Candida albicans In Vitro Diagnostics (13)--D-Glucan Determination Reagents

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1 D 012

2 Candida albicans In Vitro Diagnostics (13)--D-Glucan Determination Reagents

3 DATA : 1 DATA : 2 3 DATA : UNGITEC 1

4 1 DATA : 20pg/mL 1020pg/mL 10pg/mL (cut off 20pg/mL) 90.2%(37/41) 100%(85/85) 96.8%(122/126) (13)--D(pg/mL)

5 FUNGITEC 3

6 DATA : 2 1. Candida albicans 2. Candida glabrata 3. Candida parapsilosis 4. Candida tropicalis 5. Candida guilliermondii 6. Aspergillus fumigatus 7. Aspergillus flavus 8. Aspergillus niger 9. Cryptococcus neoformans 10. Mucor sp. 11. Trichosporon beigelii

7 FUNGITEC 5

8 DATA : pg/ml Cryptococcus neoformans C. neoformans (C) (mg dl 1 ) Pseudomonas aeruginosa 76.5 pg/ml (C) (pg ml 1 ) (mg dl 1 ) (mm h 1 )

9 FUNGITEC L2, Ph1, HL-4Extremely high risk group minor-bcr HL-4 VP-16Ara-C 34.2 pg /ml20 pg /ml B 3g/ 200mg 300mg 140mg/kg 100mg 140mg/kg 100mg/kg 140mg/kg 6mg/kg 2T 30mg/kg 200mg/kg 25mg/kg 30mg () ,300 18, (mg dl 1 ) mg 400mg 200mg mg/ B g/ 2g/ 400mg/ 2g/ 400mg/ 400mg/ 6g/ 400mg/ 4g/ 200mg/ 2g/ 400mg/ 4g/ 400mg / 400mg/ 400mg/ 160mg/ 20mg/ 400mg/ 2mg/ G-CSF 300g/300g/150g /75g / 2mg/ 300mg/ 10mg/ G-CSF 300g / 180mg/ 4g/ 0.3g/ () (mg dl 1 ) pg/mL 91.9pg/mL 42.35pg/mL 30.43pg/mL 7

10 FUNGITEC (pg ml 1 ) 300 G test/es CT 6/ / / / C. tropicalis C. tropicalis C. tropicalis C. tropicalis G test Es Candida tropicalis C. tropicalis C. tropicaliscandida Candida Candida albicans Aspergillus flavus Aspergillus fumigatus Cryptococcus neoformans Microsporum canis Trichophyton mentagrophytes Trichophyton rubrum Saccharomyces cerevisiae Staphylococcus epidermidis Staphylococcus aureus -Streptococcus hemolyticus 8

11 R R 9

12 10 R R R R R

13 D D R D D D D

14 R 1. Reiss, E. : Molecular immunology of mycotic and actinomycotic infections, pp.11-14, Elsevier, New York (1986) 2., pp , (1987) 3. Saito, H. et al. : Agr. Biol. Chem., 32, (1968) 4. Obayashi, T. et al. : Clin. Chim. Acta, 147, (1985) 5. Obayashi, T. et al. : Infect Immun., 53, (1986) 6. Obayashi, T. et al. : Prog. Clin. Biol. Res., 231, (1987) 7. 35, (1991) 8. Obayashi, T. et al. : J. Med.Vet.Mycol., 30, (1992) 9. Miyazaki, T. et al. : J. Clin. Lab. Anal., 6, (1992) , (1993) , (1993) 12. Rylander, R. and Goto, H. (eds) (1994) : Third glucan inhalation toxicity workshop. Commitee on organic dusts ICOH, report 1/ , (1994) 14. Obayashi, T. et al. : Lancet., 345, (1995) 15. pp (1994) 16. pp (1995) 17. pp (1995) 18. pp (1995) 19. Yasuoka, A. et al. : Clin. Diagn. Lab. Immunol., 3, (1996) 20. Yoshida, M. : J. Lab. Clin. Med., 128, (1996) 21., pp (1981) 22. Morita, T. et al. : FEBS Lett., 129, (1981) 23. Prog. Med.,7, (1987) 24. Tanaka, S. et al. : Carbohydr. Res., 218, (1991) 25. Aketagawa, J. et al. : J. Biochem., 113, (1993) 26., 23, , (1995) 27., 166, , (1993) 28. Tamura, H. et al. : Clin. Chim. Acta, 226, (1994) 29., pp , (1996) , (1996) R1.Iwasaki, H. et al. : A new diagnostic aid for deep mycosis associated with hematologic disease using (13) --D-glucan assay (G-test). Am. Soc. Mycrobiol., pp (1993) R2. (13) --D-glucan Miconazole CHEMOTHERPY,39, (1991) R3. R4., 154, , (1990) R5. Opportunistic Fungus Infection, 74, 61-69, (1985) R6. fluconazolechemotherpy, 41, , (1993) R7. Iwama, A. et al. : Improved survival from fungaemia in patients with haematological malignancies : Analysis of risk factors for death and usefulness of early antifungal therapy. Eur. J. Haematol., 51, (1993) R8. Hughes, W. T. et al. : Guidelines for the Use of Antimicrobial Agents in Neutropenic Patients with Unexplained Fever. J. Infect. Dis., 161, (1990) R9. Debra, K. et al. : Guidelaines for the Use of Antimicrobial Agents in Neutropenic Patients with Unexplained Fever. J. Infect. Dis., 163, 201 (1991) R10. Hughes, W. T. et al. : Guidelaines for the Use of Antimicrobial Agents in Neutropenic Patients with Unexplained Fever. J. Infect. Dis., 163, (1991) R11. Medicament News,1392, 1-3 ( ) R12. Medicament News,1392,4-6 ( ) R13. (13) --D-glucan endotoxin 1pp (1999) R14. Usami, M. et al. : Positive (13) --D-glucan in blood components and release of (13) --D-glucan from depth-type membrane filters for blood processing. TRANSFUSION : 42, (2002) R15. (13) --D- pp (2005) R16. (13) --D Tel Fax

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