Supplementary material 1. N° Age Outcome Sex (years) (1=Died) Characteristics of the false positive episodes Ward Underline disease N° positive samples/ Slope N °total 1/1 NA Antifungal treatment Clinical presentation Possible cause of false positive results Fluconazole prophylaxis Pneumonia by S.maltophilia Gram- infections 1 63 F 0 Haematology AML 2 63 F 0 Haematology AML 1/1 NA Itraconazole prophylaxis Pneumonia Candiduria by C.glabrata 3 64 F 0 Haematology AML 1/2 >0 Fluconazole prophylaxis Sepsis by P.aeruginosa Gram- infections 4 24 F 0 Haematology ALL 1/1 NA No Pneumonia by SRV Previous IA probable, 1 month before 5 44 M 0 Haematology Aplasia 6/9 <0 Posaconazole prophylaxis Only neutropenia Hemoderivate infusion 6 27 M 0 Haematology ALL 1/4 <0 Itraconazole prophylaxis Only neutropenia GM positive on the same day, probable contamination during samples collection 7 68 M 1 Haematology AML 2/4 >0 Fluconazole prophylaxis Pneumonia by P.aeruginosa Gram- infection, β-lactam 8 41 M 0 Bone marrow transplant unit HSCT 5/6 <0 L-Amphotericin prophylaxis Only neutropenia Immunoglobulin infusion 9 76 M 0 ICU Solid Neoplasia 2/2 <0 No Sepsis Surgery (3 days before), multifocal colonization by C.albicans 10 64 M 0 ICU Kidney transplant 4/4 <0 No Pneumonia by E.coli Pentaglobin infusion, Gram- infections 11 73 F 1 ICU Vasculite 5/6 <0 Fluconazole empiric Sepsis Pentaglobin infusion, β-lactam 12 62 M 0 ICU Cardiological 2/2 <0 No ARDS Pentaglobin infusion 13 65 M 0 ICU Oesophageal Perforation 2/2 <0 Caspofungin empiric Septic shock by mixed Gram- infection 14 36 M 0 ICU Autoimmune cirrhosis in liver transplant for Crigler Najjar II 1/1 NA No Septic shock by S.pneumoniae Pentaglobin infusion, multifocal colonization by C.krusei, surgery (10 days before), Gram- infection, β-lactam Gram+ infection, β-lactam 15 67 M 0 ICU Rheumatoid arthritis 1/1 NA No Pneumonia by S.aureus Diffuse cutaneous ulceration, colonization by C.glabrata 1 16 41 M 0 ICU Arrithmogenic right ventricularc dysplasia 1/1 NA L-Amphotericin empiric Septic shock by Parainfluenzal virus β-lactam 17 59 F 0 ICU Solid Neoplasia 5/6 <0 Fluconazole empiric Septic shock by B.caccae Pentaglobin infusion, Gram- infection 18 24 F 1 ICU Arrhythmia probable myocarditis 1/1 NA No Shock Positivity to GM on BAL, possible colonization, β-lactam 19 66 F 0 ICU Liver transplantation 1/2 <0 Bactrim prophylaxis Pneumonia by P.aeruginosa Gram- infection, β-lactam 20 64 M 1 ICU Liver transplantation 3/3 >0 Anidulafungin 2° prophylaxis Septic shock by mixed G- infection on anastomotic lack 21 66 M 1 ICU Community acquired Pneumonia 5/5 <0 No Septic shock by E.coli , complicated with VAP due to A.baumanni 22 94 M 1 ICU Bladder perforation on urotelial carcinoma 2/2 >0 No Septic shock in terminal patients without significant microbiological isolate Previous candidemia (1 months before), high dosage albumin infusion, Gram- infections, GM positivity on BAL, possible colonization, β-lactam Pentaglobin infusion, colonization by A.fumigatus, Gram- infection, β-lactam GM positivity on BAL, infection not excluded, surgery 15 days before, β-lactam 23 88 M 1 Infectious Diseases Atrial fibrillation in chronic cardiac failure NYHA IV 1/1 NA Caspofungin empiric Septic shock, responsive to empiric antifungal treatment Persistent candiduria by C.glabrata 24 60 M 0 Gastroenterol ogy Cirrhosis;COPD 1/1 NA No Pneumonia 25 83 M 1 Haematology AML 1/2 >0 Fluconazole prophylaxis Pneumonia High dosage albumin infusion, positivity to GM on BAL, probable colonization, β-lactam Possible IFI 26 68 M 0 Haematology AML 3/6 <0 L-Amphotericin empiric Pneumonia Possible IFI 27 53 F 0 Infectious Diseases 1° Hyperparathyroidism 2/3 <0 Caspofungin empiric Long hospitalization, refractory fever responsive to empiric antifungal treatment Suspect candidemia 28 67 F 0 1/2 <0 No Renal biopsy positive for fungal hyphae Nothing 29 25 F 0 Haematology ALL 2/6 >0 Fluconazole prophylaxis Only neutropenia Nothing 30 21 M 0 Haematology ALL 6/6 >0 Fluconazole prophylaxis Only neutropenia Nothing Nephrology Chronic renal failure grade IV not in dialysis AML= acute myeloid leukemia, ALL= acute lymphoblastic leukemia, HSCT = hematopoietic stem cell transplantation, COPD = chronic obstructive pulmonary disease, ARDS = Adult Respiratory Distress Syndrome, VAP = Ventilation Acquired Pneumonia, NYHA=New York Heart Association functional classification, NA= not assessable 2