{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:44:08Z","timestamp":1787240648821,"version":"build-2736575974"},"reference-count":42,"publisher":"American Society for Microbiology","issue":"5","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"funder":[{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","award":["2025\/12147-3"],"award-info":[{"award-number":["2025\/12147-3"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["Antimicrob Agents Chemother"],"published-print":{"date-parts":[[2026,5,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>\n                      Sporotrichosis is a globally distributed subcutaneous mycosis caused mainly by\n                      <jats:italic toggle=\"yes\">Sporothrix brasiliensis<\/jats:italic>\n                      ,\n                      <jats:italic toggle=\"yes\">S. schenckii<\/jats:italic>\n                      , and\n                      <jats:italic toggle=\"yes\">S. globosa<\/jats:italic>\n                      . Cat-transmitted sporotrichosis, primarily caused by\n                      <jats:italic toggle=\"yes\">S. brasiliensis<\/jats:italic>\n                      in South America and to a lesser extent by\n                      <jats:italic toggle=\"yes\">S. schenckii<\/jats:italic>\n                      in Southeast Asia, is emerging as a substantial public health concern due to its outbreak potential. Itraconazole is the first-line drug for the treatment of humans and cats, but reduced susceptibility has been reported based on previously proposed epidemiological cut-off values (ECVs). To support resistance surveillance, we aimed to establish the Clinical and Laboratory Standards Institute (CLSI)-endorsed ECVs for these clinically relevant\n                      <jats:italic toggle=\"yes\">Sporothrix<\/jats:italic>\n                      species. A total of 3,504 minimum inhibitory concentration (MIC) values for six antifungal agents (amphotericin B, itraconazole, posaconazole, voriconazole, isavuconazole, and terbinafine) were obtained from 19 international laboratories. Four of seven antifungals met the CLSI M57 guidelines criteria to determine the ECV. Established ECVs for amphotericin B were found to be high, with 8 \u00b5g\/mL for\n                      <jats:italic toggle=\"yes\">S. brasiliensis<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">S. globosa<\/jats:italic>\n                      , and 4 \u00b5g\/mL for\n                      <jats:italic toggle=\"yes\">S. schenckii<\/jats:italic>\n                      . Itraconazole ECVs were 4 \u00b5g\/mL for\n                      <jats:italic toggle=\"yes\">S. brasiliensis<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">S. schenckii<\/jats:italic>\n                      . Posaconazole ECVs were 4 \u00b5g\/mL for all three species (tentative for\n                      <jats:italic toggle=\"yes\">S. globosa<\/jats:italic>\n                      ), while the terbinafine ECV for\n                      <jats:italic toggle=\"yes\">S. brasiliensis<\/jats:italic>\n                      was 0.12 \u00b5g\/mL. Overall, this study establishes validated ECVs for key antifungals against\n                      <jats:italic toggle=\"yes\">Sporothrix<\/jats:italic>\n                      species and identifies a low prevalence of non-wild-type (NWT) isolates (&lt;10% except for\n                      <jats:italic toggle=\"yes\">S. schenckii<\/jats:italic>\n                      and posaconazole), supporting ongoing antifungal resistance monitoring.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1128\/aac.01907-25","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T14:27:36Z","timestamp":1775485656000},"update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":2,"title":["Establishment of epidemiological cutoff values for clinically relevant\n                    <i>Sporothrix<\/i>\n                    species using CLSI-broth 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