Comparison of Cepheid® Xpert Flu and Roche RealTime Ready Influenza A/H1N1 Detection Set for detection of influenza A/H1N1
Identifieur interne : 000905 ( Pmc/Checkpoint ); précédent : 000904; suivant : 000906Comparison of Cepheid® Xpert Flu and Roche RealTime Ready Influenza A/H1N1 Detection Set for detection of influenza A/H1N1
Auteurs : Ali A. Rabaan [Arabie saoudite] ; Ali M. Bazzi [Arabie saoudite] ; Sana A. Alshaikh [Arabie saoudite]Source :
- Diagnostic Microbiology and Infectious Disease [ 0732-8893 ] ; 2017.
Abstract
To compare two influenza polymerase chain reaction (PCR) methods.
A total of 749 suspected MERS-CoV patients presenting at Johns Hopkins Aramco Healthcare, Saudi Arabia, each submitted a clinical sample for influenza A reflex testing using the on-site Cepheid® Xpert Flu assay and at the Ministry of Health laboratory by the Roche PCR assay.
There was 92.12% overall agreement between the two methods. Specificity of the Cepheid® Xpert Flu was 95.8% for H1N1 and 94.4% for total influenza A. Cepheid® Xpert Flu sensitivity for influenza A was 100% for younger patients (0–19-year age group) but significantly lower both for older patients (68.2% for 60–79-year and 50% for ≥80-year age groups) and overall for males compared to females (72.6% and 94.0%, respectively).
Specificity of the Cepheid® Xpert Flu test was high; however, sensitivity for total influenza A was lower particularly in males and older patients.
Url:
DOI: 10.1016/j.diagmicrobio.2017.12.010
PubMed: 29329754
PubMed Central: 7132748
Affiliations:
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<author><name sortKey="Bazzi, Ali M" sort="Bazzi, Ali M" uniqKey="Bazzi A" first="Ali M." last="Bazzi">Ali M. Bazzi</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Comparison of Cepheid® Xpert Flu and Roche RealTime Ready Influenza A/H1N1 Detection Set for detection of influenza A/H1N1</title>
<author><name sortKey="Rabaan, Ali A" sort="Rabaan, Ali A" uniqKey="Rabaan A" first="Ali A." last="Rabaan">Ali A. Rabaan</name>
<affiliation wicri:level="1"><nlm:aff id="af0005">Molecular Diagnostic Laboratory, Johns Hopkins Aramco Healthcare, Dhahran 31311, Saudi Arabia</nlm:aff>
<country xml:lang="fr">Arabie saoudite</country>
<wicri:regionArea>Molecular Diagnostic Laboratory, Johns Hopkins Aramco Healthcare, Dhahran 31311</wicri:regionArea>
<wicri:noRegion>Dhahran 31311</wicri:noRegion>
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<author><name sortKey="Bazzi, Ali M" sort="Bazzi, Ali M" uniqKey="Bazzi A" first="Ali M." last="Bazzi">Ali M. Bazzi</name>
<affiliation wicri:level="1"><nlm:aff id="af0010">Microbiology Laboratory, Johns Hopkins Aramco Healthcare, Dhahran 31311, Saudi Arabia</nlm:aff>
<country xml:lang="fr">Arabie saoudite</country>
<wicri:regionArea>Microbiology Laboratory, Johns Hopkins Aramco Healthcare, Dhahran 31311</wicri:regionArea>
<wicri:noRegion>Dhahran 31311</wicri:noRegion>
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<author><name sortKey="Alshaikh, Sana A" sort="Alshaikh, Sana A" uniqKey="Alshaikh S" first="Sana A." last="Alshaikh">Sana A. Alshaikh</name>
<affiliation wicri:level="1"><nlm:aff id="af0015">Molecular Diagnostic laboratory, Dammam Regional Laboratory, Ministry of Health, Dammam, 31675, Saudi Arabia</nlm:aff>
<country xml:lang="fr">Arabie saoudite</country>
<wicri:regionArea>Molecular Diagnostic laboratory, Dammam Regional Laboratory, Ministry of Health, Dammam, 31675</wicri:regionArea>
<wicri:noRegion>31675</wicri:noRegion>
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<series><title level="j">Diagnostic Microbiology and Infectious Disease</title>
<idno type="ISSN">0732-8893</idno>
<idno type="eISSN">1879-0070</idno>
<imprint><date when="2017">2017</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Objective</title>
<p>To compare two influenza polymerase chain reaction (PCR) methods.</p>
</sec>
<sec><title>Methods</title>
<p>A total of 749 suspected MERS-CoV patients presenting at Johns Hopkins Aramco Healthcare, Saudi Arabia, each submitted a clinical sample for influenza A reflex testing using the on-site Cepheid® Xpert Flu assay and at the Ministry of Health laboratory by the Roche PCR assay.</p>
</sec>
<sec><title>Results</title>
<p>There was 92.12% overall agreement between the two methods. Specificity of the Cepheid® Xpert Flu was 95.8% for H1N1 and 94.4% for total influenza A. Cepheid® Xpert Flu sensitivity for influenza A was 100% for younger patients (0–19-year age group) but significantly lower both for older patients (68.2% for 60–79-year and 50% for ≥80-year age groups) and overall for males compared to females (72.6% and 94.0%, respectively).</p>
</sec>
<sec><title>Conclusions</title>
<p>Specificity of the Cepheid® Xpert Flu test was high; however, sensitivity for total influenza A was lower particularly in males and older patients.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Diagn Microbiol Infect Dis</journal-id>
<journal-id journal-id-type="iso-abbrev">Diagn. Microbiol. Infect. Dis</journal-id>
<journal-title-group><journal-title>Diagnostic Microbiology and Infectious Disease</journal-title>
</journal-title-group>
<issn pub-type="ppub">0732-8893</issn>
<issn pub-type="epub">1879-0070</issn>
<publisher><publisher-name>Elsevier Inc.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">29329754</article-id>
<article-id pub-id-type="pmc">7132748</article-id>
<article-id pub-id-type="publisher-id">S0732-8893(17)30406-6</article-id>
<article-id pub-id-type="doi">10.1016/j.diagmicrobio.2017.12.010</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Comparison of Cepheid® Xpert Flu and Roche RealTime Ready Influenza A/H1N1 Detection Set for detection of influenza A/H1N1</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" id="au0005"><name><surname>Rabaan</surname>
<given-names>Ali A.</given-names>
</name>
<email>arabaan@gmail.com</email>
<email>ali.rabaan@jhah.com</email>
<xref rid="af0005" ref-type="aff">a</xref>
<xref rid="cr0005" ref-type="corresp">⁎</xref>
</contrib>
<contrib contrib-type="author" id="au0010"><name><surname>Bazzi</surname>
<given-names>Ali M.</given-names>
</name>
<xref rid="af0010" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author" id="au0015"><name><surname>Alshaikh</surname>
<given-names>Sana A.</given-names>
</name>
<xref rid="af0015" ref-type="aff">c</xref>
</contrib>
</contrib-group>
<aff id="af0005"><label>a</label>
Molecular Diagnostic Laboratory, Johns Hopkins Aramco Healthcare, Dhahran 31311, Saudi Arabia</aff>
<aff id="af0010"><label>b</label>
Microbiology Laboratory, Johns Hopkins Aramco Healthcare, Dhahran 31311, Saudi Arabia</aff>
<aff id="af0015"><label>c</label>
Molecular Diagnostic laboratory, Dammam Regional Laboratory, Ministry of Health, Dammam, 31675, Saudi Arabia</aff>
<author-notes><corresp id="cr0005"><label>⁎</label>
Corresponding author. Tel.: +966-13-877-6670; fax: +966-13-877-6741. <email>arabaan@gmail.com</email>
<email>ali.rabaan@jhah.com</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release"><day>16</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>4</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub"><day>16</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>90</volume>
<issue>4</issue>
<fpage>280</fpage>
<lpage>285</lpage>
<history><date date-type="received"><day>1</day>
<month>9</month>
<year>2017</year>
</date>
<date date-type="rev-recd"><day>11</day>
<month>12</month>
<year>2017</year>
</date>
<date date-type="accepted"><day>13</day>
<month>12</month>
<year>2017</year>
</date>
</history>
<permissions><copyright-statement>© 2017 Elsevier Inc. All rights reserved.</copyright-statement>
<copyright-year>2017</copyright-year>
<copyright-holder>Elsevier Inc.</copyright-holder>
<license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract id="ab0005"><sec><title>Objective</title>
<p>To compare two influenza polymerase chain reaction (PCR) methods.</p>
</sec>
<sec><title>Methods</title>
<p>A total of 749 suspected MERS-CoV patients presenting at Johns Hopkins Aramco Healthcare, Saudi Arabia, each submitted a clinical sample for influenza A reflex testing using the on-site Cepheid® Xpert Flu assay and at the Ministry of Health laboratory by the Roche PCR assay.</p>
</sec>
<sec><title>Results</title>
<p>There was 92.12% overall agreement between the two methods. Specificity of the Cepheid® Xpert Flu was 95.8% for H1N1 and 94.4% for total influenza A. Cepheid® Xpert Flu sensitivity for influenza A was 100% for younger patients (0–19-year age group) but significantly lower both for older patients (68.2% for 60–79-year and 50% for ≥80-year age groups) and overall for males compared to females (72.6% and 94.0%, respectively).</p>
</sec>
<sec><title>Conclusions</title>
<p>Specificity of the Cepheid® Xpert Flu test was high; however, sensitivity for total influenza A was lower particularly in males and older patients.</p>
</sec>
</abstract>
<abstract abstract-type="author-highlights" id="ab0010"><title>Highlights</title>
<p><list list-type="simple" id="l0005"><list-item id="li0005"><label>•</label>
<p id="p0005">92.12% agreement between assays for FluA/FluA (H1N1) pdm09 detection</p>
</list-item>
<list-item id="li0010"><label>•</label>
<p id="p0010">Specificity of FluA/FluA (H1N1) pdm09 detection high for Cepheid assay</p>
</list-item>
<list-item id="li0015"><label>•</label>
<p id="p0015">Sensitivity of total FluA detection significantly lower in males and older patients</p>
</list-item>
</list>
</p>
</abstract>
<kwd-group id="ks0005"><title>Keywords</title>
<kwd>Cepheid® Xpert flu</kwd>
<kwd>Influenza A</kwd>
<kwd>Influenza A (H1N1) pdm09</kwd>
<kwd>Real-time PCR</kwd>
<kwd>Saudi Arabia</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Arabie saoudite</li>
</country>
</list>
<tree><country name="Arabie saoudite"><noRegion><name sortKey="Rabaan, Ali A" sort="Rabaan, Ali A" uniqKey="Rabaan A" first="Ali A." last="Rabaan">Ali A. Rabaan</name>
</noRegion>
<name sortKey="Alshaikh, Sana A" sort="Alshaikh, Sana A" uniqKey="Alshaikh S" first="Sana A." last="Alshaikh">Sana A. Alshaikh</name>
<name sortKey="Bazzi, Ali M" sort="Bazzi, Ali M" uniqKey="Bazzi A" first="Ali M." last="Bazzi">Ali M. Bazzi</name>
</country>
</tree>
</affiliations>
</record>
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