Evaluation of a Neuraminidase Detection Assay for the Rapid Detection of Influenza A and B Virus in Children

作者: Daniel E. Noyola , Gail J. Demmler , Abel J. Paredes , Bruce Clark

DOI: 10.1007/S100249910023

关键词:

摘要: A prototype version of a new diagnostic assay for influenza and B (Zstat Flu™) based on detection viral neuraminidase was evaluated compared to culture in 196 clinical samples. Children with respiratory illnesses were prospectively at pediatrician's office large children's hospital using the performed secretions. Influenza virus isolated from 51 samples 83 positive by assay. When sensitivity 96%, specificity 77%, predictive value 59%, negative 98%. Testing laboratory pure cultures bacteria non-influenza viruses frequently found tract showed 0% cross-reactivity 100% vitro. This provided useful information preliminary diagnosis infections appears be suitable both point-of-care use physician's rapid virology laboratory. The high makes it particularly as screening test exclusion infections. To confirm exclude false-positive result, well determine type, may considered.

参考文章(14)
Edwin H. Lennette, David A. Lennette, Evelyne T. Lennette, Diagnostic Procedures for Viral, Rickettsial and Chlamydial Infections ,(1989)
G P Leonardi, H Leib, G S Birkhead, C Smith, P Costello, W Conron, Comparison of rapid detection methods for influenza A virus and their value in health-care management of institutionalized geriatric patients. Journal of Clinical Microbiology. ,vol. 32, pp. 70- 74 ,(1994) , 10.1128/JCM.32.1.70-74.1994
S L Johnston, H Bloy, Evaluation of a rapid enzyme immunoassay for detection of influenza A virus. Journal of Clinical Microbiology. ,vol. 31, pp. 142- 143 ,(1993) , 10.1128/JCM.31.1.142-143.1993
J L Waner, S J Todd, H Shalaby, P Murphy, L V Wall, Comparison of Directigen FLU-A with viral isolation and direct immunofluorescence for the rapid detection and identification of influenza A virus. Journal of Clinical Microbiology. ,vol. 29, pp. 479- 482 ,(1991) , 10.1128/JCM.29.3.479-482.1991
J L Waner, N J Whitehurst, S J Todd, H Shalaby, L V Wall, Comparison of directigen RSV with viral isolation and direct immunofluorescence for the identification of respiratory syncytial virus. Journal of Clinical Microbiology. ,vol. 28, pp. 480- 483 ,(1990) , 10.1128/JCM.28.3.480-483.1990
L Davis, M M Baig, E M Ayoub, Properties of extracellular neuraminidase produced by group A streptococcus. Infection and Immunity. ,vol. 24, pp. 780- 786 ,(1979) , 10.1128/IAI.24.3.780-786.1979
D Beighton, R A Whiley, Sialidase activity of the "Streptococcus milleri group" and other viridans group streptococci. Journal of Clinical Microbiology. ,vol. 28, pp. 1431- 1433 ,(1990) , 10.1128/JCM.28.6.1431-1433.1990