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Evaluation of 3 rapid influenza diagnostic tests during the 2012-2013 epidemic: influences of subtype and viral load.

Busson, Laurent
Hallin, Marie
Thomas, Isabelle
De Foor, Marc
Vandenberg, Olivier
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Abstract

This article evaluates the performance of 3 rapid influenza diagnostic tests (RIDTs), in correlation with the influenza subtypes and the viral load. A total of 236 samples were prospectively analyzed with BinaxNOW Influenza A/B, Directigen EZ Flu A and B, and bioNexia Influenza A+B. The results were compared to cell cultures and real-time polymerase chain reaction. Positive samples were further subtyped. Thirty-seven samples were positive for influenza A, and 57, for influenza B. For A(H1N1), the sensitivities were 71.42% for BinaxNOW, 78.57% for Directigen, and 67.85% for bioNexia. Eight samples were positive for A(H3N2), and only the bioNexia test had 1 false-negative result. Lowest sensitivities were observed for influenza B/Yamagata, (56.86% for BinaxNOW and Directigen and 39.21% for bioNexia). The 3 evaluated RIDTs were more efficient at detecting influenza A(H3N2) than for A(H1N1) and B/Yamagata. Highest viral loads in the samples were associated with better rate of detection.

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2014-12-01
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ADOLESCENT, Adult, Aged, Aged, 80 and over, Belgium, Child, Child, Preschool, Diagnostic Tests, Routine, Disease Outbreaks, Female, Humans, Infant, Infant, Newborn, Influenza A Virus, H1N1 Subtype, Influenza A Virus, H3N2 Subtype, Influenza, Human, Male, middle aged, Prospective Studies, Real-Time Polymerase Chain Reaction, Sensitivity and Specificity, Viral Load, Young adult
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