Modificación del rótulo de una solución balanceada tras la detección de falsos positivos en el ensayo de galactomananos

Authors

  • Mariano Scolari Hospital Británico de Buenos Aires. Ciudad Autónoma de Buenos Aires, Argentina.
  • Bárbara Gueller Hospital Británico de Buenos Aires. Ciudad Autónoma de Buenos Aires, Argentina.

Abstract

Invasive aspergillosis is a common cause of morbidity - mortality in oncohematological patients. Serum detection of galactomanans has been shown to correlate with the evolution of the infection and, therefore, with the prognosis of the patient who carries it. This paper, describes a number of cases with detection of this marker in patients assisted at the bone marrow transplant unit of our institution hydrated with polyelectrolytic solution based on gluconate of national manufacture. In most cases, galactomanans detection showed no clinical correlation. An investigation was carried out, determining the polyeletrolytic solution as a causal agent. We request the laboratory producing it to modify the label following these findings.

References

Rabagliati R. Actualización en el diagnóstico y manejo de la asperigilosis invasora en pacientes adultos. Rev Chilena infectol. 2018; 35(5): 531-44

Kontoyiannis D, Marr K, Park B, Alexander B, Anaisseie E, Walsh T, et al. Prospective surveillance for invasive fungal infections in hematopoietic stem cell transplant recipients, 2001-2006: overview of the Transplant- Associated Infection Surveillance Network (TRANSNET) Database. Clin inFect Dis. 2010; 50(8): 1091-100.

Gregg KS, Kauffman CA. Invasive aspergillosis: epidemiology, clinical aspects, and treatment. Semin Respir Crit Care Med. 2015; 36:662-72.

Patterson T, Thompson G, Denning D, Fishman J, Hadley S, Herbrecht R, et al. Practice Guidelines for the Diagnosis and Management of Aspergillosis: 2016 Update by the Infectious Diseases Society of America. Clin Infect Dis. 2016; 63(4): 1-60.

Adam O, Auperin A, Wilquin F, Bourhis J, Gachot B, Chachaty E. Treatment with piperacillin-tazobactam and false-positive Aspergillus galactomannan antigen test results for patients with hematological malignancies. Clin. Infect. Dis. 2004; 38:917-20.

Mattei D, Rapezzi D, Mordini N, Cuda F, Lo Nigro C, Musso M, et al. False-positive Aspergillus galactomannan enzyme-linkedimmunosorbent assay results in vivo during amoxicillin-clavulanic acid treatment. J. Clin. Microbiol. 2004; 42:5362-63.

The University of Iowa.Department of Pathology. LABORATORY SERVICES HANDBOOK. Aspergillus Galactomannan Antigen-Blood. 2015 [ Consultado 10 Mar 2020] Disponible en: https://www.healthcare.uiowa. edu/path_handbook/handbook/test2265.html

Aguirre M, Banchieri A, Basquiera A, Barrales J, Cattáneo M, Cuellar S, et al. Trasplante de células progenitoras hematopoyéticas. Sociedad Argentina de Hematología. Guías de Diagnóstico y Tratamiento. 2019; 699-777.

Agriello E, Belli C, Bullorsky L, Cazap N, Cranco S, Dick H, et al. Leucemias agudas. Sociedad Argentina de Hematología. Guías de Diagnóstico y Tratamiento. 2019; 367-433.

Semler M, Self W, Wanderer J, Ehrenfeld J, Wang L, Byrne D, et al. Balanced crystalloids versus saline in critically ill adults. N Engl J Med. 2018; 378(9):829-39.

Sanchez Diaz JS, Monares Cepeda E, Calyeca Sanchez MV et al. Soluciones balanceadas: cloro, el "nuevo villano". Med Crit 2017; 31(3):152-58.

Garnacho-Monteroa J, Fernández-Mondéjarb E, Ferrer-Rocac R, Herrera-Gutiérreze M, Lorentef J, Ruiz- Santanai S, et al. Cristaloides y coloides en la reanimación del paciente crítico Med Intensiva. 2015; 39(5):303-15.

Hage C, Reynolds J, Durkin M, Wheat L, Knox K. Plasmalyte as a Cause of False-Positive Results for Aspergillus Galactomannan in Bronchoalveolar Lavage Fluid J Clin Microbiol. 2007; 45(2):676-7.

Spriet I, Lagrou K, Maertens J, Willems L, Wilmer A, Wautersd J. Plasmalyte: No Longer a Culprit in Causing False-Positive Galactomannan Test Results. J Clin Microbiol. 2015; 54:795-97.

Published

2022-06-26

How to Cite

Scolari, M., & Gueller, B. (2022). Modificación del rótulo de una solución balanceada tras la detección de falsos positivos en el ensayo de galactomananos. Revista De La AAFH, 7(1), 11–15. Retrieved from https://revista.aafhospitalaria.org.ar/index.php/RAAFH/article/view/5

Issue

Section

Comunicación Breve

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