Evidence map›Paper›PMID 24740084›Full record

ArticleJournal of clinical microbiology2014

Use and limits of (1-3)-β-d-glucan assay (Fungitell), compared to galactomannan determination (Platelia Aspergillus), for diagnosis of invasive aspergillosis.

Annie Sulahian, Raphael Porcher, Anne Bergeron, Sophie Touratier, Emmanuel Raffoux, Jean Menotti, Francis Derouin, Patricia Ribaud

Open access · bronzeAbstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 4 pooled it
8.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 4 syntheses or guidelines pooled it, 122 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Practice Guidelines for the Diagnosis and Management of Aspergillosis: 2016 Update by the Infectious Diseases Society of America.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    Guideline
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. An observational cohort study of bronchoalveolar lavage fluid galactomannan andmedRxiv : the preprint server for health sciences · 2024
    Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Two Monoclonal Antibodies That Specifically RecognizeInternational journal of molecular sciences · 2021
    Article
  18. Article
  19. Fungal Infections in Liver Transplant Recipients.Journal of fungi (Basel, Switzerland) · 2021
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Annie SulahianLaboratoire de Parasitologie-Mycologie, Université Paris Diderot, Sorbonne Paris-Cité, AP-HP Hôpital Saint-Louis, Paris, France annie.sulahian@orange.fr.
Raphael PorcherDépartement de Biostatistique et d'Informatique Médicale, Université Paris Diderot, Sorbonne Paris-Cité, AP-HP Hôpital Saint-Louis, Paris, France.
Anne BergeronService de Pneumologie, Université Paris Diderot, Sorbonne Paris-Cité, AP-HP Hôpital Saint-Louis, Paris, France.
Sophie TouratierPharmacie, AP-HP Hôpital Saint-Louis, Paris, France.
Emmanuel RaffouxService des Maladies du Sang, AP-HP Hôpital Saint-Louis, Paris, France.
Jean MenottiLaboratoire de Parasitologie-Mycologie, Université Paris Diderot, Sorbonne Paris-Cité, AP-HP Hôpital Saint-Louis, Paris, France.
Francis DerouinLaboratoire de Parasitologie-Mycologie, Université Paris Diderot, Sorbonne Paris-Cité, AP-HP Hôpital Saint-Louis, Paris, France.
Patricia RibaudService d'Hématologie-Greffe de Moelle, Université Paris Diderot, Sorbonne Paris-Cité, AP-HP Hôpital Saint-Louis, Paris, France.
Assistance Publique – Hôpitaux de Paris · FRDélégation Paris 7 · FRSorbonne Paris Cité · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study was undertaken to examine the performance of the Fungitell β-glucan (BG) assay, to compare it with that of the galactomannan (GM) test for the diagnosis of invasive aspergillosis (IA) in patients with hematological malignancies, and to examine the rates of false-positive BG and GM test results due to β-lactam antibiotics among sera of patients with Gram-positive or Gram-negative bacteremia and selected sera with false-positive results from the GM test. Serum samples from 105 patients with proven (n = 14) or probable (n = 91) IA, 97 hematology patients at risk for invasive fungal infections, 50 healthy blood donors, and 60 patients with bacteremia were used to study the sensitivities and specificities of the assays. The GM test was more specific than the BG assay (97% versus 82%, respectively; P = 0.0001) and the BG assay was more sensitive than the GM test (81% versus 49%, respectively; P < 0.0001) for IA diagnosis. The study of 49 separate batches of β-lactam antibiotics showed high and very similar rates of false-positive results for the GM and BG assays (29 and 33%, respectively; P = 0.82) but with an almost complete lack of concordance between the 2 assays. For patients with bacteremia, the rate of false-positive results was much higher with the BG test than with the GM test (37% versus 2%, respectively; P < 0.0001), with no significant difference between Gram-positive and Gram-negative bacteremia. In conclusion, the BG test may be useful for the diagnosis of IA because of its high sensitivity in comparison with the GM test, but the overall benefit of this assay remains limited because of its inadequate specificity and its cost.

Indexed as

Anti-Bacterial AgentsAntigens, Fungalbeta-Glucansbeta-LactamsFalse Positive ReactionsGalactoseHematologic NeoplasmsHumansInvasive Pulmonary AspergillosisMannansProteoglycansSensitivity and SpecificitySerumAnti-Bacterial AgentsAntigens, Fungalbeta-Glucansbeta-LactamsgalactomannanGalactoseMannanspolysaccharide-KProteoglycans

Identifiers

PMID24740084
PMCPMC4097729
OpenAlexW2089557651

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.