Evidence map›Paper›PMID 30565352›Full record

ArticleMycoses2019

Point-of-care diagnosis of invasive aspergillosis in non-neutropenic patients: Aspergillus Galactomannan Lateral Flow Assay versus Aspergillus-specific Lateral Flow Device test in bronchoalveolar lavage.

Jeffrey D Jenks, Sanjay R Mehta, Randy Taplitz, Saima Aslam, Sharon L Reed, Martin Hoenigl

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Mycoses, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
6.4field-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

51 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Performance of the Aspergillus galactomannan lateral flow assay with a digital reader for the diagnosis of invasive aspergillosis: a multicenter study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
  9. Drug-ResistantPathogens (Basel, Switzerland) · 2023
    Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Invasive Pulmonary Aspergillosis.Journal of fungi (Basel, Switzerland) · 2023
    Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. COVID-19-Associated Pulmonary Aspergillosis in a Tertiary Hospital.Journal of fungi (Basel, Switzerland) · 2022
    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

6 authors at 1 institution in 1 country.

Jeffrey D JenksDepartment of Medicine, University of California San Diego, San Diego, California.
Sanjay R MehtaDepartment of Medicine, University of California San Diego, San Diego, California.
Randy TaplitzDepartment of Medicine, University of California San Diego, San Diego, California.
Saima AslamDepartment of Medicine, University of California San Diego, San Diego, California.
Sharon L ReedDepartment of Medicine, University of California San Diego, San Diego, California.
Martin HoeniglDepartment of Medicine, University of California San Diego, San Diego, California.ORCID http://orcid.org/0000-0002-1653-2824
University of San Diego · US

Funding

STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DAVID J MOORE · 2001 to 2026
$50.4M
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
National Institute of Mental Health MH113477National Institute of Mental Health P30MH062512NIMH NIH HHS P30 MH062512NIMH NIH HHS R21 MH113477
6 · The paper itself

Abstract

backgroundWe compared new Aspergillus Galactomannan Lateral Flow Assay with the newly formatted Aspergillus-specific Lateral Flow device tests for the diagnosis of invasive pulmonary aspergillosis (IPA) in non-neutropenic patients.

methodsWe performed both tests in 82 bronchoalveolar lavage fluid samples from 82 patients at risk for IPA but without underlying haematologic malignancy. Samples were collected between September 2016 and September 2018 at the University of California San Diego, United States. IPA was classified following two published consensus criteria.

resultsClassification of cases varied widely between the two consensus criteria. When using criteria established for the intensive care unit, 26/82 patients (32%) met criteria for proven or putative IPA. Both point-of-care assays showed sensitivities ranging between 58% and 69%, with specificities between 68% and 75%. Sensitivity increased up to 81% when both tests were combined.

conclusionThe study outlines the need for updated, unified and more broadly applicable consensus definitions for classifying IPA in non-neutropenic patients, a work that is currently in progress. Both point-of-care tests showed comparable performance, with sensitivities and specificities in the 60%-70% range when used alone and increasing to 80% when used in combination. The new point-of-care tests may serve a role at the bedside in those with clinical suspicion of IPA.

Indexed as

Point-of-Care SystemsAdultAgedAged, 80 and overBronchoalveolar Lavage FluidCaliforniaFemaleGalactoseHospitals, UniversityHumansImmunoassayInvasive Pulmonary AspergillosisMaleMannansMiddle AgedSensitivity and SpecificitygalactomannanGalactoseMannansAspergillus Galactomannan Lateral Flow Assay (LFA)Aspergillus-specific Lateral Flow Device tests (LFD)autoimmune diseasesBALgalactomannanHIVintensive carerespiratory diseasessolid organ transplantation

Identifiers

PMID30565352
PMCPMC6380940
OpenAlexW2904910093

What OpenQuestion holds

Textmetadata
LicenceTDM
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.