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. 2023 Jan 27;10(2):ofad043. doi: 10.1093/ofid/ofad043

Table 1.

Pneumocystis jirovecii Detection Criteriaa [31]

Proven P. jirovecii
Direct detection of the organism
  • Detection of the organism microscopically in tissue, BAL fluid, expectorated sputum using conventional or immunofluorescence staining

Probable P. jiroveciib
Host factors
  • CD4 count <200 cells/mm3

  • Exposure to a medication with known anti-T-cell effects (antineoplastic, anti-inflammatory, or immunosuppressive)

  • ≥2 wk of prednisone equivalent dosing ≥0.3 mg/kg in the past 60 d

  • Solid organ transplant

Clinical features
  • Radiographic features: particularly bilateral ground glass opacities, nodules, consolidations, cystic lesions, etc.

  • Respiratory symptoms accompany radiographic abnormalities: nodules, infiltrates, effusions, etc.

Mycologic evidence
  • Detection of β−D-glucan ≥80 ng/L in >2 consecutive serum samples, provided exclusion of other etiologies

  • PCR detection of Pneumocystis jirovecii

Abbreviations: BAL, bronchoalveolar lavage; PCR, polymerase chain reaction.

a

Table adapted from Donnelly et al. for the European Organization for Research and Treatment of Cancer and the Mycoses Study Group Education and Research Consortium.

b

Must meet at least 1 criterion from each of the 3 categories.