The purpose of the study is to investigate the role of the human immune response to candidemia/invasive candidiasis as it relates to the cytokine interferon-gamma.
In this study, patients with Candida bloodstream infection, peritonitis/intra-abdominal abscess, and pleural empyema will be enrolled. Persistent candidiasis confirmed by culture will be defined as follows: (i) Candida bloodstream infection present for \>48 hours after initiation of effective antifungal treatment and after removal of intravenous devices, (ii) Intra-abdominal infection (peritonitis or abscess) that persists for \>96 hours after source control intervention and effective antifungal treatment, (iii) Pleural empyema that persists for \>96 hours after placement of drainage catheter and effective antifungal treatment. Outcomes in patients with and without persistent candidiasis will be assessed.
Study Type
OBSERVATIONAL
Enrollment
87
Mayo Clinic Rochester
Rochester, Minnesota, United States
All-cause mortality
All-cause mortality
Time frame: 30 days
Serum concentration of IFN-gamma and other cytokines by multiplex ELISA
Serum concentration of IFN-gamma and other cytokines by multiplex ELISA
Time frame: 1 week
Plasma IFN-gamma concentration after dual innate and adaptive immune system stimulation by QuantiFERON Monitor assay
Plasma IFN-gamma concentration after dual innate and adaptive immune system stimulation by QuantiFERON Monitor assay
Time frame: 1 week
Intracellular expression of IFN-gamma expression by a CD8 T-cell competence assay
Intracellular expression of IFN-gamma expression by a CD8 T-cell competence assay
Time frame: 1 week
In vitro antifungal activity of polymorphonuclear leukocytes in the presence or absence of interferon-gamma by colorimetric method
In vitro antifungal activity of polymorphonuclear leukocytes in the presence or absence of interferon-gamma by colorimetric method
Time frame: 1 week
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