多中心评价生物梅里埃 FilmArray 呼吸道Panel 2 检测鼻咽拭子样本中病毒和细菌

Multicenter Evaluation of BioFire FilmArray Respiratory Panel 2 for Detection of Viruses and Bacteria in Nasopharyngeal Swab Samples.

机构信息

Nationwide Children's Hospital, Columbus, Ohio, USA

Nationwide Children's Hospital, Columbus, Ohio, USA.

出版信息

J Clin Microbiol. 2018 May 25;56(6). doi: 10.1128/JCM.01945-17. Print 2018 Jun.

Abstract

The FilmArray Respiratory Panel 2 (RP2) is a multiplex diagnostic test for the simultaneous and rapid (∼45-min) detection of 22 pathogens directly from nasopharyngeal swab (NPS) samples. It contains updated (and in some instances redesigned) assays that improve upon the FilmArray Respiratory Panel (RP; version 1.7), with a faster run time. The organisms identified are adenovirus, coronavirus 229E, coronavirus HKU1, coronavirus NL63, coronavirus OC43, human metapneumovirus, human rhinovirus/enterovirus, influenza virus A, influenza virus A H1, influenza virus A H1-2009, influenza virus A H3, influenza virus B, parainfluenza virus 1, parainfluenza virus 2, parainfluenza virus 3, parainfluenza virus 4, respiratory syncytial virus, , , and Two new targets are included in the FilmArray RP2: Middle East respiratory syndrome coronavirus and This study provides data from a multicenter evaluation of 1,612 prospectively collected NPS samples, with performance compared to that of the FilmArray RP or PCR and sequencing. The overall percent agreement between the FilmArray RP2 and the comparator testing was 99.2%. The RP2 demonstrated a positive percent agreement of 91.7% or greater for detection of all but three analytes: coronavirus OC43, , and The FilmArray RP2 also demonstrated a negative percent agreement of ≥93.8% for all analytes. Of note, the adenovirus assay detects all genotypes, with a demonstrated increase in sensitivity. The FilmArray RP2 represents a significant improvement over the FilmArray RP, with a substantially shorter run time that could aid in the diagnosis of respiratory infections in a variety of clinical scenarios.

摘要

FilmArray 呼吸道复合检测 2 型(RP2)是一种多重诊断测试,可直接从鼻咽拭子(NPS)样本中同时快速(约 45 分钟)检测 22 种病原体。它包含经过更新(在某些情况下重新设计)的检测方法,改进了 FilmArray 呼吸道复合检测试剂盒(RP;版本 1.7),运行时间更短。鉴定出的生物体包括腺病毒、冠状病毒 229E、冠状病毒 HKU1、冠状病毒 NL63、冠状病毒 OC43、人偏肺病毒、人鼻病毒/肠道病毒、甲型流感病毒、甲型流感病毒 H1、甲型流感病毒 H1-2009、甲型流感病毒 H3、乙型流感病毒、副流感病毒 1、副流感病毒 2、副流感病毒 3、副流感病毒 4、呼吸道合胞病毒、中东呼吸综合征冠状病毒和。FilmArray RP2 中包含两个新的靶标:中东呼吸综合征冠状病毒和。本研究提供了来自 1612 例前瞻性收集的 NPS 样本的多中心评估数据,与 FilmArray RP 或 PCR 和测序进行了性能比较。FilmArray RP2 与比较检测的总一致性百分比为 99.2%。RP2 对所有除三种分析物(冠状病毒 OC43、和)的检测均显示阳性一致性百分比为 91.7%或更高。FilmArray RP2 还对所有分析物显示阴性一致性百分比≥93.8%。值得注意的是,腺病毒检测可检测到所有基因型,灵敏度显著提高。FilmArray RP2 比 FilmArray RP 有了显著的改进,运行时间大大缩短,可帮助在各种临床情况下诊断呼吸道感染。

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