Article ; Online: Diagnostic accuracy of a rapid antigen triple test (SARS-CoV-2, respiratory syncytial virus, and influenza) using anterior nasal swabs versus multiplex RT-PCR in children in an emergency department.
Infectious diseases now
2023 Volume 53, Issue 7, Page(s) 104769
Abstract: Background: In children, respiratory infections such as SARS-CoV-2, respiratory syncytial virus (RSV), and influenza share similar clinical signs and symptoms. Here we compared the performance of a rapid antigen diagnostic test using a self-collected ... ...
| Abstract | Background: In children, respiratory infections such as SARS-CoV-2, respiratory syncytial virus (RSV), and influenza share similar clinical signs and symptoms. Here we compared the performance of a rapid antigen diagnostic test using a self-collected anterior nasal swab (COVID-VIRO ALL IN TRIPLEX) and multiplex RT-PCR. Methods: From October to December 2022, in the emergency pediatrics unit of Orleans Hospital, France, we evaluated the diagnostic accuracy of the triplex test. Results: For the 263 children, sensitivity of the test was 88.9% (95%CI 51.8-99.7), 79.1% (95%CI 64.0-90.0), and 91.6% (95%CI 84.1-96.3), for SARS-CoV-2, RSV, and influenza, respectively. Specificity was 100% for each virus. For RT-PCR with cycle threshold < 32, sensitivity was 100.0% [95%CI 59.0-100.0], 87.2% [95%CI 72.6-95.7] and 92.3% [95%CI 84.896.9] for SARS-CoV-2, RSV, and influenza respectively. Conclusions: This easy-to-perform triplex test is a considerable advance, allowing clinicians to obtain an accurate diagnosis in most cases of respiratory infection. More data are needed to validate this test in different contexts and across several seasons. |
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| MeSH term(s) | Humans ; Child ; Influenza, Human/diagnosis ; SARS-CoV-2 ; Reverse Transcriptase Polymerase Chain Reaction ; COVID-19/diagnosis ; Sensitivity and Specificity ; Respiratory Syncytial Virus, Human/genetics ; Respiratory Tract Infections ; COVID-19 Testing |
| Language | English |
| Publishing date | 2023-08-10 |
| Publishing country | France |
| Document type | Journal Article |
| ISSN | 2666-9919 |
| ISSN (online) | 2666-9919 |
| DOI | 10.1016/j.idnow.2023.104769 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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