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The purpose of the study is to investigate the role of the human immune response to candidemia/invasive candidiasis as it relates to the cytokine interferon-gamma.
In this study, patients with Candida bloodstream infection, peritonitis/intra-abdominal abscess, and pleural empyema will be enrolled.
Persistent candidiasis confirmed by culture will be defined as follows: (i) Candida bloodstream infection present for >48 hours after initiation of effective antifungal treatment and after removal of intravenous devices, (ii) Intra-abdominal infection (peritonitis or abscess) that persists for >96 hours after source control intervention and effective antifungal treatment, (iii) Pleural empyema that persists for >96 hours after placement of drainage catheter and effective antifungal treatment.
Outcomes in patients with and without persistent candidiasis will be assessed.
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| Measure | Description | Time Frame |
|---|---|---|
| All-cause mortality | All-cause mortality | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Serum concentration of IFN-gamma and other cytokines by multiplex ELISA | Serum concentration of IFN-gamma and other cytokines by multiplex ELISA | 1 week |
| Plasma IFN-gamma concentration after dual innate and adaptive immune system stimulation by QuantiFERON Monitor assay |
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Subjects must meet all following inclusion criteria to qualify for the study:
Exclusion Criteria
Subjects must NOT meet any of the following exclusion criteria to qualify for the study:
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Patients with Candida bloodstream infection, peritonitis/intra-abdominal abscess, and pleural empyema
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| Name | Affiliation | Role |
|---|---|---|
| Paschalis Vergidis, MD | Mayo Clinic | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic Rochester | Rochester | Minnesota | 55905 | United States |
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| Label | URL |
|---|---|
| Mayo Clinical Trial | View source |
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| ID | Term |
|---|---|
| D009181 | Mycoses |
| D002177 | Candidiasis |
| ID | Term |
|---|---|
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
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Serum/plasma
Plasma IFN-gamma concentration after dual innate and adaptive immune system stimulation by QuantiFERON Monitor assay |
| 1 week |
| Intracellular expression of IFN-gamma expression by a CD8 T-cell competence assay | Intracellular expression of IFN-gamma expression by a CD8 T-cell competence assay | 1 week |
| In vitro antifungal activity of polymorphonuclear leukocytes in the presence or absence of interferon-gamma by colorimetric method | In vitro antifungal activity of polymorphonuclear leukocytes in the presence or absence of interferon-gamma by colorimetric method | 1 week |