MycoBiomDB – Record Details (MyCo_1180)

Biomarker Record Details

Database ID: MyCo_1180
DB IDMyCo_1180
TitleMeasuring (1,3)-β-D-glucan in tracheal aspirate, bronchoalveolar lavage fluid, and serum for detection of suspected Candida pneumonia in immunocompromised and critically ill patients: a prospective observational study
Year2017
PMID28390391
Fungal Diseases involvedCandida pneumonia
Associated Medical ConditionImmunocompromised and critically ill patients
GenusCandida
Speciesspp.
OrganismCandida spp.
Ethical StatementThis study was approved by the institutional review board of Taipei Veterans General Hospital (IRB approval ID: 201011002IA) and signed informed consents were obtained from all participants.
Site of InfectionNone
Opportunistic invasiveNone
Sample typeBody fluid
Sample sourceTracheal aspirates
Host GroupHuman
Host Common nameHuman
Host Scientific nameHomo sapiens
Biomarker NameBDG
Biomarker Full Name1-3-beta-D-Glucan
Biomarker TypeDiagnostic
BiomoleculeProtein
Geographical LocationChina
CohortThis prospective, observational study was conducted at medical and surgical ICUs in a medical center, Taipei Vet-erans General Hospital, in Taiwan, from November 2010 to October 2011. After screening 166 patients, 31 patients completed the study and were categorized into non-Candida pneumonia/non-candidemia (n = 18), suspected Candida pneumonia (n = 9), and non-Candida pneumonia/candidemia groups (n = 4).
Cohort No.166
Age GroupNone
P ValueNone
SensitivityNone
SpecificityNone
Positive Predictive ValueNone
MICNone
Fold ChangeNone
PathwayNone
Disease Introduction MechanismCandida pneumonia (CP) is life-threatening and has been associated with a high attributable mortality . However, the definitive diagnosis is rarely established before over- whelming sepsis or death. Conventionally, a lung biopsy has been proposed to confirm CP, but the procedure is too risky for patients in intensive care units (ICUs) because of the high prevalence of thrombocytopenia and coagulopa-thy. Growth of respiratory Candida spp. in immuno- compromised, cancer-afflicted, and critically ill patients is frequently found, but it is usually considered colonization rather than CP. Indeed, growth of respiratory Candida spp. lacks specificity to diagnose CP, and adds little value to optimizing CP management.
TechniqueAssay
Analysis MethodGlucatell kit (Associates of Cape Cod, Inc., Falmouth, MA, USA)
ELISA kitsGlucatell kit (Associates of Cape Cod, Inc., Falmouth, MA, USA)
Assay DataNone
Validation Techniques usedBDG-Glucatell kit assay
Up Regulation Down RegulationIncrease
Sequence DataNone
External LinkNone