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285559

Early Detection of Candidaemia Using Mannan Antigen Assay among Liver Transplant Recipients in National Liver Institute, Menoufia University

Article

Last updated: 28 Dec 2024

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Abstract

Background: Candidia is the most common fungal infection affecting the transplant recipients. Regular monitoring of at-risk patients by detection of circulating Mannan antigen is an aid in early diagnosis of Candidaemia. Objectives: determination of the hospital risk factors for developing Candidaemia, the average time for occurrence of Candidaemia among living donor liver transplant (LDLT) recipients and evaluation of the value of Mannan antigen in early detection of Candidaemia. Methodology: This study was conducted on 50 LDLT recipients. All patients were subjected to history taking and complete medical examination. Blood culture was done for detection of Candidaemia and serum Mannan antigen level was measured by EIA technique every five days postoperative for six times. Results: During the first month postoperative 7/50 cases (14%) of our LDLT patients had Candidaemia .The cultures done on the 5th day, were negative for all patients, however serum Mannan antigen was positive in 3 cases (sensitivity 42.9%, specificity 95.3%). In the 10th day only 4 cases were positive by blood culture (sensitivity 57.1%, specificity 100%)., while serum Mannan antigen was detected in the all seven cases (sensitivity 100% specificity 95.3%). On the 15th day, 2 new cases became positive by blood culture (sensitivity 85.7%, specificity 100%), while serum Mannan antigen was still detected in the all 7 cases of Candidaemia (sensitivity 100% specificity 95.3%). Finally on 20rh day postoperative, the last case tested positive by blood culture (sensitivity 71.4%, specificity 85.7%). Conclusion: Serum Mannan antigen is a good tool for early detection of Candidaemia in LDLT recipients.

DOI

10.21608/ejmm.2018.285559

Keywords

Candidaemia, Liver Transplant, Mannan antigen

Authors

First Name

eman

Last Name

mahmoud mohamed

MiddleName

abd el monem

Affiliation

Department of Medical Microbiology and Immunology, National Liver Institute, Menoufia University, Egypt

Email

emanmahmoud289@gmail.com

City

-

Orcid

-

First Name

Heba

Last Name

Allam

MiddleName

S.E.

Affiliation

Medical Microbiology & Immunology Department, National Liver Institute, Menoufia University

Email

-

City

-

Orcid

-

First Name

Azza

Last Name

Abd El Aziz

MiddleName

M.

Affiliation

Medical Microbiology & Immunology Department, National Liver Institute, Menoufia University

Email

-

City

-

Orcid

-

First Name

Khaled

Last Name

Yassen

MiddleName

A.M

Affiliation

Anesthesia Department & Intensive Care Unit, National Liver Institute, Menoufia University

Email

-

City

-

Orcid

-

First Name

Hassan

Last Name

Younis

MiddleName

EL Banna M.

Affiliation

Microbiology and Immunology Department, Faculty of Medicine- Menoufia University

Email

-

City

-

Orcid

-

Volume

27

Article Issue

2

Related Issue

39632

Issue Date

2018-04-01

Receive Date

2023-02-14

Publish Date

2018-04-01

Page Start

119

Page End

125

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_285559.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=285559

Order

285,559

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

Early Detection of Candidaemia Using Mannan Antigen Assay among Liver Transplant Recipients in National Liver Institute, Menoufia University

Details

Type

Article

Created At

28 Dec 2024