論文

査読有り 国際誌
2021年

Efficacy of the new β-D-glucan measurement kit for diagnosing invasive fungal infections, as compared with that of four conventional kits.

PloS one
  • Yuuki Bamba
  • Kei Nagano
  • Hiroshi Moro
  • Hideyuki Ogata
  • Mariko Hakamata
  • Satoshi Shibata
  • Takeshi Koizumi
  • Nobumasa Aoki
  • Yasuyoshi Ohshima
  • Satoshi Watanabe
  • Takeshi Nakamura
  • Sugako Kobayashi
  • Yoshiki Hoshiyama
  • Toshiyuki Koya
  • Toshinori Takada
  • Toshiaki Kikuchi
  • 全て表示

16
8
開始ページ
e0255172
終了ページ
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1371/journal.pone.0255172

BACKGROUND: Each of the currently available (1→3)-β-D-glucan (BDG) measurement kits follows a different measurement method and cut-off value. Comparisons of diagnostic performance for invasive fungal infections (IFIs) are desirable. Additionally, ecological considerations are becoming increasingly important in the development of new measurement kits. METHODS: The plasma BDG levels in clinical samples were measured using the following currently available kits: the Fungitec G test MKII, the Fungitec G test ES, Fungitell, the β-Glucan test Wako, and the newly developed Wako kit (Wako-Eu). Wako-Eu uses a pre-treatment solution that conforms to European regulations for the registration, evaluation, authorisation, and restriction of chemicals. The values obtained for the samples using each kit were studied and compared. RESULTS: Of the 165 patients evaluated, 12 had IFIs, including pneumocystis pneumonia, aspergillosis, and candidiasis. BDG values obtained using the kits were moderately correlated with each other. Clinical diagnoses of the evaluated cases indicated that 21 false positives were diagnosed by at least one kit. The sensitivity of the Fungitell kit was relatively low, but those of the other four were over 90%. The specificity was above 90% for all kits. For positive predictive value, the Wako and the Wako-Eu methods were superior to the others owing to fewer false positive results. CONCLUSIONS: The newly developed Wako-Eu method, which considers ecological concerns, shows diagnostic performance equivalent to that of its predecessor. To improve the diagnostic accuracy of IFIs, it is necessary to interpret the results carefully, giving due consideration to the characteristics of each measurement kit.

リンク情報
DOI
https://doi.org/10.1371/journal.pone.0255172
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34437556
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8389481
ID情報
  • DOI : 10.1371/journal.pone.0255172
  • PubMed ID : 34437556
  • PubMed Central 記事ID : PMC8389481

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