Table 4.
Aspergillus and azole resistance profile in matched pairs of BA and BAL samples.
| Patient | Specimen | Underlying disease | Clinical diagnosis | Culture/azole susceptibility | Pan-Aspergillus PCR | Ct | ΔCt (BAL−BA)* | CYP51A PCR | Mutations |
|---|---|---|---|---|---|---|---|---|---|
| A | BA | CF+SOT | Colonization | Negative | Pos. | 31.8 | Pos. | None | |
| BAL | CF+SOT | Colonization | Negative | Neg. | No Ct | 8.2 | Neg. | NA | |
| B | BA | SOT | Colonization | Negative | Pos. | 31.7 | Pos. | None | |
| BAL | SOT | Colonization | Negative | Pos. | 33.4 | 1.7 | Pos. | I217T | |
| C | BA | HAEM | IA | Negative | Pos. | 28.4 | Pos. | None | |
| BAL | HAEM | IA | Negative | Pos. | 35.9 | 7.5 | Neg. | NA | |
| D | BA | HAEM | Colonization | Negative | Pos. | 33.4 | Pos. | L399F | |
| BAL | HAEM | Colonization | Negative | Neg. | 36.2 | 2.8 | Neg. | NA | |
| E | BA | CF+SOT | Colonization | Penicillium spp. | Pos. | 30.6 | Pos. | None | |
| BAL | CF+SOT | Colonization | Negative | Pos. | 34.8 | 4.2 | Neg. | NA | |
| F | BA | SOT | Colonization | Negative | Pos. | 33.9 | Pos. | None | |
| BAL | SOT | colonization | Negative | Neg. | 36.2 | 2.3 | Neg. | NA | |
| G | BA | SOT | IA | A. fumigatus/susceptible | Pos. | 24.9 | Pos. | None | |
| BAL | SOT | IA | A. fumigatus/susceptible | Pos. | 27.1 | 2.3 | Pos. | None | |
| H | BA | HAEM | IA | A. fumigatus/susceptible | Pos. | 29.6 | Pos. | None | |
| BAL | HAEM | IA | A. fumigatus/susceptible | Pos. | 34.4 | 4.9 | Pos. | None | |
| I | BA | PULM | ABPA | Negative | Pos. | 31.4 | Pos. | R65R | |
| BAL | PULM | ABPA | Negative | Neg. | No Ct | 8.7 | Neg. | NA | |
| J | BA | HAEM | IA | A. fumigatus/susceptible | Pos. | 32.4 | Pos. | None | |
| BAL | HAEM | IA | Negative | Pos. | 31.8 | −0.6 | Pos. | None | |
| K | BA | HAEM | IA | Negative | Neg. | No Ct | Neg. | NA | |
| BAL | HAEM | IA | Negative | Pos. | 34.1 | −5.9 | Pos. | None |
NA, not applicable.
A Ct-value of 40 was used to calculate Ct difference between BA and BAL samples when no Ct was reported for pan-Aspergillus PCR.