MycoBiomDB – Record Details (MyCo_1578)

Biomarker Record Details

Database ID: MyCo_1578
DB IDMyCo_1578
TitleProspective monitoring for invasive aspergillosis using galactomannan and polymerase chain reaction in high risk pediatric patients
Year2009
PMID19855303
Fungal Diseases involvedInvasive aspergillosis
Associated Medical ConditionHigh-risk leukemia (HRL) / Allogenic hematopoietic cell transplant (HCT)
GenusAspergillus
Speciesfumigatus
OrganismAspergillus fumigatus
Ethical StatementThe Committee on Clinical Investigations at CHLA (Institutional Review Board) approved the conduct of this study (Institute of Children’s Hospital, Los Angeles).
Site of InfectionNone
Opportunistic invasiveOpportunistic
Sample typeBody fluid
Sample sourceSerum
Host GroupHuman
Host Common nameHuman
Host Scientific nameHomo sapiens
Biomarker NameGM
Biomarker Full NameGalactomann
Biomarker TypeDiagnostic
BiomoleculeProtein
Geographical LocationCalifornia, Los Angeles
CohortThe study population was comprised of consecutive patients treated at Children’s Hospital Los Angeles (CHLS) between March 2006 and July 2007 and deemed to be at increased risk of developing IA secondary to expected prolonged neutropenia>10 days, steroid use (>2 wk) and/ or allogenic hematopoietic stem cell transplantation. There were 69 patients enrolled on study. All except one had at least 2 GM specimens collected during the study period.
Cohort No.69
Age GroupNone
P ValueNone
Sensitivity0.657
Specificity0.872
Positive Predictive ValueNone
MICNone
Fold ChangeNone
PathwayNone
Disease Introduction MechanismInvasive aspergillosis (IA) infections continue to have a high morbidity and mortality in immunocompromised populations.1–4 Outcomes are improved when IA is diagnosed early, prompting the initiation of appropriate antifungal therapy.5–8 However, early diagnosis is hampered by nonspecific findings, rarity of positive blood cultures, and concerns about potential morbidity from invasive procedures, which are often necessary to establish tissue diagnosis.
TechniqueELISA
Analysis MethodELISA Based
ELISA kitsGM ELISA Kit (Platelia Aspergillus EIA; BioRad Laboratories), QIAamp DNA Blood Mini Kit (Qiagen)
Assay DataNone
Validation Techniques usedELISA, PCR
Up Regulation Down RegulationNone
Sequence DataNone
External LinkNone