首页   按字顺浏览 期刊浏览 卷期浏览 Early Diagnosis of Invasive Candidiasis and Rapid Evaluation of Antifungal Therapy by C...
Early Diagnosis of Invasive Candidiasis and Rapid Evaluation of Antifungal Therapy by Combined Use of Conventional Chromogenic Limulus Test and a Newly Developed Endotoxin Specific Assay

 

作者: KEIICHI IKEGAMI,   KATSUMI IKEMURA,   TAKESHI SHIMAZU,   MASANORI SHIBUYA,   HISASHI SUGIMOTO,   TOSHIHARU YOSHIOKA,   TSUYOSHI SUGIMOTO,  

 

期刊: The Journal of Trauma: Injury, Infection, and Critical Care  (OVID Available online 1988)
卷期: Volume 28, issue 8  

页码: 1118-1126

 

ISSN:0022-5282

 

年代: 1988

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Since /9-1,3-glucan is a common component of fungal cell wall, its detection might be useful in diagnosing invasive candidiasis. Not only endotoxin but /3-1,3-glucan activates proclotting enzyme contained in a conventional chromogenic limulus test (CCLT). Endotoxin activates this enzyme through factor C, while the /3-1,3-glucan activates through factor G. Since endotoxin specific test (EST) contains factor C, endotoxin would be quantified. By subtracting EST value from CCLT value, β-1,3-glucan would be quantified. We named this value Fungal Index (FI), and examined if it actually reflects the candidal infection. Ninety-two patients were tested for CCLT and EST prospectively. FI increased significantly in candidal infection (p<0.05) but remained low in GNR infection. Moreover, FI increased proportionally to the severity of candidal infection. Elevated FI decreased when antifungal therapy was successful. Thus FI was a useful index not only in the diagnosis of invasive candidiasis but also in the evaluation of antifungal therapy.

 

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