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真菌(1→3)-β-D-葡聚糖检测在侵袭性真菌感染患者中的预后价值。

Prognostic Potential of the Panfungal Marker (1 → 3)-β-D-Glucan in Invasive Mycoses Patients.

机构信息

Dipartimento di Medicina Diagnostica, Clinica e di Sanità Pubblica, Istituti Biologici, Università degli Studi di Modena e Reggio Emilia, Via Campi 287, 41125, Modena, Italy.

Azienda Ospedaliero Universitaria-Policlinico, Modena, Italy.

出版信息

Mycopathologia. 2019 Feb;184(1):147-150. doi: 10.1007/s11046-018-0282-5. Epub 2018 Jul 2.

Abstract

We analyze the prognostic potential of (1 → 3)-β-D-glucan (BG) levels in predicting clinical outcomes in patients with invasive fungal infections, on a population undergoing 253 episodes (177 with positive and 76 with negative outcome). Using linear regression analysis, we assessed the prognostic potential of kinetically evaluated BG levels and we found an overall sensitivity and specificity of 68 and 82%, respectively. Moreover, using an interpretative algorithm based on two distinct cutoff values, we were able to predict the outcome in 84% of the studied population with a diagnostic accuracy of 82%.

摘要

我们分析了(1→3)-β-D-葡聚糖(BG)水平在预测侵袭性真菌感染患者临床结局方面的预后潜力,该人群共发生 253 个病例(177 个阳性结果,76 个阴性结果)。通过线性回归分析,我们评估了动态评估 BG 水平的预后潜力,发现总体敏感性和特异性分别为 68%和 82%。此外,使用基于两个不同临界值的解释性算法,我们能够预测研究人群中 84%的病例的结局,诊断准确性为 82%。

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