Evolution of Cryptococcal Antigen Testing: What Is New?

被引:39
作者
Nalintya E. [1 ]
Kiggundu R. [1 ]
Meya D. [1 ,2 ,3 ]
机构
[1] Infectious Diseases Institute, College of Health Sciences, Makerere University, Mulago Hill Road, # 22418, Kampala
[2] Department of Medicine, Center for Infectious Diseases and Microbiology Translational Research, University of Minnesota, Minneapolis, MN
[3] School of Medicine, College of Health Sciences, Makerere University, Kampala
关键词
Antigen; Assay; Cryptococcal disease; Cryptococcal meningitis; Cryptococcus; Diagnosis; Fungus; HIV; Lateral flow; Testing; Thermal contrast;
D O I
10.1007/s12281-016-0256-3
中图分类号
学科分类号
摘要
Over the last decade, an upsurge in both the frequency and severity of fungal infections due to the HIV/AIDS epidemic and the use of immunosuppressive therapy has occurred. Even diagnostic methods like culture and microscopy, which have low sensitivity and longer turnaround times, are not widely available, leading to delays in timely antifungal therapy and detrimental patient outcomes. The evolution of cryptococcal antigen (CrAg) testing to develop inexpensive and more sensitive methods to detect cryptococcal antigen is significant. These newer tests employ immunoassays as part of point-of-care platforms, which do not require complex laboratory infrastructure, and they have the potential to detect early disease and reduce time to diagnosis of cryptococcal infection. Advocacy for widely available and efficacious life-saving antifungal treatment should be the only remaining challenge. © 2016, Springer Science+Business Media New York.
引用
收藏
页码:62 / 67
页数:5
相关论文
共 40 条
[1]  
Kozel T.R., Wickes B., Fungal diagnostics, Cold Spring Harb Perspect Med, 4, 4, (2014)
[2]  
Pyrgos V et al, 1997-2009, (2013)
[3]  
Park B.J., Et al., Estimation of the current global burden of cryptococcal meningitis among persons living with HIV/AIDS, AIDS, 23, 4, pp. 525-530, (2009)
[4]  
Marcos J.Y., Pincus D.H., Fungal diagnostics: review of commercially available methods, in fungal diagnostics, pp. 25-54, (2013)
[5]  
Lui G., Et al., Cryptococcosis in apparently immunocompetent patients, QJM Int J Med, 99, 3, pp. 143-151, (2006)
[6]  
Chen J., Et al., Cryptococcus neoformans strains and infection in apparently immunocompetent patients, China, Emerg Infect Dis, 14, 5, (2008)
[7]  
Hakim J.G., Et al., Impact of HIV infection on meningitis in Harare, Zimbabwe: a prospective study of 406 predominantly adult patients, AIDS, 14, 10, pp. 1401-1407, (2000)
[8]  
Chayakulkeeree M., Perfect J.R., Cryptococcosis, Infect Dis Clin N Am, 20, 3, pp. 507-544, (2006)
[9]  
Morgan J., Et al., Cryptococcus gattii infection: characteristics and epidemiology of cases identified in a South African province with high HIV seroprevalence, 2002–2004, Clin Infect Dis, 43, 8, pp. 1077-1080, (2006)
[10]  
Passoni L.F.C., Wood, animals and human beings as reservoirs for human Cryptococcus neoformans infection, Rev Iberoam Micol, 16, 6, pp. 77-81, (1999)