Although being a frequent and lethal complication in patients (pts) with hematologic malignancies, diagnosing invasive aspergillosis (IA) still remains a difficult issue as culture-based methods show low sensitivity especially under the current clinical practice of antifungal prophylaxis or rapid antifungal therapy. In certain clinical settings, performing biopsies for identification of the underlying infectious organism becomes important. However, as culture-based methods only yield results in a minority of patients, using non-culture-based methods like Aspergillus specific polymerase chain reaction (PCR) for detection of IA directly in clinical specimens is becoming increasingly important and might help to characterize the causative pathogen. Therefore the performance of an established Aspergillus-specific nested PCR in biopsies, re-section material or pleural effusions is evaluated.
Study Type
OBSERVATIONAL
Enrollment
100
Cologne University Hospital
Cologne, Germany
Duesseldorf University Hospital
Düsseldorf, Germany
Eschweiler General Hospital
Eschweiler, Germany
Frankfurt (Oder) General Hospital
Frankfurt (Oder), Germany
Freiburg University Hospital
Freiburg im Breisgau, Germany
Halle University Hospital
Halle, Germany
Thoraxklinik at Heidelberg University Hospital
Heidelberg, Germany
Marienhospital Herne
Herne, Germany
Mannheim University Hospital
Mannheim, Germany
Prosper Hospital Recklinghausen
Recklinghausen, Germany
...and 2 more locations
Calculation of sensitivity, Specificity, positive predictive value, negative predictive value and diagnostic odds ratio
Evaluation of Sensitivity, Specificity, positive predictive value, negative predictive value and diagnostic odds ratio of aspergillus specific PCR in tissue and effusion samples by comparing the population with proven / probable invasive aspergillosis with patients suffering from No IA according to recent EORTC/MSG criteria of PCR in Biopsies/Effusion samples of Patients
Time frame: 3 months
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