Ciçek Candan, Gülen Figen, Karataş Eylem, Demir Esen, Tanaç Remziye, Bacakoğlu Feza, Bilgiç Altinay
Ege University Medical School, Department of Microbiology and Clinical Microbiology, Bornova, Izmir 35100, Turkey.
J Virol Methods. 2007 Aug;143(2):161-8. doi: 10.1016/j.jviromet.2007.03.003. Epub 2007 Apr 12.
In the present study, a multiplex reverse transcriptase polymerase chain reaction combined with a chip hybridization assay (ProDect BCS RV CHIP) was evaluated as an alternative to the combination of immunofluorescent antibody test and shell vial cell culture considered as gold standard for the detection of respiratory viruses. Among 100 specimens, 40 were positive using the combination of immunofluorescent antibody test and shell vial cell culture assay in which 9 of them were infected by two different viruses (27 parainfluenza virus type 3, 10 adenovirus, 9 respiratory syncytial virus, 2 influenza type B, and 1 influenza type A). ProDect BCS RV CHIP detected only 10 positive specimens in which one of them was infected by two different viruses (5 respiratory syncytial virus, 3 parainfluenza virus type 3, 2 adenovirus, and 1 influenza virus type B). The sensitivity, specificity, PPV, NPV, and diagnostic accuracy of ProDect BCS RV CHIP were 25.0%, 100%, 100%, 66.6%, and 70.0%, respectively, compared to the combination of shell vial cell culture and immunofluorescent antibody test. As a result, the specificity of ProDect BCS RV CHIP is high, however, the sensitivity (25%) of the assay is not sufficient for routine laboratory use.
在本研究中,对一种多重逆转录聚合酶链反应结合芯片杂交检测法(ProDect BCS RV CHIP)进行了评估,将其作为免疫荧光抗体检测和空斑试验细胞培养相结合的替代方法,后者被视为检测呼吸道病毒的金标准。在100份标本中,使用免疫荧光抗体检测和空斑试验细胞培养相结合的方法检测出40份阳性标本,其中9份感染了两种不同病毒(27份3型副流感病毒、10份腺病毒、9份呼吸道合胞病毒、2份B型流感病毒和1份A型流感病毒)。ProDect BCS RV CHIP仅检测出10份阳性标本,其中1份感染了两种不同病毒(5份呼吸道合胞病毒、3份3型副流感病毒、2份腺病毒和1份B型流感病毒)。与空斑试验细胞培养和免疫荧光抗体检测相结合的方法相比,ProDect BCS RV CHIP的敏感性、特异性、阳性预测值、阴性预测值和诊断准确性分别为25.0%、100%、100%、66.6%和70.0%。结果表明,ProDect BCS RV CHIP的特异性较高,然而,该检测方法的敏感性(25%)不足以用于常规实验室检测。