{
  "abstract": "Background: Surveillance for serious fungal diseases (SFDs) relies on the capacity to recognize them and request and accurately perform diagnostic investigations. However, knowledge in resource-limited settings is suboptimal. This study evaluated the impact of a training intervention on the diagnosis and management of SFDs among clinicians and laboratory scientists in Nigerian tertiary hospitals. Methods: Clinicians in 6 hospitals were purposively selected and trained in 6 SFDs using standardized modules developed by international medical mycology experts. A quasi-experimental design assessed performance using a pretest and posttest. Designated laboratory scientists received hands-on training with pretraining and posttraining assessments. Paired t tests were used to assess differences in mean scores. An impact assessment of the laboratory mycology records was performed 1 year after intervention using analysis of variance. Results: A total of 149 clinicians and 8 laboratory scientists participated. Mean performance scores of participants improved significantly after training, with the following percentage increases: invasive aspergillosis (25.4%), chronic pulmonary aspergillosis (13.0%), invasive candidiasis (23.8%), Pneumocystis pneumonia (22.6%), mucormycosis (29.5%), and histoplasmosis (20.6%) (all P < .001). There was also a significant improvement in the laboratory scientists' posttraining performance (59.1%; P < .001). The laboratory mycology records reviewed 1 year later indicated a significant increase in the number of samples sent to the laboratory for mycological testing (P < .001) and the number and distribution of fungal isolates identified (P < .001). Conclusions: Training significantly improved SFD diagnosis and enhanced surveillance and patient care. Expanding this model across other low-resource settings is recommended.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 17,
  "authors": [
    {
      "name": "Rita O Oladele"
    },
    {
      "name": "Damilola Akinlawon"
    },
    {
      "name": "Alexander Jordan"
    },
    {
      "name": "Iriagbonse I Osaigbovo"
    },
    {
      "name": "Olufunmilola Makanjuola"
    },
    {
      "name": "Ubong A Udoh"
    },
    {
      "name": "Philip Nwajiobi-Princewill"
    },
    {
      "name": "Yahaya Mohammed"
    },
    {
      "name": "Folake Peters"
    },
    {
      "name": "Tochi Okwor"
    },
    {
      "name": "Akin Osibogun"
    },
    {
      "name": "Folasade Ogunsola"
    },
    {
      "name": "Martin Hoenigl"
    },
    {
      "name": "Jean-Pierre Gangneux"
    },
    {
      "name": "Shawn Lockhart"
    },
    {
      "name": "Tom Chiller"
    },
    {
      "name": "Nancy A. Chow"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/c4k0xf58qv3k7.bib",
  "cited_by": 0,
  "doi": "10.1093/ofid/ofag442",
  "fulltext_url": null,
  "id": "c4k0xf58qv3k7",
  "issns": [
    "2328-8957",
    "2328-8957"
  ],
  "landing_url": "https://hal.science/hal-05747214v1",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "hal",
      "0.sdv"
    ],
    [
      "openalex",
      "2725|Antifungal resistance and susceptibility"
    ]
  ],
  "openalex": "W7171698896",
  "pdf_url": "https://hal.science/hal-05747214/document",
  "pmcid": null,
  "pmid": "42558940",
  "published": "2026-09-14",
  "publisher": "Oxford University Press",
  "ris": "https://research.draconitic.com/paper/c4k0xf58qv3k7.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:34Z",
      "native_id": "hal-05747214",
      "source": "hal",
      "url": "https://hal.science/hal-05747214v1"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2725|Antifungal resistance and susceptibility",
      "subfield": "infectious-disease"
    }
  ],
  "title": "Serious Fungal Diseases: Assessing the Impact of Training Clinicians and Laboratory Scientists in Nigeria",
  "title_text": "Serious Fungal Diseases: Assessing the Impact of Training Clinicians and Laboratory Scientists in Nigeria",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:17:34Z",
  "url": "https://research.draconitic.com/paper/c4k0xf58qv3k7",
  "venue": "Open Forum Infectious Diseases",
  "versions": []
}