scispace - formally typeset
Journal ArticleDOI

Evaluation of three serological tests for detection of anti-candidal antibodies in diagnosis of invasive candidiasis

TLDR
Immunoblot detection of antibody against 47 KD cytoplasmic antigen ofCandida albicans was evaluated in diagnosis of invasive candidiasis and compared to whole cell agglutination and gel diffusion tests for detection of anticandidal antibody.
Abstract
Immunoblot detection of antibody against 47 KD cytoplasmic antigen ofCandida albicans was evaluated in diagnosis of invasive candidiasis and compared to whole cell agglutination and gel diffusion tests for detection of anticandidal antibody in 64 patients. The patients included 17 with culture proved candidemia, 34 with significant candiduria (more than 10,000 colony forming units per ml of urine) and 13 with nonsignificant candiduria. Antibody against 47 KD antigen was found to be the best indicator for diagnosis of invasive candidiasis even in patients with malignancy. The sensitivity of this procedure was 82.4%, specificity 86.7%, positive predictive value 77.8%, negative predictive value 89.7% and efficacy 85.1%. The gel diffusion procedure lacked in sensitivity whereas whole cell agglutination lacked in specificity. Detection of antibody against 47 KD antigen proved to be a valuable adjunct in the diagnosis of invasive candidiasis.

read more

Citations
More filters
Journal ArticleDOI

Invasive candidiasis in the intensive care unit.

TL;DR: Invasive candidiasis is a problem associated with substantial morbidity and mortality that is highly prevalent in the intensive care unit setting and the role of newer antifungal agents for this population remains to be determined.
Journal ArticleDOI

Prophylaxis and treatment of invasive candidiasis in the intensive care setting.

TL;DR: The term “invasive candidiasis” encompasses a group of infections of increasing relevance in the intensive care setting that need to be developed to predict a high likelihood of disease so that targeted prophylaxis can be offered.
Journal ArticleDOI

Use of monoclonal antibody in diagnosis of candidiasis caused by Candida albicans: detection of circulating aspartyl proteinase antigen.

TL;DR: Results indicate that the inhibition ELISA with MAb CAP1 is effective in detection of circulating SAP antigen and that this assay may be useful for diagnosis and treatment monitoring of invasive candidiasis.
Journal ArticleDOI

Candiduria in non-neutropenic critically-ill surgical patients. Detection of IgA, IgG and IgM antibodies to Candida albicans by germ tube immunofluorescence

TL;DR: Indirect immunofluorescence with blastospores, although more sensitive than germ tube immun ofluorescence, cannot distinguish muco‐cutaneous candidosis from systemic candidosis, and is regarded a useful complementary test to evaluate candiduria in nonneutropenic, HIV‐negative, critically ill patients.
References
More filters
Journal ArticleDOI

Electrophoretic transfer of proteins from polyacrylamide gels to nitrocellulose sheets: procedure and some applications.

TL;DR: A method has been devised for the electrophoretic transfer of proteins from polyacrylamide gels to nitrocellulose sheets that results in quantitative transfer of ribosomal proteins from gels containing urea.
Journal ArticleDOI

An amino acid liquid synthetic medium for the development of mycelial and yeast forms of Candida Albicans

TL;DR: This medium has proved successful in maintaining the growth characteristics of both phases of Candida albicans during serial transfers and the relative pathogenicity, virulence, invasiveness and immunogenicity of the yeast and mycelial phases are discussed.
Journal ArticleDOI

Fungal infections complicating acute leukemia.

TL;DR: There has been a significant increase in the incidence of fungal infections during the last 5 1 2 years of the study, and patients with severe Candida infections received more prolonged antibiotic and adrenal cortical steroid therapy than patients with focalCandida infections.
Journal ArticleDOI

Current trends in immunodiagnosis of candidiasis and aspergillosis.

TL;DR: The methods and reagents currently used for the immunodiagnosis of aspergillosis and candidiasis are reviewed and studies are being carried out to increase the sensitivity and reliability of these tests through the use of monoclonal antibodies and purified, clinically relevant antigens.
Related Papers (5)