Recommendations	Strength of recommendation	Quality of evidence
A CAPA diagnostic work-up is recommended in mechanically ventilated COVID-19 patients with unexplained respiratory deterioration or a positive Aspergillus culture from the respiratory tract	Strong	Low
Standard CT imaging is not recommended to refute or diagnose CAPA	Weak	Very low
Screening of critically ill COVID-19 patients for serum GM or BDG is not recommended	Strong	Low
Detection of Aspergillus in sputum and tracheal aspirate is considered insufficient evidence to support CAPA diagnosis, but warrants further diagnostics through bronchoscopy and BAL	Strong	Low
We recommend maximum efforts to perform a bronchoscopy for inspection of the airways and bronchoalveolar lavage (BAL) to diagnose CAPA in patients with proven or high likelihood of COVID-19 in the ICU	Strong	Low
There is no recommendation against or in favor of using lateral flow devices-based assays for diagnosing CAPA	Weak	Very low