title: Replacement of special enzyme immunoassay transport medium by a standard viral transport medium in the Herpcheck herpes simplex virus antigen detection test.
abstract: A new direct herpes simplex virus antigen enzyme immunoassay (EIA) uses a special EIA transport medium (ETM) for transport of herpes simplex virus (HSV) specimens. As ETM lyses the virus precluding culture and typing, we evaluated the relative performance of this EIA when performed on specimens transported in either ETM or a standard viral transport medium (VTM). These EIA results were also compared to cell culture performed on specimens transported in VTM (VTM-CC) and direct rapid inoculation into cell culture (CC). Based on all confirmed positives, by any test, the sensitivities for CC was 97% (66/68), for VTM-CC 91% (62/68), for ETM-EIA 97% (66/68), and for VTM-EIA 93% (63/68). It appears that VTM may be a slightly less desirable substitute than ETM in the performance of EIA. However, VTM-EIA is certainly as sensitive as cell culture performed on VTM.
authors.affiliation: Department of Medical Microbiology and Infectious Diseases, SMBD-Jewish General Hospital, Montreal, Quebec, Canada.
authors.forename: A
authors.initials: A
authors.lastname: Dascal
authors.forename: J
authors.initials: J
authors.lastname: Chan-Thim
authors.forename: M
authors.initials: M
authors.lastname: Morahan
authors.forename: J
authors.initials: J
authors.lastname: Portnoy
authors.forename: J
authors.initials: J
authors.lastname: Mendelson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000956:Antigens, Viral / Q000032:analysis*; D003470:Culture Media; D003588:Cytopathogenic Effect, Viral; D005260:Female; D006561:Herpes Simplex / Q000382:microbiology*; D006801:Humans; D007124:Immunoenzyme Techniques; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D018139:Simplexvirus / Q000276:immunology / Q000302:isolation & purification*; D013048:Specimen Handling
chemical_list: D000956:Antigens, Viral; D003470:Culture Media