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NeuMoDx流感A-B/呼吸道合胞病毒/严重急性呼吸综合征冠状病毒2优势检测法的临床性能评估

Clinical Performance Evaluation of the NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay.

作者信息

Meletis Georgios, Tychala Areti, Gkeka Ioanna, Gkotzia Athanasia, Triantafyllou Aikaterini, Pappa Styliani, Exindari Maria, Gioula Georgia, Papa Anna, Skoura Lemonia

机构信息

Department of Microbiology, AHEPA University Hospital, Medical School, Aristotle University οf Thessaloniki, 54636 Thessaloniki, Greece.

Laboratory of Microbiology, Medical School, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece.

出版信息

Diagnostics (Basel). 2022 Dec 16;12(12):3201. doi: 10.3390/diagnostics12123201.

Abstract

SARS-CoV-2 infections may present with various symptoms that are similar to those of other respiratory diseases. For this reason, the need for simultaneous detection of at least RSV and influenza viruses together with SARS-CoV-2 was evident from the early stages of the pandemic. In the present study, we evaluated the clinical performance of the NeuMoDx™ Flu A-B/RSV/SARS-CoV-2 Vantage Assay against the conventional low-plex PCR utilized to detect influenza A-B, RSV, and SARS-CoV-2. There were 115 known positive clinical samples and 35 negative controls obtained from asymptomatic health-care workers included in the study; 25 samples were positive for influenza viruses, 46 for RSV, and 44 for SARS-CoV-2. The sensitivity, specificity, positive predictive value, and negative predictive value of the evaluated method for influenza and SARS-CoV-2 were 100%. The Spearman correlation coefficient was 0.586 (p < 0.05) for influenza and 0.893 (p < 0.05) for SARS-CoV-2. The sensitivity of the aforementioned assay for RSV was 93.47%; the specificity and the positive predictive value were 100%, and the negative predictive value was 92.10%, while the Spearman correlation coefficient was not applicable for the RSV. Overall, the assay under evaluation was shown to be a reliable alternative for the simultaneous detection of influenza viruses, RSV and SARS-CoV-2.

摘要

新型冠状病毒 2 型(SARS-CoV-2)感染可能表现出与其他呼吸道疾病相似的各种症状。因此,自大流行早期起,就明显需要同时检测至少呼吸道合胞病毒(RSV)和流感病毒以及 SARS-CoV-2。在本研究中,我们评估了NeuMoDx™甲型/乙型流感病毒/呼吸道合胞病毒/新型冠状病毒 2 型优势检测法相对于用于检测甲型/乙型流感病毒、呼吸道合胞病毒和新型冠状病毒 2 型的传统低通量聚合酶链反应(PCR)的临床性能。该研究纳入了115份已知阳性临床样本和35份来自无症状医护人员的阴性对照;25份样本甲型/乙型流感病毒呈阳性,46份呼吸道合胞病毒呈阳性,44份新型冠状病毒 2 型呈阳性。所评估方法对甲型/乙型流感病毒和新型冠状病毒 2 型的敏感性、特异性、阳性预测值和阴性预测值均为100%。甲型/乙型流感病毒的斯皮尔曼相关系数为0.586(p<0.05),新型冠状病毒 2 型为0.893(p<0.05)。上述检测法对呼吸道合胞病毒的敏感性为93.47%;特异性和阳性预测值为100%,阴性预测值为92.10%,而斯皮尔曼相关系数对呼吸道合胞病毒不适用。总体而言,所评估的检测法被证明是同时检测甲型/乙型流感病毒、呼吸道合胞病毒和新型冠状病毒 2 型的可靠替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a3/9777658/62a99519cfa5/diagnostics-12-03201-g001.jpg

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