Detection of 1, 3 Ý D glucan in patients with invasive pulmonary aspergillosis infections / Rana Mahmoud Abdulhamid Elgendi ; Supervised Soheir Fathy Helal , Iman Kamal Behairy , Hadir Ahmed Elmahallawy
Material type:
- الكشف عن ١- ٣ بيتا- د- جلوكان في مرضى الإلتهاب الرئوي بسبب الأسبرجلس المجتاحة للرئة [Added title page title]
- Issued also as CD
Item type | Current library | Home library | Call number | Copy number | Status | Barcode | |
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قاعة الرسائل الجامعية - الدور الاول | المكتبة المركزبة الجديدة - جامعة القاهرة | Cai01.11.07.Ph.D.2018.Ra.D (Browse shelf(Opens below)) | Not for loan | 01010110075993000 | ||
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مخـــزن الرســائل الجـــامعية - البدروم | المكتبة المركزبة الجديدة - جامعة القاهرة | Cai01.11.07.Ph.D.2018.Ra.D (Browse shelf(Opens below)) | 75993.CD | Not for loan | 01020110075993000 |
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Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Clinical and Chemical Pathology
Aim of the work: To assess the utility of 1, 3 beta D- glucan in diagnosis of invasive pulmonary aspergillosis in comparison with other conventional methods. Material and Methods: This study was cohort study included 100 patients with respiratory infection not responding to antibiotics, immunocompromised state and radiological findings suggesting invasive fungal infection. BAL samples were subjected to direct microscopic examination, fungal and bacterial culture, galactomannan and beta D- glucan. Results: Beta {u2013}D- glucan had sensitivity of 42% compared to fungal culture 74% and galactomannan 83.7%, while sensitivity of direct microscopic examination was 36%. There was slight agreement between beta- D- glucan and fungal culture (K= 0116) and between BDG and galactomannan (K= 0.194). Invasive pulmonary aspergillosis was related to prolonged use of corticosteroids, diabetes, neutropenia and prolonged courses of antibiotics. Conclusion: The combined use of BDG and GM with conventional culture and direct microscopic examination for the diagnosis of invasive fungal infection in high risk patients increases the diagnostic accuracy and allows early detection and early treatment (total accuracy of two tests 87.5)
Issued also as CD
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