Table 1.
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 |
For the COVID-19 population, COVID-19 with ARDS was considered as a host factor by itself.