Clinical application of Aspergillus lateral flow device in bronchoalveolar lavage fluid of patients with classic risk factors for invasive pulmonary aspergillosis Article Swipe
Kathleen A. Linder
,
Carol A. Kauffman
,
Shiwei Zhou
,
Marisa H. Miceli
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1111/myc.13012
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1111/myc.13012
Summary Background The diagnosis of invasive pulmonary aspergillosis (IPA) remains challenging. We evaluated the performance characteristics of a newly formatted Aspergillus lateral flow test, Asp LFD, in bronchoalveolar lavage (BAL) fluid from patients with classic risk factors for IPA. Methods Prospectively banked BAL samples from 14 patients with proven or probable IPA defined by EORTC/MSG criteria and 28 BAL samples from age‐matched high‐risk patients without IPA were tested with Asp LFD according to manufacturer's directions. Results were read by two independent observers, and test performance was calculated. Results Age, gender and underlying risk factors, except for neutropenia and haematological malignancy, were similar between IPA cases and controls. Seven patients (50%) in the IPA group received a mould‐active agent within 5 days prior to bronchoscopy compared with only three patients (11%) in the control group, P = .004. Of 14 patients with proven/probable IPA, Asp LFD was positive in 3 and negative in 9; two tests yielded invalid results. All 28 control patients had a negative Asp LFD test. Asp LFD showed low sensitivity (25%, 95% CI: 5.5% to 57.2%), but high specificity (100%. (95% CI: 87.7% to 100%). Conclusions A positive Asp LFD test in BAL fluid of patients with classic risk factors for IPA could be useful to support the diagnosis of proven/probable IPA because of its high specificity. However, as a stand‐alone test for IPA, the use of Asp LFD is limited by low sensitivity.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/myc.13012
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/myc.13012
- OA Status
- bronze
- Cited By
- 9
- References
- 27
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2978961249
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2978961249Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/myc.13012Digital Object Identifier
- Title
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Clinical application of Aspergillus lateral flow device in bronchoalveolar lavage fluid of patients with classic risk factors for invasive pulmonary aspergillosisWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2019Year of publication
- Publication date
-
2019-10-03Full publication date if available
- Authors
-
Kathleen A. Linder, Carol A. Kauffman, Shiwei Zhou, Marisa H. MiceliList of authors in order
- Landing page
-
https://doi.org/10.1111/myc.13012Publisher landing page
- PDF URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/myc.13012Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/myc.13012Direct OA link when available
- Concepts
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Bronchoalveolar lavage, Medicine, Aspergillosis, Bronchoscopy, Internal medicine, Neutropenia, Malignancy, Gastroenterology, Aspergillus, Surgery, Lung, Immunology, Microbiology, Biology, ChemotherapyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
9Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1, 2024: 1, 2023: 1, 2022: 2, 2021: 1Per-year citation counts (last 5 years)
- References (count)
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27Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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