Probiotic supplementation for preventing invasive fungal infections in preterm neonates - a systematic review and meta-analysis

Mycoses ◽  
2015 ◽  
Vol 58 (11) ◽  
pp. 642-651 ◽  
Author(s):  
Sachin Agrawal ◽  
Shripada Rao ◽  
Sanjay Patole
Keyword(s):  
Systematic Review ◽  
Fungal Infections ◽  
Meta Analysis ◽  
Invasive Fungal Infections ◽  
Preterm Neonates ◽  
Probiotic Supplementation

Risk factors of invasive fungal infections in liver transplant recipients: a systematic review and meta‐analysis

2021 ◽  
Author(s):  
Pakpoom Phoompoung ◽  
Sabina Herrera ◽  
Armelle Pérez Cortés Villalobos ◽  
Farid Foroutan ◽  
Ani Orchanian‐Cheff ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Liver Transplant ◽  
Fungal Infections ◽  
Meta Analysis ◽  
Invasive Fungal Infections ◽  
Transplant Recipients ◽  
Liver Transplant Recipients

Risk Factors of Invasive Fungal Infections in Heart and Lung Transplantation: Systematic Review and Meta-Analysis

2020 ◽  
Vol 39 (4) ◽  
pp. S485
Author(s):  
P. Phoompoung ◽  
A. Perez Cortes Villalobos ◽  
S. Jain ◽  
F. Faroutan ◽  
A. Orchanian-Cheff ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Lung Transplantation ◽  
Fungal Infections ◽  
Meta Analysis ◽  
Invasive Fungal Infections

Comparative accuracy of 1,3 beta-D glucan and galactomannan for diagnosis of invasive fungal infections in pediatric patients: a systematic review with meta-analysis

2020 ◽  
Author(s):  
Shreya Singh ◽  
Manvi Singh ◽  
Nipun Verma ◽  
Minakshi Sharma ◽  
Pranita Pradhan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pediatric Patients ◽  
Fungal Infections ◽  
Meta Analysis ◽  
Invasive Fungal Infections ◽  
Cochrane Library ◽  
Operating Characteristics ◽  
Oncology Patients ◽  
Specificity And Sensitivity ◽  
Sensitivity Specificity

Abstract Invasive fungal infections (IFI) cause considerable morbidity and mortality in pediatric patients. Serum biomarkers such as 1,3-beta-D glucan (BDG) and galactomannan (GM) have been evaluated for the IFI diagnosis. However, most evidence regarding their utility is derived from studies in adult oncology patients. This systematic review aimed to compare the diagnostic accuracy of BDG and GM individually or in combination for diagnosing IFI in pediatric patients. PubMed, CINAHL, Embase, and Cochrane Library were searched until March 2019 for diagnostic studies evaluating both serum GM and BDG for diagnosing pediatric IFI. The pooled diagnostic odds ratio (DOR), specificity and sensitivity were computed. Receiver operating characteristics (ROC) curve and area under the curve (AUC) were used for summarizing overall assay performance. Six studies were included in the meta-analysis. The summary estimates of sensitivity, specificity, pooled DOR, AUC of the GM assay for proven or probable IFI were 0.74, 0.76, 13.25, and 0.845. The summary estimates of sensitivity, specificity, pooled DOR, AUC of the BDG assay were 0.70, 0.69, 4.3, and 0.722. The combined predictive ability of both tests was reported in two studies (sensitivity: 0.67, specificity: 0.877). Four studies were performed in hematology-oncology patients, while two were retrospective studies from pediatric intensive care units (ICUs). In the subgroup of hematology-oncology patients, DOR of BDG remained similar at 4.25 but increased to 40.28 for GM. We conclude that GM and BDG have a modest performance for identifying IFI in pediatric patients. GM has a better accuracy over BDG. Combining both improves the specificity at the cost of sensitivity.

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