé Publique du Québec, Institut National de Santé Publique du Québec, Sainte-Anne-de-Bellevue, QC, Canada.
Beatriz L GómezTranslational Microbiology and Emerging Diseases Study Group (MICROS), School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia.
Guillermo Garcia-EffronLaboratorio de Micología y Diagnóstico Molecular, Facultad de Bioquímica y Ciencias Biológicas, Universidad Nacional de Litoral, Instituto de Salud y Ambiente Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Santa Fe, Argentina.
Betsy Wonderly TrainorCombating Antibiotic-Resistant Bacteria Biopharmaceutical Accelerator (CARB-X), Boston, MA, USA.
Pilar Garcia-VelloAntimicrobial Resistance (AMR) Department, WHO, Geneva, Switzerland.
Till T BachmannCentre for Inflammation Research Institute for Regeneration and Repair, University of Edinburgh, Edinburgh, UK.
Pascale OndoaThe Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland; Amsterdam Institute for Global Health and Development, Department of Global Health, University of Amsterdam, Amsterdam, Netherlands.
Daniel Marcano ZamoraAntimicrobial Resistance (AMR) Department, WHO, Geneva, Switzerland.
Tamarie RockeAntimicrobial Resistance (AMR) Department, WHO, Geneva, Switzerland.
Alexandra CameronAntimicrobial Resistance (AMR) Department, WHO, Geneva, Switzerland.
Valeria GiganteAntimicrobial Resistance (AMR) Department, WHO, Geneva, Switzerland. Electronic address: gigantev@who.int.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Invasive fungal diseases (IFDs) are a growing global health threat, particularly in low-income and middle-income countries (LMICs), where diagnostic capacity is limited. The emergence and spread of antifungal resistance further complicate clinical management. Despite the high burden of IFDs, diagnostic development for fungal pathogens has lagged compared with that for its bacterial and viral counterparts. In this Review, we synthesised findings from WHO's 2024 diagnostic landscape analysis of fungal priority pathogens. We discussed the availability, accessibility, and performance of the current diagnostic tools, including phenotypic, immunological, and molecular methods, and identified key gaps in LMICs. WHO's research and development priorities for diagnostics for LMICs are also presented herein. The assessment reveals that most diagnostic platforms for IFDs are culture dependent, infrastructure intensive, and inaccessible at primary and secondary health-care levels in LMICs. Non-culture-based methods, such as lateral flow immunoassays and molecular diagnostics, are promising, but remain restricted in scope, species coverage, and affordability. Multiplex platforms capable of simultaneous broad pathogen detection and antifungal resistance testing are scarce. WHO has identified priority areas for diagnostic innovation, including simplified lateral flow immunoassays, automated culture systems, and integrated molecular platforms suitable for use in LMICs. Addressing diagnostic gaps for IFDs requires targeted investment in simplified, rapid, and affordable diagnostic tools that can be deployed across multiple levels of health-care system. WHO's research and development priorities aim to guide diagnostic developers and public health stakeholders in accelerating innovation and improving access to fungal diagnostics, particularly in LMICs, to reduce IFD-related morbidity and mortality.

Indexed as

FungiInvasive Fungal InfectionsDeveloping CountriesDrug Resistance, FungalGlobal HealthHumansRapid Diagnostic TestsResearchResource-Limited Settings

Identifiers

PMID41747753
PMCPMC13197384

What Socratic 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 Socratic graph.