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192196

The role of (1,3)-beta-D-glucan (BDG), as noninvasive technique for detection of invasive fungal infection (IFI)

Article

Last updated: 05 Jan 2025

Subjects

-

Tags

typing and identification

Abstract

Background: BDG is found in the cell walls of most fungi (eg, Candida, Aspergillus, Fusarium, Pneumocystis jirovecii). Serum BDG levels is high in the presence of a fungal infection. Its high serum levels may be detected before development of clinical symptoms and even prior to isolation or identification of the fungal organism via routine laboratory methods. Objectives: evaluate the performance of serum (1.3) beta -D glucan BDG in comparison with blood culture for diagnosis of the invasive fungal infections with Candida species. Methodology: The study was conducted on 50 patients divided in 3 group first group 20 patients with prolonged stay in ICU receiving broad spectrum antibacterial treatment, and second group 20 patients with diabetic foot and third group 10 patient healthy subjects with matched sex and age. All patients were subjected to full history taking, clinical examination and laboratory investigations Blood was examined with conventional methods (, Gram stain and culture on fungal media) and serum (1,3) beta -D-glucan was determined by ELISA. Result: The average serum concentration of BDG was higher in group II (121.25±88.9 pg/ml than group I (115.5±90.9 pg/ml), however there is no statistically significantly difference between group I and groupII, the mean value of serum (1.3 beta D glucan) in patient with positive blood culture were significantly higher than those with negative blood culture there is significant relation between blood culture and the level of(1,3)beta D-glucan in serum. Blood culture could be considered as marker for detection of invasive fungal infection with sensitivity, specificity, PPV and NPV of, 46.43%, 100%, 100% and 11.76% respectively however (1.3) D glucan can detect invasive fungal infection with sensitivity, specificity, PPV and NPV of, 88.46%, 100%, 100% and 40%. Conclusion: Our results suggest that a positive (1,3)beta-D-glucan assay could be a superior test for diagnosis of candidemia in addition to the blood culture

Keywords

Candida, Candidemia, Blood Culture, (1, 3)-beta -D-glucan, serodiagnosis

Authors

First Name

Elham

Last Name

Negm

MiddleName

Abdelsalam

Affiliation

Medical Microbiology and Immunology, Faculty of Medicine, University

Email

elhamnegm198@gmail.com

City

Helwan

Orcid

-

Volume

30

Article Issue

2

Related Issue

27344

Issue Date

2021-04-01

Receive Date

2021-02-05

Publish Date

2021-04-04

Page Start

133

Page End

138

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_192196.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=192196

Order

18

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

The role of (1,3)-beta-D-glucan (BDG), as noninvasive technique for detection of invasive fungal infection (IFI)

Details

Type

Article

Created At

23 Jan 2023