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Quantification of 1,3-β-d-glucan by Wako β-glucan assay for rapid exclusion of invasive fungal infections in critical patients: A diagnostic test accuracy study.

Valeria CentoClaudia AlteriValentina ManciniMilo GattiValentina LeperaErnestina MazzaMaria Cristina MoioliMarco MerliJacopo ColomboCarlo Andrea OrceseAlessandra BielliStefania TorriLaura Elisa GaspariniChiara VismaraAndrea De GasperiPaolo BrioschiMassimo PuotiRoberto CairoliGianluigi LombardiCarlo-Federico Perno
Published in: Mycoses (2020)
The classification of Wako's results as negative when < LLOD, and positive when > 7.7 pg/mL, could be a promising diagnostic approach to confidently rule out an IFI in both ICU and non-ICU patients. The poor specificity in the ICU setting remains a concern, due to the difficulty to interpret positive results in this fragile population.
Keyphrases
  • end stage renal disease
  • intensive care unit
  • newly diagnosed
  • ejection fraction
  • peritoneal dialysis
  • machine learning
  • deep learning
  • high throughput
  • patient reported outcomes
  • cell wall
  • quantum dots
  • structural basis