Performance of indirect immunofluorescence assay, immunochromatography assay and reverse transcription-polymerase chain reaction for detecting human respiratory syncytial virus in nasopharyngeal aspirate samples

Autor: Vaz-De-Lima, L. R. A., Souza, M. C. O., Matsumoto, T. K., Hong, M. A., Salgado, M. M., Barbosa, M. L., Sato, N. S., Requejo, H. I., Oliveira, C. A. F., Pecchini, R., Berezin, E., Passos, S. D., Schvartsman, C., Pasmanick, A., Durigon, E. L., Ueda, M.
Jazyk: angličtina
Rok vydání: 2008
Předmět:
Zdroj: Memórias do Instituto Oswaldo Cruz, Volume: 103, Issue: 5, Pages: 463-467, Published: AUG 2008
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Popis: Comparison of the use of indirect immunofluorescence assay (IFA), immunochromatography assay (ICA-BD) and reverse transcription-polymerase chain reaction (RT-PCR) for detecting human respiratory syncytial virus (HRSV) in 306 nasopharyngeal aspirates samples (NPA) was performed in order to assess their analytical performance. By comparing the results obtained using ICA-BD with those using IFA, we found relative indices of 85.0% for sensitivity and 91.2% for specificity, and the positive (PPV) and negative (NPV) predictive values were 85.0% and 91.2%, respectively. The relative indices for sensitivity and specificity as well as the PPV and NPV for RT-PCR were 98.0%, 89.0%, 84.0% and 99.0%, respectively, when compared to the results of IFA. In addition, comparison of the results of ICA-BD and those of RT-PCR yielded relative indices of 79.5% for sensitivity and 95.4% for specificity, as well as PPV and NPV of 92.9% and 86.0%, respectively. Although RT-PCR has shown the best performance, the substantial agreement between the ICA-BD and IFA results suggests that ICA-BD, also in addition to being a rapid and facile assay, could be suitable as an alternative diagnostic screening for HRSV infection in children.
Databáze: OpenAIRE