Rapid antigen detection test for respiratory syncytial virus diagnosis as a diagnostic tool

作者: Flávio da Silva Mesquita , Danielle Bruna Leal de Oliveira , Daniela Crema , Célia Miranda Nunes Pinez , Thaís Cristina Colmanetti

DOI: 10.1016/J.JPED.2016.06.013

关键词: Gold standard (test)ImmunofluorescenceRespiratory infectionDengue feverVirologyRespiratory syncytial virus (RSV)AntigenMedicineImmunologyNasopharyngeal aspirateViral load

摘要: Abstract Objective The aim of this study was to evaluate the QuickVue ® RSV Test Kit (QUIDEL Corp, CA, USA) as a screening tool for respiratory syncytial virus in children with acute disease comparison indirect immunofluorescence assay gold standard. In Brazil, rapid antigen detection tests are not routinely utilized diagnostic tool, except diagnosis dengue and influenza. Methods authors retrospectively analyzed 486 nasopharyngeal aspirate samples from under age 5 infection, between December 2013 August 2014, were by kit. Samples discordant results real time PCR nucleotide sequencing. Results From 313 positive assays, 282 (90%) also test, two only 33 171 both methods. 35 PCR; test five assays PCR. There no relation negativity viral load or specific strain. showed sensitivity 90%, specificity 98.8%, predictive value 99.3%, negative 94.6%, accuracy 93.2% agreement κ index 0.85 assay. Conclusions This demonstrated that can be effective early Respiratory is reliable use pediatrics.

参考文章(30)
D G Altman, J M Bland, Quartiles, quintiles, centiles, and other quantiles BMJ. ,vol. 309, pp. 996- 996 ,(1994) , 10.1136/BMJ.309.6960.996
Masatoshi Nei, Sudhir Kumar, None, Molecular Evolution and Phylogenetics ,(2000)
David P MacKinnon, Jennifer L Krull, Chondra M Lockwood, Equivalence of the Mediation, Confounding and Suppression Effect Prevention Science. ,vol. 1, pp. 173- 181 ,(2000) , 10.1023/A:1026595011371
Caroline Chartrand, Nicolas Tremblay, Christian Renaud, Jesse Papenburg, Diagnostic Accuracy of Rapid Antigen Detection Tests for Respiratory Syncytial Virus Infection: Systematic Review and Meta-analysis Journal of Clinical Microbiology. ,vol. 53, pp. 3738- 3749 ,(2015) , 10.1128/JCM.01816-15
Alfonsina Trento, Leyda Ábrego, Rosa Rodriguez-Fernandez, Maria Isabel González-Sánchez, Felipe González-Martínez, Adriana Delfraro, Juan M. Pascale, Juan Arbiza, José A. Melero, Conservation of G-Protein Epitopes in Respiratory Syncytial Virus (Group A) Despite Broad Genetic Diversity: Is Antibody Selection Involved in Virus Evolution? Journal of Virology. ,vol. 89, pp. 7776- 7785 ,(2015) , 10.1128/JVI.00467-15
Quynh Doan, Paul Enarson, Niranjan Kissoon, Terry P Klassen, David W Johnson, Rapid viral diagnosis for acute febrile respiratory illness in children in the Emergency Department Cochrane Database of Systematic Reviews. ,vol. 2014, pp. 1- 53 ,(2014) , 10.1002/14651858.CD006452.PUB4
C G Ray, L L Minnich, Efficiency of immunofluorescence for rapid detection of common respiratory viruses. Journal of Clinical Microbiology. ,vol. 25, pp. 355- 357 ,(1987) , 10.1128/JCM.25.2.355-357.1987
Adrienne G. Randolph, Lindsay Reder, Janet A. Englund, Risk of bacterial infection in previously healthy respiratory syncytial virus-infected young children admitted to the intensive care unit. Pediatric Infectious Disease Journal. ,vol. 23, pp. 990- 994 ,(2004) , 10.1097/01.INF.0000143647.88873.66
Rogério Pecchini, Eitan N Berezin, Maria C Calahani Felício, Saulo D Passos, Maria Cândido O de Souza, Lourdes Rehder de Andrade Vaz de Lima, Mirthes Ueda, Tokiko Kyomen Matsumoto, Edison L Durigon, None, Incidence and clinical characteristics of the infection by the Respiratory Syncytial Virus in children admitted in Santa Casa de São Paulo Hospital Brazilian Journal of Infectious Diseases. ,vol. 12, pp. 476- 479 ,(2008) , 10.1590/S1413-86702008000600006
Masami Hasegawa, Hirohisa Kishino, Taka-aki Yano, Dating of the human-ape splitting by a molecular clock of mitochondrial DNA. Journal of Molecular Evolution. ,vol. 22, pp. 160- 174 ,(1985) , 10.1007/BF02101694