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Although being a frequent and lethal complication in patients (pts) with hematologic malignancies, diagnosing invasive aspergillosis (IA) still remains a difficult issue as culture-based methods show low sensitivity especially under the current clinical practice of antifungal prophylaxis or rapid antifungal therapy. In certain clinical settings, performing biopsies for identification of the underlying infectious organism becomes important. However, as culture-based methods only yield results in a minority of patients, using non-culture-based methods like Aspergillus specific polymerase chain reaction (PCR) for detection of IA directly in clinical specimens is becoming increasingly important and might help to characterize the causative pathogen.
Therefore the performance of an established Aspergillus-specific nested PCR in biopsies, re-section material or pleural effusions is evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Proven/Probable IA Patients | Case Population | ||
| possible/No IA Patients | Control population |
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| Measure | Description | Time Frame |
|---|---|---|
| Calculation of sensitivity, Specificity, positive predictive value, negative predictive value and diagnostic odds ratio | Evaluation of Sensitivity, Specificity, positive predictive value, negative predictive value and diagnostic odds ratio of aspergillus specific PCR in tissue and effusion samples by comparing the population with proven / probable invasive aspergillosis with patients suffering from No IA according to recent EORTC/MSG criteria of PCR in Biopsies/Effusion samples of Patients | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Dieter Buchheidt, MD | Heidelberg University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cologne University Hospital | Cologne | 50937 | Germany | |||
| Duesseldorf University Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17715373 | Background | Spiess B, Seifarth W, Hummel M, Frank O, Fabarius A, Zheng C, Morz H, Hehlmann R, Buchheidt D. DNA microarray-based detection and identification of fungal pathogens in clinical samples from neutropenic patients. J Clin Microbiol. 2007 Nov;45(11):3743-53. doi: 10.1128/JCM.00942-07. Epub 2007 Aug 22. | |
| 26497302 | Derived |
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Fungal DNA, no human DNA
| Düsseldorf |
| 40225 |
| Germany |
| Eschweiler General Hospital | Eschweiler | 52249 | Germany |
| Frankfurt (Oder) General Hospital | Frankfurt (Oder) | 15236 | Germany |
| Freiburg University Hospital | Freiburg im Breisgau | 79106 | Germany |
| Halle University Hospital | Halle | Germany |
| Thoraxklinik at Heidelberg University Hospital | Heidelberg | 68167 | Germany |
| Marienhospital Herne | Herne | 44625 | Germany |
| Mannheim University Hospital | Mannheim | 68167 | Germany |
| Prosper Hospital Recklinghausen | Recklinghausen | Germany |
| Wiesbaden Bone Marrow transplantation center | Wiesbaden | Germany |
| Wuerzburg University Hospital | Würzburg | 97080 | Germany |
| Boch T, Reinwald M, Postina P, Cornely OA, Vehreschild JJ, Heussel CP, Heinz WJ, Hoenigl M, Eigl S, Lehrnbecher T, Hahn J, Claus B, Lauten M, Egerer G, Muller MC, Will S, Merker N, Hofmann WK, Buchheidt D, Spiess B. Identification of invasive fungal diseases in immunocompromised patients by combining an Aspergillus specific PCR with a multifungal DNA-microarray from primary clinical samples. Mycoses. 2015 Dec;58(12):735-45. doi: 10.1111/myc.12424. Epub 2015 Oct 26. |
| ID | Term |
|---|---|
| D001228 | Aspergillosis |
| ID | Term |
|---|---|
| D009181 | Mycoses |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
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