Abstract

The recent rate of emergence of pathogenic fungi that are resistant to the limited number of commonly used antifungal agents is unprecedented. The azoles, for example, are used not only for human and animal health care and crop protection but also in antifouling coatings and timber preservation. The ubiquity and multiple uses of azoles have hastened the independent evolution of resistance in many environments. One consequence is an increasing risk in human health care from naturally occurring opportunistic fungal pathogens that have acquired resistance to this broad class of chemicals. To avoid a global collapse in our ability to control fungal infections and to avoid critical failures in medicine and food security, we must improve our stewardship of extant chemicals, promote new antifungal discovery, and leverage emerging technologies for alternative solutions.

Keywords

AntifungalHuman healthStewardship (theology)Extant taxonLeverage (statistics)BiotechnologyBusinessBiologyFood securityResistance (ecology)Risk analysis (engineering)MedicineEnvironmental healthMicrobiologyEcologyAgricultureComputer sciencePolitical science

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Publication Info

Year
2018
Type
review
Volume
360
Issue
6390
Pages
739-742
Citations
1395
Access
Closed

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Matthew C. Fisher, Nichola J. Hawkins, Dominique Sanglard et al. (2018). Worldwide emergence of resistance to antifungal drugs challenges human health and food security. Science , 360 (6390) , 739-742. https://doi.org/10.1126/science.aap7999

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DOI
10.1126/science.aap7999