Table 1. Characteristics of studies included in the meta-analysis.
Study | Country | Gold standard | Design | Age (y) | Patients (n) | Prevalence (%) | Type of infection | Sample | Microorganism criteria (BALF culture) | Assay method | Cutoff (pg/ml) | TP | FP | FN | TN |
Gibot et al, 2004 [4] | France | C+R+M | PR | ≥18 | 148 | 57 | CAP/VAP | mini-BALF | ≥103 CFU/ml | Immunoblot technique | 5 | 82 | 6 | 2 | 58 |
Determann et al, 2005 [20] | Netherlands | C+R+M | PR | Adult | 27 | 30 | VAP | BALF | ≥104 CFU/ml | ELISA | 200 | 7 | 3 | 1 | 16 |
Gibot et al, 2007 [21] | France | C+M | PR | NA | 50 | 62 | VAP | BALF | ≥103 CFU/ml | Immunoblot technique | 5 | 29 | 2 | 2 | 17 |
Horonenko et al, 2007 [22] | USA | C+R+M | PR | ≥18 | 24 | 58 | VAP | BALF | >103 CFU/ml | ELISA | 7 | 14 | 9 | 0 | 1 |
Huh et al, 2008 [23] | Korea | C+R+M | PR | ≥18 | 80 | 36 | Bacterial or Fungal pneumonia | BALF | >104 CFU/ml | ELISA | 184 | 25 | 5 | 4 | 46 |
El Solh et al, 2008 [24] | USA | C+R+M | PR | NA | 75 | 51 | Pulmonary aspiration syndromes | BALF | >104 CFU/ml | ELISA | 250 | 25 | 3 | 13 | 34 |
Anand et al, 2009 [25] | USA | C+R+M | PR | Adult | 40 | 48 | VAP | BALF | >103 CFU/ml | ELISA | 200 | 8 | 2 | 11 | 19 |
Ramirez et al, 2011 [9] | Spain | C+R+M | PR | NA | 21 | 76 | VAP/HAP | mini-BALF | ≥103 CFU/ml | ELISA | 900 | 13 | 1 | 3 | 4 |
Palazzo et al, 2012 [26] | USA | C+R+M | PR | >18 | 45 | 42 | VAP | BALF | ≥103 CFU/ml, or ≥102 CFU/ml of PSB culture | ELISA | 204 | 15 | 20 | 4 | 6 |
ICU, intensive care unit; C, clinical; R, radiological; M, microbiological; PR, prospective recruitment; NA, not available; CAP, community acquired pneumonia; VAP, ventilator associated pneumonia; HAP, hospital acquired pneumonia; BALF, bronchoalveolar lavage fluid; CFU, colony-forming units; PSB, protected specimen brush; ELISA, enzyme-linked immunosorbent assay; TP, true-positive; FP, false-positive; FN, false-negative; TN, true-negative.