Evaluation of the Candigen enzyme-linked immunosorbent assay for quantitative detection of Candida species antigen.

Abstract:

OBJECTIVE:To assess the clinical utility of an enzyme-linked immunosorbent assay method for the quantitative detection of Candida species antigen (Candigen; Biomerica Inc, Newport Beach, Calif) in patients with suspected disseminated candidiasis. METHODS:Specimens of blood or cerebrospinal fluid from 75 patients with suspected disseminated candidiasis were analyzed by the Candigen test. Results were compared with those obtained by culture and polymerase chain reaction (PCR) analysis. RESULTS:Thirty-seven patients had specimens positive for Candida species by either culture or PCR. Of these specimens, 4 were positive by both culture and PCR, 21 were culture positive but PCR negative, and 12 were PCR positive but culture negative. Five specimens were positive by the Candigen test, all of which were PCR positive but culture negative. The sensitivity, specificity, and positive and negative predictive values of the Candigen test compared to culture plus PCR were 13.5%, 100%, 100%, and 54.3%, respectively. Turnaround time for the Candigen test was approximately 3 hours. CONCLUSION:The Candigen test showed excellent specificity and turnaround time, but its poor sensitivity coupled with its inability to provide species information or susceptibility data make its clinical utility questionable.

journal_name

Arch Pathol Lab Med

authors

Elsayed S,Fitzgerald V,Massey V,Hussain Z

doi

10.1043/0003-9985(2001)125<0344:EOTCEL>2.0.CO;2

subject

Has Abstract

pub_date

2001-03-01 00:00:00

pages

344-6

issue

3

eissn

0003-9985

issn

1543-2165

journal_volume

125

pub_type

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