Multicenter validation of a galactomannan chemiluminescence immunoassay for the diagnosis of pulmonary aspergillosis on serum of patients with hematological disease.

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Tác giả: Robina Aerts, Jerina Boelens, Jochem B Buil, Ga-Lai M Chong, Sammy Huygens, Katrien Lagrou, Hanne Lamberink, Diana Langerak, Johan Maertens, Ine Moors, Marijke Reynders, Bart J A Rijnders, Alexander Schauwvlieghe, Karin van Dijk, Mireille van Westreenen, Paul E Verweij

Ngôn ngữ: eng

Ký hiệu phân loại: 959.3031 *Thailand

Thông tin xuất bản: United States : Journal of clinical microbiology , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 284485

An accurate diagnosis of invasive aspergillosis (IA) in patients with underlying hematological malignancies relies heavily on galactomannan detection. In this study, we compared the VirCLIA chemiluminescence immunoassay (CLIA) with the frequently used Platelia enzyme-linked immunosorbent assay (ELISA) on serum from hematology patients with suspected IA. Patients were categorized according to EORTC/MSGERC 2020 definitions into proven/probable IA and possible/no IA. The first cohort included 161 patients at four centers, and the VirCLIA manufacturer's cutoff of 0.200 was evaluated. Next, the optimal cutoff was determined using the Youden's index. In a second independent cohort of 189 patients from four centers, this optimal cutoff was evaluated again. In the first cohort, sensitivities and specificities for probable/proven IA were 21.1% and 100.0% for ELISA (1.0 cutoff) and 36.6% and 95.6% (0.5 cutoff), compared to 11.3% and 97.8% for CLIA (0.200 cutoff). In the second cohort, the sensitivities of ELISA and CLIA were comparable (ELISA ≥ 1.0: 33.3%, CLIA ≥ 0.200: 38.1%). The area under the ROC curve was lower for CLIA than for ELISA in the first cohort (65.0% vs 78.7%,
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