Serious fungal diseases: Assessing the impact of training clinicians and laboratory scientists in Nigeria
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2026
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Abstract
Abstract Background Surveillance for serious fungal diseases (SFDs) relies on the capacity to recognize, request and accurately perform diagnostic investigations. However, knowledge in resource-limited settings is sub-optimal. This study evaluated the impact of a training intervention on the diagnosis and management of SFDs amongst clinicians and laboratory scientists in Nigerian tertiary hospitals. Methods Clinicians in six hospitals were purposively selected and trained on six 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 pre- and post-training assessments. Paired t-test assessed differences in mean scores. Impact assessment of the laboratory mycology records was performed one-year post-intervention using ANOVA. Results A total of 149 clinicians and eight laboratory scientists participated. Mean performance scores of participants improved significantly after training, with the following percentage increases: invasive aspergillosis (25.4%, p < 0.001), chronic pulmonary aspergillosis (13.0%, p < 0.001), invasive candidiasis (23.8%, p < 0.001), Pneumocystis pneumonia (22.6%, p < 0.001), mucormycosis (29.5%, p < 0.001) and histoplasmosis (20.6%, p < 0.001). There was also a significant improvement in the laboratory scientists’ post training performance (59.1%, p < 0.001). The laboratory mycology records reviewed one year later indicated a significant increase in the number of samples sent to the laboratory for mycologic testing (p < 0.001) and number and distribution of fungal isolates identified (p < 0.001). Conclusion Training significantly improved SFD diagnosis, enhanced surveillance and patient care. Expanding this model across other low-resource settings is recommended.
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openalex_W7171698896
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| Authors | Rita Oladele, Damilola Akinlawon, Alexander Jordan, Iriagbonse I. Osaigbovo, Olufunmilola Makanjuola, Ubong Udoh, Philip I. P. Princewill-Nwajiobi, Yahaya Mohammed, Folake Peters, Tochi Okwor, Akin Osibogun, Folasade Ogunsola, Martin Hoenigl, Jean‐Pierre Gangneux, Shawn R. Lockhart, Tom Chiller, Nancy Chow |
| Journal | Open forum infectious diseases |
| Year | 2026 |
| DOI |
10.1093/ofid/ofag442
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| URL | |
| Keywords | Keywords not found |
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