{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T10:30:31Z","timestamp":1793183431692,"version":"4.5.0"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,12,1]],"date-time":"2016-12-01T00:00:00Z","timestamp":1480550400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Mycoses"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Recently, the Infectious Diseases Society of America (<jats:styled-content style=\"fixed-case\">IDSA<\/jats:styled-content>) and the European Society for Clinical Microbiology and Infectious Diseases (<jats:styled-content style=\"fixed-case\">ESCMID<\/jats:styled-content>) in cooperation with the European Respiratory Society (<jats:styled-content style=\"fixed-case\">ERS<\/jats:styled-content>) and the European Confederation of Medical Mycology (<jats:styled-content style=\"fixed-case\">ECMM<\/jats:styled-content>) published guidelines for the diagnosis of chronic pulmonary aspergillosis (<jats:styled-content style=\"fixed-case\">CPA<\/jats:styled-content>). Both guidelines, however, carry significant differences. We retrospectively applied the diagnostic recommendations on a patient cohort of 71 previously diagnosed <jats:styled-content style=\"fixed-case\">CPA<\/jats:styled-content> patients in order to compare both guidelines. In 50 patients (70%) the diagnosis was confirmed by the diagnostic criteria of both guidelines, while nine patients (13%) fulfilled neither the <jats:styled-content style=\"fixed-case\">ESCMID<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ERS<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ECMM<\/jats:styled-content> nor the <jats:styled-content style=\"fixed-case\">IDSA<\/jats:styled-content> criteria. Reasons were lack of mycological evidence in respiratory samples. These patients were not tested for the presence of <jats:italic>Aspergillus<\/jats:italic>\u2010specific IgG antibodies, which is strongly recommended by both guidelines. Seven patients did not fulfil the diagnostic criteria of the <jats:styled-content style=\"fixed-case\">IDSA<\/jats:styled-content> guideline, because of severe immunosuppression, while five patients didn't fulfil the diagnostic criteria of the <jats:styled-content style=\"fixed-case\">ESCMID<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ERS<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ECMM<\/jats:styled-content> guideline, because of uncommon image findings. The comparison of both guidelines highlight that the combination of a chest <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> scan with the performance of an <jats:italic>Aspergillus<\/jats:italic>\u2010specific IgG antibody assay are key diagnostic features to establish a guideline\u2010based diagnosis of <jats:styled-content style=\"fixed-case\">CPA<\/jats:styled-content>.<\/jats:p>","DOI":"10.1111\/myc.12589","type":"journal-article","created":{"date-parts":[[2016,12,2]],"date-time":"2016-12-02T03:09:19Z","timestamp":1480648159000},"page":"136-142","source":"Crossref","is-referenced-by-count":47,"title":["Characterization of patients with chronic pulmonary aspergillosis according to the new <scp>ESCMID<\/scp>\/<scp>ERS<\/scp>\/<scp>ECMM<\/scp> and <scp>IDSA<\/scp> guidelines"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0146-8310","authenticated-orcid":false,"given":"Helmut J. F.","family":"Salzer","sequence":"first","affiliation":[{"name":"Division of Clinical Infectious Diseases Medical Clinic Research Center Borstel  Borstel Germany"},{"name":"German Center for Infection Research Clinical Tuberculosis Center  Borstel Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Heyckendorf","sequence":"additional","affiliation":[{"name":"Division of Clinical Infectious Diseases Medical Clinic Research Center Borstel  Borstel Germany"},{"name":"German Center for Infection Research Clinical Tuberculosis Center  Borstel Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Kalsdorf","sequence":"additional","affiliation":[{"name":"Division of Clinical Infectious Diseases Medical Clinic Research Center Borstel  Borstel Germany"},{"name":"German Center for Infection Research Clinical Tuberculosis Center  Borstel Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thierry","family":"Rolling","sequence":"additional","affiliation":[{"name":"Section of Infectious Diseases and Tropical Medicine 1st Department of Internal Medicine University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"},{"name":"Bernhard Nocht Institute for Tropical Medicine  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Lange","sequence":"additional","affiliation":[{"name":"Division of Clinical Infectious Diseases Medical Clinic Research Center Borstel  Borstel Germany"},{"name":"German Center for Infection Research Clinical Tuberculosis Center  Borstel Germany"},{"name":"Department of Internal Medicine University of Namibia School of Medicine  Windhoek Namibia"},{"name":"International Health\/Infectious Diseases University of L\u00fcbeck  L\u00fcbeck Germany"},{"name":"Department of Medicine Karolinska Institute  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.11.089441"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00226911"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/13693786.2012.738312"},{"key":"e_1_2_6_5_1","unstructured":"Global Action Fund for Fungal Infections. 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