Evidence map›Paper›PMID 29972764›Full record

ArticleThe Journal of infection2018

Diagnosis of invasive aspergillosis in hematological malignancy patients: Performance of cytokines, Asp LFD, and Aspergillus PCR in same day blood and bronchoalveolar lavage samples.

Sven Heldt, Juergen Prattes, Susanne Eigl, Birgit Spiess, Holger Flick, Jasmin Rabensteiner, Gemma Johnson, Florian Prüller, Albert Wölfler, Tobias Niedrist and 6 more

Abstract readEvaluation Study
In one paragraph

Article in The Journal of infection, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 3 pooled it
8.4field-weighted citation impact, top 1% 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

63 citing papers in PubMed, 3 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
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  11. Recent developments inMicrobiology and molecular biology reviews : MMBR · 2025
    Review
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  17. Frontiers in cellular and infection microbiology · 2024
    Article
  18. Article
  19. Review
  20. Article

3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 2 institutions in 3 countries.

Sven HeldtDivision of Pulmonology, Medical University of Graz, Graz, Austria; Section of Infectious Diseases and Tropical Medicine, Department of Medicine, Medical University of Graz, 8036 Graz, Austria.
Juergen PrattesSection of Infectious Diseases and Tropical Medicine, Department of Medicine, Medical University of Graz, 8036 Graz, Austria; CBmed - Center for Biomarker Research in Medicine, Graz, Austria.
Susanne EiglDivision of Pulmonology, Medical University of Graz, Graz, Austria.
Birgit SpiessDepartment of Hematology and Oncology, Mannheim University Hospital, Heidelberg University, Mannheim, Germany.
Holger FlickDivision of Pulmonology, Medical University of Graz, Graz, Austria.
Jasmin RabensteinerClinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria.
Gemma JohnsonOLM Diagnostics, Newcastle-upon-Tyne, United Kingdom.
Florian PrüllerClinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria.
Albert WölflerCBmed - Center for Biomarker Research in Medicine, Graz, Austria; Division of Hematology, Medical University of Graz, Graz, Austria.
Tobias NiedristClinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria.
Tobias BochDepartment of Hematology and Oncology, Mannheim University Hospital, Heidelberg University, Mannheim, Germany.
Peter NeumeisterDivision of Hematology, Medical University of Graz, Graz, Austria.
Heimo StrohmaierCenter for Medical Research, Medical University of Graz, Graz, Austria.
Robert KrauseSection of Infectious Diseases and Tropical Medicine, Department of Medicine, Medical University of Graz, 8036 Graz, Austria; CBmed - Center for Biomarker Research in Medicine, Graz, Austria.
Dieter BuchheidtDepartment of Hematology and Oncology, Mannheim University Hospital, Heidelberg University, Mannheim, Germany.
Martin HoeniglDivision of Pulmonology, Medical University of Graz, Graz, Austria; Section of Infectious Diseases and Tropical Medicine, Department of Medicine, Medical University of Graz, 8036 Graz, Austria; CBmed - Center for Biomarker Research in Medicine, Graz, Austria; Division of Infectious Diseases, Department of Medicine, University of California San Diego, San Diego, CA 92103, USA. Electronic address: martin.hoenigl@medunigraz.at.
Medical University of Graz · ATHeidelberg University · DE

Funding

VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Maile Ann Young Karris · 1994 to 2026
$78.4M
STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DAVID J MOORE · 2001 to 2026
$50.4M
Primary Infection Resource Consortium (PIRC)R24AI106039 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LITTLE, SUSAN JANET · 2013 to 2021
$23.1M
Perception of repeated negative HIV test results in young men who have sex with menR21MH113477 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HOENIGL, MARTIN · 2018 to 2019
$441k
NIAID NIH HHS P30 AI036214NIAID NIH HHS R24 AI106039NIMH NIH HHS P30 MH062512NIMH NIH HHS R21 MH113477
6 · The paper itself

Abstract

backgroundAspergillus spp. induce elevated levels of several cytokines. It remains unknown whether these cytokines hold value for clinical routine and enhance diagnostic performances of established and novel biomarkers/tests for invasive aspergillosis (IA).

methodsThis cohort study included 106 prospectively enrolled (2014-2017) adult cases with underlying hematological malignancies and suspected pulmonary infection undergoing bronchoscopy. Serum samples were collected within 24 hours of bronchoalveolar lavage fluid (BALF) sampling. Both, serum and BALF samples were used to evaluate diagnostic performances of the Aspergillus-specific lateral-flow device test (LFD), Aspergillus PCR, β-D-glucan, and cytokines that have shown significant associations with IA before.

resultsAmong 106 cases, 11 had probable IA, and 32 possible IA; 80% received mold-active antifungals at the time of sampling. Diagnostic tests and biomarkers showed better performance in BALF versus blood, with the exception of serum interleukin (IL)-8 which was the most reliable blood biomarker. Combinations of serum IL-8 with either BALF LFD (sensitivity 100%, specificity 94%) or BALF PCR (sensitivity 91%, specificity 97%) showed promise for differentiating probable IA from no IA.

conclusionsHigh serum IL-8 levels were highly specific, and when combined with either the BALF Aspergillus-specific LFD, or BALF Aspergillus PCR also highly sensitive for diagnosis of IA.

Indexed as

AdultAgedAged, 80 and overAnimalsAspergillusbeta-GlucansBlood Chemical AnalysisBronchoalveolar Lavage FluidFemaleHematologic NeoplasmsHumansImmunoassayInterleukin-8Invasive Pulmonary AspergillosisMaleMiddle Agedbeta-GlucansCXCL8 protein, humanInterleukin-8polysaccharide-KProteoglycansAspergillusBALGalactomannanHematological malignancyIL-8Mold-active antifungalsMold infectionProphylaxisSerum

Identifiers

PMID29972764
PMCPMC6097945
OpenAlexW2810566426

What OpenQuestion holds

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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.