title: Laboratory testing practices for West Nile virus in the United States.
abstract: We surveyed state public health and commercial diagnostic reference laboratories regarding current testing practices for West Nile virus (WNV). The majority of WNV testing is now performed in commercial diagnostic reference laboratories using commercially available Food and Drug Administration-cleared kits labeled for the presumptive diagnosis of WNV. However, only 25% of surveyed state public health or commercial diagnostic reference laboratories currently have the capacity to perform the recommended confirmatory testing. These findings indicate the need for both manufacturers and laboratories to monitor the performance of these WNV test kits. Further, clinicians should be aware of the limitations of these kits and the need for additional testing to confirm a diagnosis of WNV disease.
authors.affiliation: Arboviral Diseases Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado 80521, USA.
authors.forename: Kristen B
authors.initials: KB
authors.lastname: Janusz
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Lehman
authors.forename: Amanda J
authors.initials: AJ
authors.lastname: Panella
authors.forename: Marc
authors.initials: M
authors.lastname: Fischer
authors.forename: Erin
authors.initials: E
authors.lastname: Staples
mesh_terms: D000914:Antibodies, Viral / Q000032:analysis*; D002487:Centers for Disease Control and Prevention, U.S.; D004797:Enzyme-Linked Immunosorbent Assay / Q000592:standards*; D006306:Health Surveys; D006801:Humans; D007075:Immunoglobulin M / Q000032:analysis; D007753:Laboratories / Q000592:standards; D011634:Public Health; D011933:Reagent Kits, Diagnostic / Q000592:standards; D012680:Sensitivity and Specificity; D014481:United States; D014486:United States Food and Drug Administration; D014901:West Nile Fever / Q000175:diagnosis*; D014902:West Nile virus / Q000276:immunology*
chemical_list: D000914:Antibodies, Viral; D007075:Immunoglobulin M; D011933:Reagent Kits, Diagnostic