The serum galactomannan index predicts mortality in hematopoietic stem cell transplant recipients with invasive aspergillosis
- PMID: 23759343
- PMCID: PMC3765008
- DOI: 10.1093/cid/cit393
The serum galactomannan index predicts mortality in hematopoietic stem cell transplant recipients with invasive aspergillosis
Abstract
We examined the relationship between serum and bronchoalveolar lavage (BAL) galactomannan index (GMI) values and mortality in allogeneic hematopoietic cell transplant recipients with invasive pulmonary aspergillosis. Using a clinical sign and symptom-initiated approach, we found that the serum but not the BAL GMI level correlated with 42- and 180-day patient mortality.
Keywords: Aspergillus; aspergillosis; galactomannan; mortality; transplant.
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Comment in
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Screening with serum galactomannan might be associated with better outcome than symptom-triggered galactomannan testing in allogeneic HSCT recipients with invasive aspergillosis.Clin Infect Dis. 2013 Dec;57(12):1786-7. doi: 10.1093/cid/cit565. Epub 2013 Sep 17. Clin Infect Dis. 2013. PMID: 24046295 No abstract available.
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Reply to Mikulska et al.Clin Infect Dis. 2013 Dec;57(12):1787-8. doi: 10.1093/cid/cit568. Epub 2013 Sep 17. Clin Infect Dis. 2013. PMID: 24046297 Free PMC article. No abstract available.
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Considering confounders of the galactomannan index: the role of piperacillin-tazobactam.Clin Infect Dis. 2014 Mar;58(5):751-2. doi: 10.1093/cid/cit783. Epub 2013 Nov 26. Clin Infect Dis. 2014. PMID: 24280091 No abstract available.
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Reply to King and Stover.Clin Infect Dis. 2014 Mar;58(5):752. doi: 10.1093/cid/cit784. Epub 2013 Nov 26. Clin Infect Dis. 2014. PMID: 24280094 Free PMC article. No abstract available.
References
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- Boutboul F, Alberti C, Leblanc T, et al. Invasive aspergillosis in allogeneic stem cell transplant recipients: increasing antigenemia is associated with progressive disease. Clin Infect Dis. 2002;34:939–43. - PubMed
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- Hadrich I, Makni F, Cheikhrouhou F, et al. Clinical utility and prognostic value of galactomannan in neutropenic patients with invasive aspergillosis. Pathol Biol. 2012;60:357–61. - PubMed
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