Id |
Subject |
Object |
Predicate |
Lexical cue |
T34 |
0-2 |
Sentence |
denotes |
2. |
T35 |
3-24 |
Sentence |
denotes |
Materials and Methods |
T36 |
26-30 |
Sentence |
denotes |
2.1. |
T37 |
31-53 |
Sentence |
denotes |
Population of Patients |
T38 |
54-267 |
Sentence |
denotes |
Forty-five intubated and mechanically ventilated patients hospitalized in a “COVID-19 ICU” of Rennes teaching hospital were screened for this study and benefited from a systematic monitoring to detect Aspergillus. |
T39 |
268-356 |
Sentence |
denotes |
The hospital’s ethics committee (N 20-56 obtained the 30 April 2020) approved the study. |
T40 |
357-539 |
Sentence |
denotes |
The presence of SARS-CoV-2 in respiratory specimens (nasal and pharyngeal swabs or sputum) was detected by real time reverse transcription-polymerase chain reaction (RT-PCR) methods. |
T41 |
540-880 |
Sentence |
denotes |
The following data were recorded: age, patient’s preexisting condition (current smoking, diabetes, hypertension, cardiovascular disease, pulmonary disease, and kidney disease), body mass index, ICU length of stay, duration of mechanical ventilation, ventilator-free days at day 28, need for prone position ventilation, and death in the ICU. |
T42 |
881-976 |
Sentence |
denotes |
Initial clinical laboratory workup included a complete blood count and serum biochemical tests. |
T43 |
977-1038 |
Sentence |
denotes |
Chest CT scans were performed during the ICU hospitalization. |
T44 |
1039-1241 |
Sentence |
denotes |
The Simplified Acute Physiology Score (SAPS II) and the Sepsis-Related Organ Failure Assessment (SOFA) score at admission in ICU, at day 7 and 14 days after admission were used to assess severity [7,8]. |
T45 |
1243-1247 |
Sentence |
denotes |
2.2. |
T46 |
1248-1269 |
Sentence |
denotes |
Aspergillus Detection |
T47 |
1270-1541 |
Sentence |
denotes |
Respiratory samples, either bronchial or endotracheal aspirates or bronchoalveolar lavages, were systematic twice weekly and Aspergillus detection was performed using culture and real-time quantitative PCR, but GM was not performed to avoid any risk of lab contamination. |
T48 |
1542-1646 |
Sentence |
denotes |
Briefly, respiratory samples were first digested using v/v digestEUR (Eurobio) for 30 min under shaking. |
T49 |
1647-1859 |
Sentence |
denotes |
Mycological culture were performed after centrifugation of fluidified samples by inoculation of 100–200 µL of pellet on Sabouraud-Chloramphenicol dextrose Agar plates, and incubated for 7 days at 30 °C and 37 °C. |
T50 |
1860-2105 |
Sentence |
denotes |
Mold identification at genus or species complex level was performed microscopically, and confirmed at species level using MALDI-ToF mass spectrometry (MALDI Biotyper, Bruker France, Marne-la-Vallée, France), after fungal material extraction [9]. |
T51 |
2106-2269 |
Sentence |
denotes |
Spectrum profiles were then submitted to the Mass Spectrometry Identification (MSI) online database for definitive identification (https://msi.happy-dev.fr/ [10]). |
T52 |
2270-2574 |
Sentence |
denotes |
For molecular detection, 200 µL of plain fluidified respiratory sample underwent immediate SARS-CoV-2 inactivation by heating at 56 °C overnight in ATL Lysis buffer (Qiagen, Saint-Quentin Fallavier, France), before DNA extraction using the EZ1 DSP virus kit (Qiagen) on a EZ1 Advanced XL device (Qiagen). |
T53 |
2575-2695 |
Sentence |
denotes |
Molecular detection of A. fumigatus was done using a 28S rDNA Aspergillus-targeted PCR, as previously published [11,12]. |
T54 |
2696-3045 |
Sentence |
denotes |
In case of Aspergillus positive culture and/or positive PCR in respiratory samples, additional tests were performed on serum, i.e., detection of GM (Platelia GM Aspergillus, Biorad, Marnes-la-Coquette, France), Aspergillus PCR and detection of anti-Aspergillus antibody by ELISA (Platelia IgG Aspergillus, Biorad) and in-house immunoelectrophoresis. |
T55 |
3046-3280 |
Sentence |
denotes |
Briefly, Aspergillus PCR was performed on 1 mL of serum extracted using MagNA Pure 24 Total NA Isolation kit (Roche diagnostics, Meylan, France) on a MagNA Pure 24 device (Roche diagnostics), according to manufacturer recommendations. |
T56 |
3281-3317 |
Sentence |
denotes |
DNA was eluted in a volume of 50 µL. |
T57 |
3319-3323 |
Sentence |
denotes |
2.3. |
T58 |
3324-3344 |
Sentence |
denotes |
Statistical Analysis |
T59 |
3345-3493 |
Sentence |
denotes |
Continuous variables were expressed as median (interquartile range, IQR) and compared using the nonparametric Mann–Whitney U or Kruskal–Wallis test. |
T60 |
3494-3572 |
Sentence |
denotes |
Dunn’s correction tests were performed if multiple comparisons were requested. |
T61 |
3573-3626 |
Sentence |
denotes |
Qualitative data were compared using Chi-square test. |
T62 |
3627-3690 |
Sentence |
denotes |
Tests were two-sided with significance set at α less than 0.05. |
T63 |
3691-3841 |
Sentence |
denotes |
Concordance between categorical results from diagnostic tests was performed using the percent agreement coefficient and Cohen’s kappa coefficient (κ). |
T64 |
3842-3904 |
Sentence |
denotes |
When comparing quantitative data, an ANOVA test was performed. |
T65 |
3905-3991 |
Sentence |
denotes |
All data were analyzed with GraphPad Prism 8.4 (GraphPad Software, La Jolla, CA, USA). |