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. 2021 Jan 18;51(4):383–386. doi: 10.1016/j.idnow.2020.12.008

Table 1.

Comparison of the number of cases of invasive pulmonary aspergillosis, according to Asp-ICU criteria, modified Asp-ICU criteria, EORTC criteria and Alanio study criteria.

Alanio study n = 27 Koehler study n = 19 Van Arkel study n = 31 Bartolleti study n = 108 Present study n = 53
Alanio criteria Aspergillus positive culture from BAL
Or 2 of the followings:
Aspergillus positive TA
Positive Aspergillus qPCR in BAL, TA, or serum
Galactomannan index > 0.8 on BAL or > 0.5 on serum
β-D-glucan > 80 pg/ml in serum
9 5 3 20 1
Asp-ICU criteria All 4 criteria (if one missing, colonisation):
Aspergillus-positive lower respiratory tract sample (entry criterion)
Compatible clinical signs and symptoms
Abnormal medical imaging
Either host risk factor or Aspergillus-positive culture from BAL
6 and colonisation in one case 2 and colonisation in one case 3 and colonisation in 3 cases 19 and colonisation in one case 1 and colonisation in one case
Modified Asp-ICU criteria (used by Koehler and van Arkel) Clinical criteria, radiological criteria and one or more of the followings:
Aspergillus positive culture from BAL
Galactomannan index ≥ 1 on BAL or ≥ 0.5 on serum
7 4 3 30 2
EORTC criteria At least one host factora, one clinical feature and mycologic evidence in the followings:
Aspergillus positive culture from sputum, BAL or TA
Positive Aspergillus qPCR on BAL or serum
Galactomannan index > 1 on BAL or serum
7 5 6 36 2
Expert consensus case criteria for IAPA (used by Bartolleti) A: Pulmonary infiltrate and at least one of the following:
Aspergillus positive culture from BAL
Galactomannan index ≥ 1 on BAL or ≥ 0.5 on serum
OR
B: Cavitating infiltrate (not attributed to another cause) and at least one of the following:
Aspergillus positive culture from sputum or TA
7 4 3 30 2
Antifungal Treatment 1 4 3 16 1
a

For the COVID-19 population, COVID-19 with ARDS was considered as a host factor by itself.