Point-of-Care Diagnosis and Prognostication of Cryptococcal Meningitis With the Cryptococcal Antigen Lateral Flow Assay on Cerebrospinal Fluid

被引:93
作者
Kabanda, Taseera [1 ]
Siedner, Mark J. [2 ]
Klausner, Jeffrey D. [3 ,4 ]
Muzoora, Conrad [1 ]
Boulware, David R. [5 ]
机构
[1] Mbarara Univ Sci & Technol, Fac Med, Dept Med, Kampala, Uganda
[2] Harvard Univ, Sch Med, Dept Med, Massachusetts Gen Hosp, Boston, MA USA
[3] Univ Calif Los Angeles, Dept Med, Ctr World Hlth, Los Angeles, CA 90024 USA
[4] Univ Calif Los Angeles, Div Infect Dis, Los Angeles, CA USA
[5] Univ Minnesota, Dept Med, Div Infect Dis & Int Med, Minneapolis, MN 55455 USA
基金
英国医学研究理事会;
关键词
HIV; cryptococcal meningitis; diagnosis; point-of-care; sub-Saharan Africa; AMPHOTERICIN-B; CLEARANCE; BURDEN;
D O I
10.1093/cid/cit641
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The cryptococcal antigen (CRAG) lateral flow assay (LFA) had 100% sensitivity and specificity on cerebrospinal fluid samples. Pretreatment LFA titers correlated with quantitative cultures (R-2 = 0.7) and predicted 2- and 10-week mortality. The CRAG LFA is an accurate diagnostic assay for CSF and should be considered for point-of-care diagnosis of cryptococcal meningitis.
引用
收藏
页码:113 / 116
页数:4
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