Evaluation of Two Commercial Real-Time PCR Kits for Aspergillus DNA Detection in Bronchoalveolar Lavage Fluid in Patients with Invasive Pulmonary Aspergillosis. 2018

Julie Denis, and Faezeh Forouzanfar, and Raoul Herbrecht, and Elise Toussaint, and Romain Kessler, and Marcela Sabou, and Ermanno Candolfi, and Valérie Letsher-Bru
Laboratoire de Parasitologie et de Mycologie Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France. Electronic address: denisj@unistra.fr.

Invasive pulmonary aspergillosis (IPA) is a common complication of immunosuppression. Rapid diagnosis using molecular techniques is essential to improve patient survival. PCR techniques are promising in enhancing Aspergillus detection in blood and respiratory samples. We evaluate for the first time the performances of two commercial real-time PCR kits, the A. fumigatus Bio-Evolution and the MycoGENIE A. fumigatus for the detection of A. fumigatus DNA in bronchoalveolar lavage (BAL) from patients with and without IPA. Seventy-three BAL samples were included. Thirty-one of them corresponded to patients with probable IPA, 11 to patients with possible IPA, and 31 to patients without aspergillosis, according to the 2008 European Organization for Research and Treatment of Cancer/Mycoses Study Group criteria. In the probable IPA group, A. fumigatus Bio-Evolution and the MycoGENIE A. fumigatus real-time PCR kits showed a specificity of 100% and a sensitivity of 81% and 71%, respectively. The A. fumigatus Bio-Evolution detected Aspergillus DNA in the 14 BAL samples with a positive Aspergillus culture result, whereas the MycoGENIE A. fumigatus PCR result was positive only for 12. In the possible IPA group, there were no positive real-time PCR or positive Aspergillus culture results. For the patients without aspergillosis, no positive result was observed for real-time PCR kit, despite the presence of various other non-Aspergillus pathogens in this group. Our study demonstrates an excellent specificity and a good sensitivity of A. fumigatus DNA detection in BAL samples with both kits.

UI MeSH Term Description Entries
D008297 Male Males
D008351 Mannans Polysaccharides consisting of mannose units. Mannan
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011933 Reagent Kits, Diagnostic Commercially prepared reagent sets, with accessory devices, containing all of the major components and literature necessary to perform one or more designated diagnostic tests or procedures. They may be for laboratory or personal use. Diagnostic Reagent Kits,Diagnostic Reagents and Test Kits,Diagnostic Test Kits,In Vitro Diagnostic Device,In Vitro Diagnostic Devices,In Vitro Diagnostic Medical Device,In Vitro Diagnostic Medical Devices,Kits, Diagnostic Reagent,Diagnostic Reagent Kit,Diagnostic Test Kit,Kit, Diagnostic Reagent,Kit, Diagnostic Test,Kits, Diagnostic Test,Reagent Kit, Diagnostic,Test Kit, Diagnostic,Test Kits, Diagnostic
D001992 Bronchoalveolar Lavage Fluid Washing liquid obtained from irrigation of the lung, including the BRONCHI and the PULMONARY ALVEOLI. It is generally used to assess biochemical, inflammatory, or infection status of the lung. Alveolar Lavage Fluid,Bronchial Lavage Fluid,Lung Lavage Fluid,Bronchial Alveolar Lavage Fluid,Lavage Fluid, Bronchial,Lavage Fluid, Lung,Pulmonary Lavage Fluid,Alveolar Lavage Fluids,Bronchial Lavage Fluids,Bronchoalveolar Lavage Fluids,Lavage Fluid, Alveolar,Lavage Fluid, Bronchoalveolar,Lavage Fluid, Pulmonary,Lavage Fluids, Alveolar,Lavage Fluids, Bronchial,Lavage Fluids, Bronchoalveolar,Lavage Fluids, Lung,Lavage Fluids, Pulmonary,Lung Lavage Fluids,Pulmonary Lavage Fluids
D004271 DNA, Fungal Deoxyribonucleic acid that makes up the genetic material of fungi. Fungal DNA
D005260 Female Females
D005690 Galactose An aldohexose that occurs naturally in the D-form in lactose, cerebrosides, gangliosides, and mucoproteins. Deficiency of galactosyl-1-phosphate uridyltransferase (GALACTOSE-1-PHOSPHATE URIDYL-TRANSFERASE DEFICIENCY DISEASE) causes an error in galactose metabolism called GALACTOSEMIA, resulting in elevations of galactose in the blood. D-Galactose,Galactopyranose,Galactopyranoside,D Galactose
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

Julie Denis, and Faezeh Forouzanfar, and Raoul Herbrecht, and Elise Toussaint, and Romain Kessler, and Marcela Sabou, and Ermanno Candolfi, and Valérie Letsher-Bru
October 2012, BMC infectious diseases,
Julie Denis, and Faezeh Forouzanfar, and Raoul Herbrecht, and Elise Toussaint, and Romain Kessler, and Marcela Sabou, and Ermanno Candolfi, and Valérie Letsher-Bru
September 1982, The American journal of medicine,
Julie Denis, and Faezeh Forouzanfar, and Raoul Herbrecht, and Elise Toussaint, and Romain Kessler, and Marcela Sabou, and Ermanno Candolfi, and Valérie Letsher-Bru
December 2011, Journal of clinical microbiology,
Julie Denis, and Faezeh Forouzanfar, and Raoul Herbrecht, and Elise Toussaint, and Romain Kessler, and Marcela Sabou, and Ermanno Candolfi, and Valérie Letsher-Bru
April 2022, Mycoses,
Julie Denis, and Faezeh Forouzanfar, and Raoul Herbrecht, and Elise Toussaint, and Romain Kessler, and Marcela Sabou, and Ermanno Candolfi, and Valérie Letsher-Bru
September 2003, Journal of clinical microbiology,
Julie Denis, and Faezeh Forouzanfar, and Raoul Herbrecht, and Elise Toussaint, and Romain Kessler, and Marcela Sabou, and Ermanno Candolfi, and Valérie Letsher-Bru
July 2006, Journal of clinical microbiology,
Julie Denis, and Faezeh Forouzanfar, and Raoul Herbrecht, and Elise Toussaint, and Romain Kessler, and Marcela Sabou, and Ermanno Candolfi, and Valérie Letsher-Bru
March 2009, European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology,
Julie Denis, and Faezeh Forouzanfar, and Raoul Herbrecht, and Elise Toussaint, and Romain Kessler, and Marcela Sabou, and Ermanno Candolfi, and Valérie Letsher-Bru
December 2010, The Journal of infection,
Julie Denis, and Faezeh Forouzanfar, and Raoul Herbrecht, and Elise Toussaint, and Romain Kessler, and Marcela Sabou, and Ermanno Candolfi, and Valérie Letsher-Bru
December 2004, Journal of clinical microbiology,
Julie Denis, and Faezeh Forouzanfar, and Raoul Herbrecht, and Elise Toussaint, and Romain Kessler, and Marcela Sabou, and Ermanno Candolfi, and Valérie Letsher-Bru
June 2001, Journal of clinical microbiology,
Copied contents to your clipboard!