n.b. Down votes are not mine
Azoles (and other antifungals) are indeed still used in the US and there is documented azole resistance in important opportunistic fungal pathogens such as Aspergillus in the US:
• Celia-Sanchez BN, Mangum B, Gómez Londoño LF, Wang C, Shuman B, Brewer MT, Momany M. Pan-azole- and multi-fungicide-resistant Aspergillus fumigatus is widespread in the United States. Appl Environ Microbiol. 2024 Apr 17;90(4):e0178223. doi: 10.1128/aem.01782-23. Epub 2024 Apr 1. PMID: 38557086; PMCID: PMC11022549. -- https://pmc.ncbi.nlm.nih.gov/articles/PMC11022549/
Table 1 in this paper gives estimated azole use in various countries. US is lower than many European nations but still nowhere near zero.
• Burks C, Darby A, Gómez Londoño L, Momany M, Brewer MT. Azole-resistant Aspergillus fumigatus in the environment: Identifying key reservoirs and hotspots of antifungal resistance. PLoS Pathog. 2021 Jul 29;17(7):e1009711. doi: 10.1371/journal.ppat.1009711. PMID: 34324607; PMCID: PMC8321103. -- https://pmc.ncbi.nlm.nih.gov/articles/PMC8321103/