Reduction in false-positive Aspergillus serum galactomannan enzyme immunoassay results associated with use of piperacillin-tazobactam in the United States.

نویسندگان

  • Paschalis Vergidis
  • Raymund R Razonable
  • L Joseph Wheat
  • Lynn Estes
  • Angela M Caliendo
  • Lindsey R Baden
  • John R Wingard
  • John Baddley
  • Maha Assi
  • Steven Norris
  • Pranatharthi Chandrasekar
  • Ryan Shields
  • Hong Nguyen
  • Alison Freifeld
  • Richard Kohler
  • Martin Kleiman
  • Thomas J Walsh
  • Chadi A Hage
چکیده

Piperacillin-tazobactam (PTZ) is known to cause false-positive results in the Platelia Aspergillus enzyme-linked immunoassay (EIA), due to contamination with galactomannan (GM). We tested 32 lots of PTZ and 27 serum specimens from patients receiving PTZ. GM was not detected in the lots of PTZ; one serum specimen (3.7%) was positive. PTZ formulations commonly used in the United States today appear to be a rare cause for false-positive GM results.

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Reactivity of platelia Aspergillus galactomannan antigen with piperacillin-tazobactam: clinical implications based on achievable concentrations in serum.

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False positivity of the Aspergillus galactomannan Platelia ELISA because of piperacillin/tazobactam treatment: does it represent a clinical problem?

OBJECTIVES False-positive results of the galactomannan (GM) ELISA caused by concurrent administration of piperacillin/tazobactam have been reported in patients with febrile neutropenia. PATIENTS AND METHODS This prospective study investigated different sampling times in 30 patients receiving piperacillin/tazobactam for febrile neutropenia. RESULTS Prior to the first piperacillin/tazobactam ...

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False positive galactomannan results in adult hematological patients treated with piperacillin-tazobactam.

In this prospective study including 78 adult patients with haematological malignancy (90 episodes) we performed galactomannan (GM) (Platelia Aspergillus) screening twice weekly for the diagnosis of invasive aspergillosis. There were five proven and four probable invasive aspergillosis cases. The sensitivity, specificity and positive and negative predictive values were 100, 88, 47 and 100%, resp...

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عنوان ژورنال:
  • Journal of clinical microbiology

دوره 52 6  شماره 

صفحات  -

تاریخ انتشار 2014