TABLE 6

Antibody diagnosis of chronic pulmonary aspergillosis (CPA)

PopulationIntentionInterventionSoRQoERef.Comment
Cavitary or nodular pulmonary infiltrate in non-immunocompromised patientsDiagnosis or exclusion of CPAAspergillus IgG antibodyAII[42, 43, 44]IgG and precipitins test standardisation incomplete
Aspergillus precipitinsAII[29, 43, 45–47]Mostly in-house tests and poorly validated; uncertain sensitivity is the major problem
Aspergillus IgM antibodyDIII[48]Few data
Aspergillus IgA antibodyDIII[49, 50]
Intervention in context of asthma, ABPA or CF patientsAspergillus IgE antibodyBII[10, 51]Often detectable in CCPA irrespective of underling condition, with a raised total IgE
  • SoR: strength of recommendation; QoE: quality of evidence; ABPA: allergic bronchopulmonary aspergillosis; CF: cystic fibrosis.