About: Galactomannan detection in bronchoalveolar lavage fluid for the diagnosis of invasive aspergillosis in patients with hematological deseases-the role of factors affecting assay performance     Goto   Sponge   NotDistinct   Permalink

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  • We evaluated the performance of a galactomannan (GM) assay in bronchoalveolar lavage (BAL) fluid compared to serum samples for the diagnosis of invasive pulmonary aspergillosis (IPA) in patients with hematological diseases. Results: Twenty-eight cases of IPA (11%) were diagnosed. The highest sensitivity (78.6%) with good specificity (98.6%) was obtained with a triple detection of GM in bronchial, alveolar, and serum samples. Neutropenia and antifungal therapy for only 24 h increased the sensitivity, while antifungal treatment for more than 2 days decreased assay performance.Conclusions: In contrast to recently published data, we found only moderate sensitivity, but high specificity and high positive predictive value of the detection of GM in BAL fluid.
  • We evaluated the performance of a galactomannan (GM) assay in bronchoalveolar lavage (BAL) fluid compared to serum samples for the diagnosis of invasive pulmonary aspergillosis (IPA) in patients with hematological diseases. Results: Twenty-eight cases of IPA (11%) were diagnosed. The highest sensitivity (78.6%) with good specificity (98.6%) was obtained with a triple detection of GM in bronchial, alveolar, and serum samples. Neutropenia and antifungal therapy for only 24 h increased the sensitivity, while antifungal treatment for more than 2 days decreased assay performance.Conclusions: In contrast to recently published data, we found only moderate sensitivity, but high specificity and high positive predictive value of the detection of GM in BAL fluid. (en)
Title
  • Galactomannan detection in bronchoalveolar lavage fluid for the diagnosis of invasive aspergillosis in patients with hematological deseases-the role of factors affecting assay performance
  • Galactomannan detection in bronchoalveolar lavage fluid for the diagnosis of invasive aspergillosis in patients with hematological deseases-the role of factors affecting assay performance (en)
skos:prefLabel
  • Galactomannan detection in bronchoalveolar lavage fluid for the diagnosis of invasive aspergillosis in patients with hematological deseases-the role of factors affecting assay performance
  • Galactomannan detection in bronchoalveolar lavage fluid for the diagnosis of invasive aspergillosis in patients with hematological deseases-the role of factors affecting assay performance (en)
skos:notation
  • RIV/65269705:_____/11:#0001225!RIV12-MZ0-65269705
http://linked.open...avai/riv/aktivita
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  • I, P(NS10441), P(NS10442)
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  • 12
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  • 200779
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  • RIV/65269705:_____/11:#0001225
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  • hematological malignancy (en)
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  • GB - Spojené království Velké Británie a Severního Irska
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  • [9764573F913C]
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  • International Journal of Infectious Diseases
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  • 15
http://linked.open...iv/tvurceVysledku
  • Lengerová, Martina
  • Mayer, Jiří
  • Ráčil, Zdeněk
  • Skřičková, Jana
  • Tošková, Martina
  • Volfová, Pavlína
  • Kocmanová, Iva
  • Hrnčířová, Kristýna
  • Rolencová, Monika
  • Weinbergerová, Barbora
  • Winterová, Jana
http://linked.open...ain/vavai/riv/wos
  • 000298114700014
issn
  • 1201-9712
number of pages
http://bibframe.org/vocab/doi
  • 10.1016/j.ijid.2011.09.011
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