title: Performance of the Luminex xTAG Respiratory Viral Panel Fast in a clinical laboratory setting.
abstract: The aim of the study was to develop a real-time RT-PCR for the detection of enteroviruses (EVs) and rhinoviruses (RVs) and to assess the performance of the xTAG RVP Fast assay in comparison to a direct fluorescent assay (DFA), a real-time RT-PCR assay for the detection of respiratory syncytial virus (RSV) and human metapneumovirus (hMPV), and the EV/RV RT-PCR assay developed in this study. The performance of the RVP Fast assay was assessed in the analysis of 373 nasopharyngeal samples. For the viruses of the DFA panel, detection rates of 27.6% and 23.8% were obtained by RVP and DFA, respectively, in analysis of a set of 297 samples collected in 2009-2010. These results show statistically significant superiority of the RVP Fast assay (P=0.049). For RSV, hMPV, EV, and RV, detection rates of 48.0% and 45.2% were achieved by RVP and RT-PCR, respectively. For individual targets, increased detection of EV/RV (P=0.043) and decreased detection of influenza A virus (P=0.004) by RVP in comparison to real-time RT-PCR was observed. The results of the present study imply the need to adjust the InfA component of the RVP Fast assay to also cover the InfA(H1N1) 2009 virus.
authors.affiliation: Department of Virology, Haartman Institute, University of Helsinki, FIN-00014 Helsinki, Finland. pia.jokela@helsinki.fi
authors.forename: Pia
authors.initials: P
authors.lastname: Jokela
authors.forename: Heli
authors.initials: H
authors.lastname: Piiparinen
authors.forename: Laura
authors.initials: L
authors.lastname: Mannonen
authors.forename: Eeva
authors.initials: E
authors.lastname: Auvinen
authors.forename: Maija
authors.initials: M
authors.lastname: Lappalainen
mesh_terms: D019411:Clinical Laboratory Techniques / Q000379:methods*; D004770:Enterovirus / Q000145:classification / Q000302:isolation & purification*; D006801:Humans; D025202:Molecular Diagnostic Techniques / Q000379:methods*; D009305:Nasopharynx / Q000821:virology; D060888:Real-Time Polymerase Chain Reaction / Q000379:methods; D012141:Respiratory Tract Infections / Q000175:diagnosis* / Q000821:virology; D020133:Reverse Transcriptase Polymerase Chain Reaction / Q000379:methods; D012229:Rhinovirus / Q000145:classification / Q000302:isolation & purification*; D012680:Sensitivity and Specificity; D014773:Virology / Q000379:methods*; D014777:Virus Diseases / Q000175:diagnosis* / Q000821:virology