Diagnostic parameters and reliability of four rapid immunochromatographic tests for dengue 4

Autor: Veronica Elizabeth Mata, Sonia Regina Lambert Passos, Maria Angelica Borges dos Santos, Sibelle Nogueira Buonora, Carlos Augusto Ferreira de Andrade, Monique da Rocha Queiroz Lima, Betina Moreira Costa, Yara Hahr Marques Hökerberg
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Brazilian Journal of Infectious Diseases, Vol 24, Iss 1, Pp 58-64 (2020)
Druh dokumentu: article
ISSN: 1413-8670
DOI: 10.1016/j.bjid.2019.12.004
Popis: Background: Although performance of rapid immunochromatographic tests (RITs) for dengue virus (DENV) serotypes 1, 2 and 3 is relatively settled, evidence on accuracy of RITs for DENV-4 are based on studies with small sample sizes and with discrepant results. Objectives: To assess accuracy and inter-observer agreement of RITs targeting dengue nonstructural protein-1 (NS1) antigen - Dengue NS1-Bioeasy™, Dengue NS1 Ag Strip-Bio-Rad™, IVB Dengue Ag NS1-Orangelife™ and Dengue NS1-K130-Bioclin™ in DENV-4 samples. Methods: Study sample (n = 324) included adults presenting at an emergency unit in Rio de Janeiro, Brazil, with fever of ≤72 h and two or more dengue symptoms. A serum sample from each patient was tested by each RIT. A positive reverse-transcription polymerase chain reaction was considered as the reference standard for dengue diagnosis. The diagnostic parameters analyzed for each RIT were sensitivity, specificity, positive and negative predictive values, and likelihood ratios. Each RIT was read by homogeneous (two junior nurses) or heterogeneous (one junior nurse and one senior biologist) pairs. Agreement was estimated by simple kappa with 95% confidence interval, positive (Ppos) and negative (Pneg) proportion concordance and prevalence and bias adjusted kappa, rated from poor (k
Databáze: Directory of Open Access Journals