Ground-breaking work by university experts in Tennessee, Texas and Swansea University is helping develop a better understanding of the growing threat posed by antifungal drug resistance.
Invasive aspergillosis is a devastating disease caused by breathing in small airborne spores of the fungus Aspergillus fumigatus and it is a condition where drug resistance has been encountered.
In a healthy person these spores are destroyed by the body's immune system but in those with a weakened immune system -- such as following organ transplantation or in someone with a lung condition such as asthma or cystic fibrosis -- they can trigger a range of problems including infections.
Every year aspergillosis leads to more than 200,000 life-threatening infections and increasingly resistance to vital antifungal drug treatments makes those infections harder to treat.
National Institutes of Health funding supported a collaboration between the University of Tennessee, the University of Texas and Swansea University as part of a $2 million, five-year research program. This support enabled investigation of resistance to the triazole class of antifungal drugs used for treating the disease
A new paper, published in the American Microbiology Society journal mBio, reveals how researchers have been able to identify a previously uncharacterised genetic mutation in clinical isolates that leads to resistance.
Professor Jarrod Fortwendel, from the University of Tennessee, said, "As with bacteria, antifungal drug resistance is a real challenge facing medicine. Understanding how the fungus becomes drug resistant is important for designing changes in therapy to overcome aspergillosis."
Professor Dave Rogers, also from the University of Tennessee, added, "It is very important that the research continues and we find out more about why it is happening and how we can tackle it for the future."
Swansea University's professor Steve Kelly, whose experience researching the field of antifungal resistance dates back to 1984, described the findings as a real breakthrough. "This paper is the result of a lot of hard work and we are delighted to now be able to publish our findings."
Source: Swansea University
I Was There: An Infection Preventionist on the COVID-19 Pandemic
April 30th 2025Deep feelings run strong about the COVID-19 pandemic, and some beautiful art has come out of those emotions. Infection Control Today is proud to share this poem by Carmen Duke, MPH, CIC, in response to a recent article by Heather Stoltzfus, MPH, RN, CIC.
From the Derby to the Decontam Room: Leadership Lessons for Sterile Processing
April 27th 2025Elizabeth (Betty) Casey, MSN, RN, CNOR, CRCST, CHL, is the SVP of Operations and Chief Nursing Officer at Surgical Solutions in Overland, Kansas. This SPD leader reframes preparation, unpredictability, and teamwork by comparing surgical services to the Kentucky Derby to reenergize sterile processing professionals and inspire systemic change.
Show, Tell, Teach: Elevating EVS Training Through Cognitive Science and Performance Coaching
April 25th 2025Training EVS workers for hygiene excellence demands more than manuals—it requires active engagement, motor skills coaching, and teach-back techniques to reduce HAIs and improve patient outcomes.