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Clinical application of Aspergillus lateral flow device in bronchoalveolar lavage fluid of patients with classic risk factors for invasive pulmonary aspergillosis
Author(s) -
Linder Kathleen A.,
Kauffman Carol A.,
Zhou Shiwei,
Miceli Marisa H.
Publication year - 2019
Publication title -
mycoses
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.13
H-Index - 69
eISSN - 1439-0507
pISSN - 0933-7407
DOI - 10.1111/myc.13012
Subject(s) - bronchoalveolar lavage , medicine , aspergillosis , bronchoscopy , neutropenia , malignancy , gastroenterology , aspergillus , surgery , lung , immunology , microbiology and biotechnology , biology , chemotherapy
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.