Article ; Online: Comparing Luminex NxTAG-Respiratory Pathogen Panel and RespiFinder-22 for multiplex detection of respiratory pathogens.
2016 Volume 88, Issue 8, Page(s) 1319–1324
Abstract: Respiratory tract infection (RTI) involves a variety of viruses and bacteria, which can be conveniently detected by multiplex nucleic acid amplification testing (NAT). To compare the novel Luminex-based NxTAG-Respiratory Pathogen Panel (NxTAG-RPP) with ... ...
Abstract | Respiratory tract infection (RTI) involves a variety of viruses and bacteria, which can be conveniently detected by multiplex nucleic acid amplification testing (NAT). To compare the novel Luminex-based NxTAG-Respiratory Pathogen Panel (NxTAG-RPP) with the routine multiplex-ligation-NAT based RespiFinder-22® (RF-22), 282 respiratory specimens including nasopharyngeal swabs (71%), broncho-alveolar lavage (27%), throat swabs, tracheal secretions, and sputum (2%) from 116 children and 155 adults were extracted using a Corbett CAS1200 (Qiagen), and analyzed in parallel by the routine RF-22 and NxTAG-RPP. Concordant results were obtained in 263 (93.3%) cases consisting of concordant positives in 167 (59.2%) and concordant negatives in 96 (34%). Results were discordant in 19 (6.7%) consisting of 15 positive:negative, and 4 negative:positive results by NxTAG-RPP versus RF-22, respectively. Co-infections were observed in 10.3% with NxTAG-RPP and in 5.9% with RF-22. Most additional viral pathogens identified by the NxTAG-RPP involved dual infections with rhinovirus and RSV. Discordant samples were mainly due to low genome signals of Ct less than 36, when retested by QNAT suggesting a higher sensitivity of the NxTAG-RPP, also when detecting multiple infections. Hands-on time after extraction for 24 and 96 samples was 0.25 and <0.5 hr for the NxTAG-RPP, and 2 and 4 hr for the RF-22, respectively. The median turn-around time was 6 hr (range 5-7 hr) for NxTAG-RPP and 12 hr (range 8-16 hr) for RF-22. The NxTAG-RPP showed comparable detection rates for most respiratory pathogens, while hands-on and turn-around time were considerably shorter. The clinical significance of detecting multiple viruses needs further clinical evaluation. J. Med. Virol. 88:1319-1324, 2016. © 2016 Wiley Periodicals, Inc. |
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MeSH term(s) | Aged ; Bronchoalveolar Lavage Fluid/virology ; Child, Preschool ; Coinfection/diagnosis ; Coinfection/virology ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Molecular Diagnostic Techniques/methods ; Molecular Diagnostic Techniques/standards ; Multiplex Polymerase Chain Reaction/methods ; Nasopharynx/virology ; Reagent Kits, Diagnostic ; Respiratory Tract Infections/diagnosis ; Respiratory Tract Infections/virology ; Retrospective Studies ; Rhinovirus/genetics ; Rhinovirus/pathogenicity ; Sensitivity and Specificity ; Sputum/virology ; Time Factors ; Trachea/virology ; Virus Diseases/diagnosis ; Virus Diseases/virology ; Viruses/classification ; Viruses/genetics ; Viruses/isolation & purification |
Chemical Substances | Reagent Kits, Diagnostic |
Keywords | covid19 |
Language | English |
Publishing date | 2016-02-18 |
Publishing country | United States |
Document type | Comparative Study ; Journal Article |
ZDB-ID | 752392-0 |
ISSN | 1096-9071 ; 0146-6615 |
ISSN (online) | 1096-9071 |
ISSN | 0146-6615 |
DOI | 10.1002/jmv.24492 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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