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For resistance risk assessment and sourcing the origin of\n                        <jats:styled-content style=\"fixed-case\">DMI<\/jats:styled-content>\n                        resistance, the primary exposure events of\n                        <jats:italic>A.\u2009fumigatus<\/jats:italic>\n                        with\n                        <jats:styled-content style=\"fixed-case\">DMI<\/jats:styled-content>\n                        treatments have been analysed case by case, resulting in the pathogen exposure risk (\n                        <jats:styled-content style=\"fixed-case\">PER<\/jats:styled-content>\n                        )\n                      <\/jats:bold>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      <jats:bold>\n                        The calculated maximum exposure concentrations (\n                        <jats:styled-content style=\"fixed-case\">MEC<\/jats:styled-content>\n                        ) are highest during medical treatments (human and veterinary), certain fruit and seed treatments and wood preservation, and are much lower for crop protection applications. Most agricultural\n                        <jats:styled-content style=\"fixed-case\">DMIs<\/jats:styled-content>\n                        are intrinsically\u2009\u223c\u200910\u2013100 times less active than medical\n                        <jats:styled-content style=\"fixed-case\">DMIs<\/jats:styled-content>\n                        for\n                        <jats:italic>A.\u2009fumigatus<\/jats:italic>\n                        control and potential resistance selection. However, imazalil is used in agriculture and veterinary medicine (as enilconazole) expressing strong intrinsic activity against\n                        <jats:italic>A.\u2009fumigatus<\/jats:italic>\n                        . The majority of mutations in the target gene,\n                        <jats:italic>cyp51<\/jats:italic>\n                        , of\n                        <jats:styled-content style=\"fixed-case\">DMI<\/jats:styled-content>\n                        \u2010resistant isolates are different in\n                        <jats:italic>A.\u2009fumigatus<\/jats:italic>\n                        (e.g.\n                        <jats:styled-content style=\"fixed-case\">TR<\/jats:styled-content>\n                        <jats:sub>34<\/jats:sub>\n                        \/\n                        <jats:styled-content style=\"fixed-case\">L98H<\/jats:styled-content>\n                        ) in comparison with plant pathogens (e.g.\n                        <jats:styled-content style=\"fixed-case\">A379G<\/jats:styled-content>\n                        ,\n                        <jats:styled-content style=\"fixed-case\">I381V<\/jats:styled-content>\n                        )\n                      <\/jats:bold>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>\n                      <jats:bold>\n                        The assumed selection risk,\n                        <jats:styled-content style=\"fixed-case\">ASR<\/jats:styled-content>\n                        (\n                        <jats:styled-content style=\"fixed-case\">MEC<\/jats:styled-content>\n                        \u2009\u00d7\u2009\n                        <jats:styled-content style=\"fixed-case\">PER<\/jats:styled-content>\n                        ) for resistance evolution to\n                        <jats:styled-content style=\"fixed-case\">DMIs<\/jats:styled-content>\n                        in\n                        <jats:italic>A.\u2009fumigatus<\/jats:italic>\n                        is estimated to be highest for human and veterinary applications. However, environmental origin of\n                        <jats:styled-content style=\"fixed-case\">DMI<\/jats:styled-content>\n                        \u2010resistant spores from certain sites cannot be ruled out. \u00a9 2013 Society of Chemical Industry\n                      <\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ps.3664","type":"journal-article","created":{"date-parts":[[2013,10,11]],"date-time":"2013-10-11T22:41:59Z","timestamp":1381531319000},"page":"352-364","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":77,"title":["Assessment of selection and resistance risk for demethylation inhibitor fungicides in\n                    <i>Aspergillus\u2009fumigatus<\/i>\n                    in agriculture and medicine: a critical review"],"prefix":"10.1002","volume":"70","author":[{"given":"Ulrich","family":"Gisi","sequence":"first","affiliation":[{"name":"Institute of Botany University of Basel Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,11,5]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Compendium of Soil Fungi","author":"Domsch KH","year":"1980"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00055-08"},{"key":"e_1_2_10_4_1","unstructured":"SchmidtS http:\/\/www.allum.de\/stoffe\u2010und\u2010ausloeser\/schimmelpilze\/schimmelpilzbelastung\u2010der\u2010aussenluft\u2010und\u2010im\u2010innenraum(2012)."},{"issue":"2","key":"e_1_2_10_5_1","first-page":"92","article-title":"New RKI\u2010KRINKO recommendation for immuno\u2010compromised patients: grading of immunosuppression, hospital ventilation requirements and infection prevention in the domestic environment","volume":"15","author":"Engelhart S","year":"2010","journal-title":"Umweltmed Forsch Prax"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/13693780600779419"},{"key":"e_1_2_10_7_1","unstructured":"ScheerC Nachweis vonAspergillus\u2010fumigatus\u2010Infektionen aus dem Respirationstrakt mittels TaqMan\u2010PCR.Dissertation Medizinische Fakult\u00e4t der Charit\u00e9\u2010Universit\u00e4t Berlin(2006) (in German)."},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-006-5660-0"},{"key":"e_1_2_10_9_1","first-page":"1","article-title":"Noninvasive intranasal infusion of enilconazole in dogs with nasal Aspergillosis. 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