Erschienen in:
17.09.2018 | Current Management of Fungal Infections (J Maertens, Section Editor)
Diagnosing Invasive Mold Infections: What Is Next
verfasst von:
Toine Mercier, Ellen Guldentops, Ruth Van Daele, Johan Maertens
Erschienen in:
Current Fungal Infection Reports
|
Ausgabe 4/2018
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Abstract
Purpose of Review
Currently, microbiological diagnosis of invasive mold infections is based largely on culture, direct microscopy, PCR, or antigen (such as β-D-glucan or galactomannan)-based tests. In this review, we look at novel and experimental diagnostic tests for invasive mold infections.
Recent Findings
Several new techniques have been proposed, and are in different stages of development. The JF5-antibody-based lateral flow device has recently been commercialized, and is closest to uptake in routine care. Other tests, such as the MAb476-antibody-based urine lateral flow device, gliotoxin or bis(methylthio)gliotoxin, mold-specific T cells, exhaled breath analysis, siderophores, mass spectrometry serum disaccharide, or cytokine analysis, are at an earlier stage of development.
Summary
Most proposed diagnostic tests for invasive mold infections are in the experimental stage and are not ready for routine clinical use. They still require further characterization and analytical and clinical validation by independent research groups.