From: Prevalence and clinical impact of bacterial co-infection in chronic pulmonary aspergillosis
All CPA patients N = 101 | Bacterial Co-infection (N = 21) | No Bacterial Co-infection (N = 80) | P | |
---|---|---|---|---|
N (%) | N (%) | N (%) | ||
Male gender | 79 | 15 (72) | 64 (80) | 0.388 |
Age (year) | 57 ± 13 (28–80) | 57 ± 12 | 57 ± 16 | 0.939 |
Ever smoking rate | 69 | 16 (80) | 53 (75) | 0.772 |
Smoking load (pack/year) | 37 ± 20 (5-110) | 35 ± 16 | 45 ± 30 | 0.087 |
Symptoms at presentation | ||||
Dyspnea | 56 | 15 (71) | 41 (51) | 0.139 |
Cough | 57 | 14 (67) | 43 (54) | 0.331 |
Hemoptysis | 56 | 10 (48) | 46 (58) | 0.466 |
Sputum | 17 | 8 (38) | 9 (11) | 0.007 |
Weight loss | 7 | 3 (14) | 4 (5) | 0.155 |
Amount of hemoptysis | ||||
Bloody-streaked | 33 | 5 (24) | 28 (35) | |
Tea-spoon or table-spoon | 15 | 3 (14) | 12 (15) | 0.809 |
Cup | 8 | 2 (10) | 6 (8) | |
Respiratory failure | 7 | 5 (24) | 2 (3) | 0.007 |
Any additional diseases | 90 | 18 (86) | 72 (90) | 0.694 |
ICU admission | 4 | 2 (10) | 2 (3) | 0.19 |
Systemic steroid use | 10 | 5 (24) | 5 (6) | 0.03 |
COPD | 33 | 6 (29) | 27 (34) | 0.796 |
CAD | 5 | 1 (5) | 4 (5) | NS |
Asthma | 3 | - | 3 (4) | NS |
Bronchiectasis | 8 | 3 (14) | 5 (6) | 0.358 |
DM | 24 | 4 (19) | 20 (25) | 0.755 |
Malignancy | 17 | 3 (14) | 14 (18) | NS |
Emphysema | 11 | 4 (19) | 7 (9) | 0.233 |
TB Sequela | 46 | 6 (29) | 40 (50) | 0.091 |
ILD | 8 | 3 (14) | 18 (86) | 0.358 |
CTD | 5 | 1 (5) | 4 (5) | NS |
Any organ transplant | 2 | - | 2 | NS |
Pleural effusion | 7 | 1 (5) | 6 (8) | NS |
Side of involvement | ||||
Right | 45 | 10 (48) | 35 (44) | |
Left | 37 | 7 (33) | 30 (38) | 0.934 |
Bilateral | 19 | 4 (19) | 15 (19) | |
Lobar involvement | ||||
RUL | 37 | 8 (38) | 29 (36) | |
LUL | 31 | 4 (19) | 27 (34) | 0.162 |
LLL | 3 | 2 (10) | 1 (1) | |
Multiple lobes | 30 | 7 (33) | 23 (29) | |
TTNAB | 6 | 0 | 6 (8%) | 0.34 |
Bronchoscopy | 75 | 17 (81) | 58 (72) | 0.054 |
Daignosis method | ||||
Laboratory | 14 | 3 (14) | 11 (14) | |
Radiology and clinical | 14 | 7 (33) | 7 (9) | 0.013 |
Pathology | 73 | 11 (53) | 62 (77) | |
Pathological diagnosis via | ||||
TTNA | 4 | 19 (24) | ||
Surgical | 47 | 4 (19) | 4 (5) | 0.017 |
Bronchoscopic biopsy | 6 | 1 (5) | 43 (54) | |
Bronchocopic lavage | 15 | 6 (29) | 9 (11) | |
Radiological classification | ||||
Simple aspergilloma | 43 | 7 (33) | 36 (45) | |
CCPA | 26 | 5 (24) | 21 (26) | |
CFPA | 5 | 3 (14) | 2 (3) | 0.198 |
SAIA | 9 | 2 (10) | 7 (9) | |
Aspergillosis nodule | 8 | 3 (14) | 5 (6) | |
Endobronchial aspergillosis | 10 | 1 (5) | 9 (11) | |
Galactomannan serum | 56 | 10 | 46 | 0.715 |
High levels (> 1) | 13 | 3 | 10 | |
Galactomannan level | 0.867 ± 1.36 (0.015–6.18) | 0.949 ± 1.47 | 0.849 ± 1.35 | 0.835 |
Galactomannan BAL | 18 | 3 | 15 | 0.685 |
High (> 1) | 17 | 3 | 14 | |
Galactomannan level (BAL) | 4.926 ± 4.63 | 2.8 ± 0.5 | 5.3 ± 4.9 | 0.401 |
(0.431–15.225) | ||||
Treatment Method | ||||
Follow-up | 8 | 3 (14) | 5 (6) | |
Surgery alone | 34 | 4 (19) | 30 (38) | 0.047 |
Antifungal Treatment alone | 42 | 13 (62) | 29 (36) | |
Treatment and surgery | 17 | 1 (5) | 16 (20) | |
Antifungal treatment | ||||
Fluconazole | 1 | 1 | ||
Voriconazole | 50 | 13 (62) | 37 | 0.864 |
Capofungin | 1 | 1 | ||
Itraconazol | 7 | 1 (5) | 6 | |
Antifungal treatment complication | 9 | 2 (10) | 7 (16) | NS |
Surgical operation | 51 | 5 | 46 | 0.357 |
Number of hospitalisation | ||||
1–2 | 93 | 19 (90) | 74 (93) | 0.67 |
3 and more | 8 | 2 (10) | 6 (7) | |
Follow-up duration (months) | 27 ± 22 (0–83) | 25.7 ± 20.6 | 28.8 ± 25 | 0.564 |
Survival duration (months) | 37 ± 25 (0–83) | 35.1 ± 27 | 37.2 ± 23 | 0.736 |
Mortality | 29 | 9 (43%) | 20 (25%) | 0.174 |
Malignancy | 9 |