Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Reischies, FM; Prattes, J; Prüller, F; Eigl, S; List, A; Wölfler, A; Buzina, W; Zollner-Schwetz, I; Valentin, T; Rabensteiner, J; Flick, H; Krause, R; Raggam, RB; Hoenigl, M.
Prognostic potential of 1,3-beta-d-glucan levels in bronchoalveolar lavage fluid samples.
J Infect. 2016; 72(1):29-35
Doi: 10.1016/j.jinf.2015.09.016
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Hönigl Martin
- Prattes Jürgen
- Raggam Reinhard Bernd
- Reischies-Meikl Frederike Marie Josefine
- Co-Autor*innen der Med Uni Graz
- Buzina Walter
- Eigl Susanne
- Flick Holger
- Krause Robert
- Prüller Florian
- Rabensteiner Jasmin
- Valentin Thomas
- Wölfler Albert
- Zollner-Schwetz Ines
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- Abstract:
- The objective of this study was to investigate the prognostic potential of 1,3-beta-d-glucan (BDG) testing in bronchoalveolar lavage fluid (BALF) samples. A total of 300 BALF samples from 252 patients were investigated for BDG (Fungitell(®) assay). Prognostic potential of BALF BDG was evaluated by using: i.) Kaplan-Meier analysis, and ii.) multivariable Cox hazard regression analyses. BALF BDG levels were found to be significantly higher in samples with Candida spp. colonization (p < 0.001). A total of 61/252 patients (24.2%) died within 90-days of BALF sampling (18.1% of patients with BALF BDG <200 pg/mL, 32.4% with BALF BDG ≥200 pg/mL). Kaplan-Meier analysis revealed that overall cumulative 90-day mortality was significantly higher in those with BALF BDG levels ≥200 pg/mL when compared to those with levels <200 pg/mL (log-rank p = 0.006, Breslow p = 0.005 and Tarone-Ware p = 0.005). The multivariable Cox regression analysis showed that BALF BDG levels were a strong predictor of 90-day overall mortality, with a hazard ratio of 1.048 (per 100 pg/mL increase of BALF BDG). False positive BALF BDG results in the presence of Candida spp. colonization of the lower respiratory tract may explain the limited diagnostic potential of BALF BDG testing. In contrast, prognostic potential of BALF BDG may be promising. Copyright © 2015 The British Infection Association. Published by Elsevier Ltd. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Adult -
- Aged -
- Aged, 80 and over -
- Bronchoalveolar Lavage Fluid - chemistry
- Candidiasis, Invasive - diagnosis
- Candidiasis, Invasive - mortality
- Cohort Studies -
- Female -
- Humans -
- Kaplan-Meier Estimate -
- Male -
- Middle Aged -
- Prognosis -
- Pulmonary Aspergillosis - diagnosis
- Pulmonary Aspergillosis - mortality
- Risk Factors -
- Young Adult -
- beta-Glucans - analysis
- Find related publications in this database (Keywords)
- BDG
- BAL
- Mortality
- Survival
- Prognostic
- 90-Day
- 30-Day
- ICU