Performance of the beta-glucan test for the diagnosis of invasive fusariosis and scedosporiosis: a meta-analysis.

Details

Serval ID
serval:BIB_898CA72EA941
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Performance of the beta-glucan test for the diagnosis of invasive fusariosis and scedosporiosis: a meta-analysis.
Journal
Medical mycology
Author(s)
Lamoth F., Nucci M., Fernandez-Cruz A., Azoulay E., Lanternier F., Bremerich J., Einsele H., Johnson E., Lehrnbecher T., Mercier T., Porto L., Verweij P.E., White L., Maertens J., Alanio A.
Working group(s)
9th European Conference on Infections in Leukemia (ECIL-9)
Contributor(s)
Aerts R., Akova M., Alanio A., Averbuch D., Blennow O., Bretagne S., Busca A., Calandra T., Cesaro S., Cordonnier C., De La Camara R., Garcia-Vidal C., Gil L., Groll A., Herbrecht R., Hirsch H., Hubacek P., Indolfi G., Kassa C., Lagrou K., Lamoth F., Lehrnbecher T., Ljungman P., Maertens J., Mallet V., Martino R., Mehra V., Mercier T., Mikulska M., Nucci M., Pagano L., Perruccio K., PiÑana J.L., Porto L., Robin C., Roilides E., Slavin M., Styczynski J., Tverdek F., Verweij P., Vissing N.H., White L., Xhaard A., Spychala O.Z.
ISSN
1460-2709 (Electronic)
ISSN-L
1369-3786
Publication state
Published
Issued date
06/07/2023
Peer-reviewed
Oui
Editor
Aerts R Akova M. Alanio A. Averbuch D. Blennow O. Bretagne S. Busca A. Calandra T. Cesaro S. Cordonnier C. De La Camara R. Garcia-Vidal C. Gil L. Groll A. Herbrecht R. Hirsch H. Hubacek P. Indolfi G. Kassa C. Lagrou K. Lamoth F. Lehrnbecher T. Ljungman P. Maertens J. Mallet V. Martino R. Mehra V. Mercier T. Mikulska M. Nucci M. Pagano L. Perruccio K. Pinana J. L. Porto L. Robin C. Roilides E. Slavin M. Styczynski J. Tverdek F. Verweij P. Vissing N. H. White L. Xhaard A. Spychala O. Z., th European Conference on Infections in Leukemia
Volume
61
Number
7
Language
english
Notes
Publication types: Systematic Review ; Meta-Analysis ; Journal Article
Publication Status: ppublish
Abstract
The (1→3)-β-D-glucan (BDG) is a component of the fungal cell wall that can be detected in serum and used as an adjunctive tool for the diagnosis of invasive mold infections (IMI) in patients with hematologic cancer or other immunosuppressive conditions. However, its use is limited by modest sensitivity/specificity, inability to differentiate between fungal pathogens, and lack of detection of mucormycosis. Data about BDG performance for other relevant IMI, such as invasive fusariosis (IF) and invasive scedosporiosis/lomentosporiosis (IS) are scarce. The objective of this study was to assess the sensitivity of BDG for the diagnosis of IF and IS through systematic literature review and meta-analysis. Immunosuppressed patients diagnosed with proven or probable IF and IS, with interpretable BDG data were eligible. A total of 73 IF and 27 IS cases were included. The sensitivity of BDG for IF and IS diagnosis was 76.7% and 81.5%, respectively. In comparison, the sensitivity of serum galactomannan for IF was 27%. Importantly, BDG positivity preceded the diagnosis by conventional methods (culture or histopathology) in 73% and 94% of IF and IS cases, respectively. Specificity was not assessed because of lacking data. In conclusion, BDG testing may be useful in patients with suspected IF or IS. Combining BDG and galactomannan testing may also help differentiating between the different types of IMI.
Keywords
Animals, Fusariosis/diagnosis, Fusariosis/veterinary, beta-Glucans, Invasive Fungal Infections/diagnosis, Invasive Fungal Infections/veterinary, Sensitivity and Specificity, Fusarium, Lomentospora prolificans, Scedosporium apiospermum, acute leukemia, beta-D-glucan, invasive fungal infections, transplant recipients
Pubmed
Web of science
Open Access
Yes
Create date
03/07/2023 16:27
Last modification date
01/12/2023 9:30
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