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Table 1 Summary of studies that reported pulmonary aspergillosis among patients with COVID-19

From: Risk factors for invasive aspergillosis in ICU patients with COVID-19: current insights and new key elements

Reference

Country

Patients Included (patients with IA/ total of patients)

ICU Patients

MV Patients

IA: diagnosis from ICU admission (days)

Criteria / Definitions used

BAL GM + 

Serum GM + 

Alanio

France

9/27

9

9

NA

CAPA definition (Verweij)

AspICU (Blot)

Modified AspICU (Schauwvlieghe)

EORTC/MSG

1/7

1/9

Bartoletti

Italy

30/108

30

30

4 (2 to 8)

CAPA definition (Verweij)

AspICU (Blot)

Modified AspICU (Schauwvlieghe)

30/30

1/30

Borman

United Kingdom

61

61

61

NA

NA

5/61

 

Dupont

France

19/106 (17,9%)

19

18

10 (4 to 23)

AspICU (Blot)

5/9 tested

NA

Falces-Romero

Spain

10

7

7

NA

AspICU (Blot)

EORTC/MSG

2/2 tested

1/2 tested

Flikweert

Netherlands

7

7

7

19,5 (1 to 24)

custom (symptoms and GM + on BAL/serum OR positive BAL cultures)

6/7 (GM + on fluids, distinction between BAL or Serum NA)

NA

Gangneux

France

7/45

NA

7

NA

CAPA definition (Verweij)

AspICU (Blot)

Modified AspICU (Schauwvlieghe)

NA

2/7

Helleberg

Denmark

2/8

2

2

5 and 1 days

NA

1/1 tested

1/2

Koehler

Germany

5/19

5

5

NA

CAPA definition (Verweij)

AspICU (Blot)

Modified AspICU (Schauwvlieghe)

3/3 tested

2/5

Lamoth

Switzerland

3/80

NA

3

7 (3 to 8)

CAPA definition (Verweij)

AspICU (Blot)

Modified AspICU (Schauwvlieghe)

EORTC/MSG

NA

1/3

Marr

USA / Spain

20

20

20

9,5 (-1 to 24)

custom (positive respiratoy fluids cultures OR GM + on serum/BAL or BDG serum)

0/1 tested

4/16 tested

Mitaka

USA

4/7

NA

4

6,8 (1 to 14)

AspICU (Blot)

NA

1/3 tested

Nasir

Pakistan

5/23

5

5

8

custom (clinical parameters, radiological findings and mycological data)

NA

0/9 tested

Rothe

Germany

2/140

NA

NA

NA

NA

NA

NA

Rutsaert

Belgium

7/34

7

7

8 (5 to 13)

CAPA definition (Verweij)

AspICU (Blot)

Modified AspICU (Schauwvlieghe)

EORTC/MSG

5/6

1/6

Van Biesen

Netherlands

9/42

9

9

3 (1 to 19)

AspICU (Blot)

9 tested

NA

Van Arkel

Netherlands

6/31

6

6

5 (3 to 14)

CAPA definition (Verweij)

AspICU (Blot)

Modified AspICU (Schauwvlieghe)

2/3 tested

0/3 tested

Wang

China

8/104

8

4

19

custom (positive BAL or sputum cultures)

NA

NA

White

United Kingdom

25/135

NA

25

NA

1,2 + modified IAPA guidelines to accepted NBL GM-EIA positivity in place of testing BAL

NA

1/2 tested

Ichai*

France

6/26

6

6

NC

NC

NC

NC

Zuo*

China

6/30

6

6

NC

NC

NC

NC

Overall

 

239 patients

  

median 8 days from ICU admission

(median 6,8 days of MV)

 

60/133 tested

16/97 tested

  1. BAL broncho-alveolar lavage, EIA enzyme immunoassays, GM galactomannan, GMI galactomannan index, IA invasive aspergillosis, ICU intensive care unit, MV mechanical ventilation, NA not applicable, NC not classifiable, NBL non-directed bronchial lavage, SV spontaneous ventilation
  2. GM + if GMI on BAL > 1,0 or serum > 0,5
  3. *article was not used in "Results" but only in "Discussion" modified from [13]