Accurate PCR Detection of Influenza A/B and Respiratory Syncytial Viruses by Use of Cepheid Xpert Flu plus RSV Xpress Assay in Point-of-Care Settings: Comparison to Prodesse ProFlu

Accurate PCR Detection of Influenza A/B and Respiratory Syncytial Viruses by Use of Cepheid Xpert Flu plus RSV Xpress Assay in Point-of-Care Settings: Comparison to Prodesse ProFlu
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DOI:
10.1128/jcm.01237-17
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发表时间:
2018-02-01
影响因子:
9.4
通讯作者:
Cohenl, Jason
Cohenl, Jason
中科院分区:
医学2区
文献类型:
--
作者:
Cohen, Daniel M.;Kline, Jennifer;Cohenl, Jason

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The Xpert Flu + RSV Xpress Assay is a fast, automated in vitro diagnostic test for qualitative detection and differentiation of influenza A and B viruses and respiratory syncytial virus (RSV) performed on the Cepheid GeneXpert Xpress System. The objective of this study was to establish performance characteristics of the Xpert Flu + RSV Xpress Assay compared to those of the Prodesse ProFlu + real-time reverse transcription-PCR (RT-PCR) assay (ProFlu +) for the detection of influenza A and B viruses as well as RSV in a Clinical Laboratory Improvement Amendments (CLIA)-waived (CW) setting. Overall, the assay, using fresh and frozen nasopharyngeal (NP) swabs, demonstrated high concordance with results of the ProFlu + assay in the combined CW and non-CW settings with positive percent agreements (PPA) (100%, 100%, and 97.1%) and negative percent agreements (NPA) (95.2%, 99.5%, and 99.6%) for influenza A and B viruses and RSV, respectively. In conclusion, this multicenter study using the Cepheid Xpert Flu + RSV Xpress Assay demonstrated high sensitivities and specificities for influenza A and B viruses and RSV in similar to 60 min for use at the point-of-care in the CW setting.