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 PernoPublished 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.