Is Bulpa criteria suitable for the diagnosis of probable invasive pulmonary Aspergillosis in critically ill patients with chronic obstructive pulmonary disease? A comparative study with EORTC/ MSG and ICU criteria

Table 3 Reasons for the non-classification of patients by the three criteria in population two

Reason for diagnosis failure	EORTC/ MSG Criteria (n = 20)	Bulpa Criteria (n = 4)	ICU Criteria (n = 14)
Dose of steroid	0 (0%)	0 (0%)	9 (64.3%)
Course of steroid	6 (30%)	0 (0%)	0 (0%)
Dose and course of steroid	2 (10%)	0 (0%)	0 (0%)
Typical CT findings	1 (5%)	0 (0%)	0 (0%)
Steroid and CT	11 (55%)	0 (0%)	0 (0%)
BALF GM	0 (0%)	4 (100%)	0 (0%)
Positive LRTs culture	0 (0%)	0 (0%)	1 (7.1%)
Steroid and LRTs culture	0 (0%)	0 (0%)	4 (28.6%)

Note: the non-classification of patients by each criteria were listed above; the main reasons were the strict requirements regarding steroid use, typical CT findings and positive LRTs cultures
EORTC/MSG European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group and the National Institute of Allergy and Infectious Diseases Mycoses Study Group; ICU Intensive Care Unit; CT Computed Tomography; BALF Bronchoalveolar Lavage Fluid; GM Galactomannan; LRT Lower respiratory tract

ISSN: 1471-2334