McLendon Clinical Microbiology Laboratories, University of North Carolina Medical Center , Chapel Hill, North Carolina, USA.
Department of Pathology and Laboratory Medicine, University of North Carolina Chapel Hill School of Medicine , Chapel Hill, North Carolina, USA.
J Clin Microbiol. 2023 Nov 21;61(11):e0085923. doi: 10.1128/jcm.00859-23. Epub 2023 Nov 3.
The diagnosis of acute gastroenteritis is an ongoing clinical challenge in terms of identification of the etiologic agent, time to results, and appropriate treatment. Rapid detection of gastrointestinal pathogens is needed to improve patient care. This study evaluates the performance of the QIAstat-Dx gastrointestinal panel (Q-GP; Investigational Use Only) compared to the Luminex xTAG gastrointestinal pathogen panel (L-GPP; US-IVD). Using 245 stool specimens, we evaluated 10 different targets including rotavirus, norovirus, , , , , , O157, enterotoxigenic (ETEC), and Shiga toxin-producing (STEC). For the viral targets, the percent positive agreement (PPA) for rotavirus was 100% ( = 19) and that for norovirus was 91% (20/22). For the parasitic targets, the PPA was 100% for and ( = 18 and = 23, respectively). The PPA was 96% for (22/23) and (22/23), and the PPA for was 100% ( = 23). For the targets, a PPA of 94% was achieved for STEC (32/34) and 96% for ETEC (24/25). We did not assess PPA for the O157 target as the Q-GP O157 call is dependent. The negative percent agreement across all targets was 99.1%. Our study suggests that QIAstat-Dx GP provides comparable results to Luminex GPP based on the analysis of targets found on both panels.
急性肠胃炎的诊断在确定病因、得出结果的时间和适当治疗方面一直是一个临床挑战。快速检测胃肠道病原体对于改善患者护理至关重要。本研究评估了 QIAstat-Dx 胃肠道Panel(Q-GP;仅限研究使用)与 Luminex xTAG 胃肠道病原体Panel(L-GPP;美国体外诊断)的性能。我们使用 245 份粪便标本,评估了包括轮状病毒、诺如病毒、志贺毒素产生大肠杆菌(STEC)、产肠毒素大肠杆菌(ETEC)、霍乱弧菌、贾第鞭毛虫、隐孢子虫、肠道病毒 71 型(EV71)、肠道病毒 A71 型(EV-A71)和肠道腺病毒在内的 10 种不同目标物。对于病毒目标物,轮状病毒的阳性符合率(PPA)为 100%(=19),诺如病毒的 PPA 为 91%(20/22)。对于寄生虫目标物,贾第鞭毛虫和隐孢子虫的 PPA 均为 100%(=18 和=23)。志贺毒素产生大肠杆菌和产肠毒素大肠杆菌的 PPA 分别为 96%(22/23)和 96%(22/23),肠病毒 71 型的 PPA 为 100%(=23)。对于 71 型肠道病毒 A 型和肠道腺病毒的目标物,STEC 的 PPA 为 94%(32/34),ETEC 的 PPA 为 96%(24/25)。我们没有评估 Q-GP O157 目标物的 PPA,因为 Q-GP O157 的结果是基于其他 Panel 上的结果的。所有目标物的阴性符合率均为 99.1%。我们的研究表明,基于两种 Panel 上发现的目标物分析,QIAstat-Dx GP 与 Luminex GPP 提供的结果相当。