Tendency in Pulmonary Aspergillosis Investigation during the Covid-19 Era
What Is Changing
Bibliographic Data
Aspergillosis is a disease caused by Aspergillus , and invasive pulmonary aspergillosis (IPA) is the most common invasive fungal infection leading to death in severely immuno-compromised patients. The literature reports Aspergillus co-infections in patients with COVID-19 (CAPA). Diagnosing CAPA clinically is complex since the symptoms are non-specific, and performing a bronchoscopy is difficult. Generally, the microbiological diagnosis of aspergillosis is based on cultural methods and on searching for the circulating antigens galactomannan and 1,3-β-D-glucan in the bronchoalveolar lavage fluid (bGM) or serum (sGM). In this study, to verify whether the COVID-19 period has stimulated clinicians to pay greater attention to IPA in patients with respiratory tract infections, we evaluated the number of requests for GM-Ag research and the number of positive tests found during the pre-COVID-19 and COVID-19 periods. Our data show a significant upward trend in GM-Ag requests and positivity from the pre-COVID to COVID period, which is attributable in particular to the increase in IPA risk factors as a complication of COVID-19. In the COVID period, parallel to the increase in requests, the number of positive tests for GM-Ag also increased, going from 2.5% in the first period of 2020 to 12.3% in the first period of 2021
2019-20 coronavirus outbreak · Aspergillosis · Aspergillus · Biology · Bronchoalveolar lavage · Bronchoscopy · Coronavirus disease 2019 (COVID-19 · Disease · Galactomannan · Infectious disease (medical specialty · Lung · Outbreak · Pathology · Pulmonary aspergillosis · Respiratory system · Respiratory tract · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 · Antifungal resistance and susceptibility · Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis · Medicine · Nosocomial Infections in ICU · Immunology · Internal Medicine · Microbiology
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| Highly cited | No |