Non-conventional diagnostic methods for invasive fungal infections.

IF 3.6 3区 医学 Q1 PATHOLOGY
K Rosam, S Steixner, A Bauer, C Lass-Flörl
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引用次数: 0

Abstract

Introduction: Biomarkers have transformed fungal diagnostics by enabling early detection, risk assessment and treatment monitoring. Their clinical value depends on factors e.g. sensitivity, specificity, host immune status and technical standardization.

Area covered: This review covers antigen- and DNA-based methods for detecting invasive fungal infections, focusing on Aspergillus spp., Candida spp. and Mucorales.

Expert opinion: The selection of fungal biomarkers should be tailored to patient populations, clinical setting, and suspected infections. Combining biomarkers enhances diagnostic accuracy, particularly in high-risk patients. While biomarkers indicate fungal presence, they support diagnosis and guide decisions, but must be interpreted alongside clinical context and guidelines (EORTC/MSG). [Figure: see text].

侵袭性真菌感染的非常规诊断方法。
生物标志物通过实现早期检测、风险评估和监测治疗反应,彻底改变了真菌诊断领域。它们在临床实践中的价值受到一系列决定因素的影响,包括诊断性能(敏感性和特异性)、在不同患者群体中的预测价值、宿主免疫状态和合并症、技术标准化和抗真菌治疗。涵盖领域:本文综述了目前用于检测侵袭性真菌感染(IFIs)的基于抗原和dna的方法的全面概述,特别关注临床重要的病原体曲霉、念珠菌和毛霉菌。它检查了现有诊断工具的优点和局限性,强调了它们在早期检测,特异性和临床应用中的作用。专家意见:真菌生物标志物的选择应根据患者群体、临床环境和疑似真菌感染的类型进行定制。结合使用生物标志物通常可以提高诊断的准确性,特别是在血液恶性肿瘤患者等高危人群中。真菌生物标志物不能提供活动性真菌感染的明确证据;相反,它们作为真菌成分存在的间接指标。它们的主要作用是支持诊断、评估风险和指导临床决策,但它们必须在更广泛的临床背景下进行解释,以遵循当前诊断真菌感染的指南(EORTC/MSG)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.60
自引率
0.00%
发文量
71
审稿时长
1 months
期刊介绍: Expert Review of Molecular Diagnostics (ISSN 1473-7159) publishes expert reviews of the latest advancements in the field of molecular diagnostics including the detection and monitoring of the molecular causes of disease that are being translated into groundbreaking diagnostic and prognostic technologies to be used in the clinical diagnostic setting. Each issue of Expert Review of Molecular Diagnostics contains leading reviews on current and emerging topics relating to molecular diagnostics, subject to a rigorous peer review process; editorials discussing contentious issues in the field; diagnostic profiles featuring independent, expert evaluations of diagnostic tests; meeting reports of recent molecular diagnostics conferences and key paper evaluations featuring assessments of significant, recently published articles from specialists in molecular diagnostic therapy. Expert Review of Molecular Diagnostics provides the forum for reporting the critical advances being made in this ever-expanding field, as well as the major challenges ahead in their clinical implementation. The journal delivers this information in concise, at-a-glance article formats: invaluable to a time-constrained community.
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