{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T20:01:08Z","timestamp":1776715268668,"version":"3.51.2"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,7,24]],"date-time":"2021-07-24T00:00:00Z","timestamp":1627084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Mycoses"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p><jats:italic>Aspergillus<\/jats:italic> species is the most common agent of invasive pulmonary fungal disease. Culture\u2010based diagnosis considered as gold standard is limited by the fungal load in samples. Detection of <jats:italic>Aspergillus<\/jats:italic> by polymerase chain reaction (PCR) has been included as a diagnostic criterion by European Organisation for Research and Treatment of Cancer (EORTC). Most routine laboratories lack facilities for molecular diagnosis. Better yield using high\u2010volume culture (HVC) technique has been reported. Studies have not compared HVC and PCR for detection of <jats:italic>Aspergillus<\/jats:italic> species in respiratory samples from patients with suspected invasive pulmonary Aspergillosis (IPA) not on antifungal therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This pilot study compared HVC and PCR for the detection of <jats:italic>Aspergillus<\/jats:italic> species in respiratory samples from treatment na\u00efve patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Bronchoalveolar lavage (BAL) samples from 30 patients with clinical suspicion of IPA were evaluated. Direct microscopy, culture both conventional (CC) and HVC and qualitative Pan <jats:italic>Aspergillus<\/jats:italic> PCR were performed. Latent class model was used for statistical analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sensitivity of HVC (100%) was better compared with CC (60%) and comparable to that of PCR (100%). Specificities of CC, HVC and PCR were 100%, 100% and 25%, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>High\u2010volume culture is a simple cost\u2010effective technique with a high sensitivity and specificity. It can be easily introduced in routine microbiology laboratories. In centres with the availability of infrastructure for molecular analysis, <jats:italic>Aspergillus<\/jats:italic> PCR with other mycological techniques can be used for better diagnosis and management of patients with IPA.<\/jats:p><\/jats:sec>","DOI":"10.1111\/myc.13347","type":"journal-article","created":{"date-parts":[[2021,6,28]],"date-time":"2021-06-28T17:05:15Z","timestamp":1624899915000},"page":"24-29","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A simple high\u2010volume culture technique\u2014Good substitute for polymerase chain reaction for the detection of <i>Aspergillus<\/i> species in bronchoalveolar lavage samples"],"prefix":"10.1111","volume":"65","author":[{"given":"Haritha","family":"Subhagan","sequence":"first","affiliation":[{"name":"Department of Microbiology St. John\u2019s Medical College Hospital Bengaluru Karnataka 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