title: Comparative evaluation of the QIAsymphony RGQ system with the easyMAG/R-gene combination for the quantitation of cytomegalovirus DNA load in whole blood.
abstract: BACKGROUND
  The detection of cytomegalovirus (CMV) DNA in blood is a key feature of the virological surveillance of immunocompromised patients.
  
  
  METHODS
  The QIAsymphony RGQ system (QIAGEN S.A.S., France) combines the extraction/distribution steps on QIAsymphony SP/AS instruments with amplification on a Rotor-Gene Q RT-PCR machine. This system was compared to a strategy combining an extraction step on the NUCLISENS easyMAG platform (bioMérieux) with the CMV R-gene kit (Argene) on 100 whole blood specimens collected from immunocompromised patients of the University Hospital of Saint-Etienne, France.
  
  
  RESULTS
  The overall agreement between the two strategies was 86% (kappa coefficient of 0.67); the 14 discrepant results corresponded to low DNA loads. The 62 samples found positive with both tests were correlated (Pearson r coefficient of 0.70, P < 0.01) despite an over quantitation of 0.25 log10 copies/ml with the easyMAG/Argene strategy (P < 0.001). Very close results were also obtained with a commercial panel of 10 samples with CMV loads ranging from 2.36 to 6.41 log10 copies/ml. The inter-run and intra-run variability was consistently lower with the QIAGEN platform.
  
  
  CONCLUSIONS
  These results validate the performance of the QIAsymphony RGQ system for the routine quantitation of CMV DNA. This fully-automated platform reduces the hands-on time and improves standardization, traceability and quality control assessment.
authors.affiliation: Laboratory of Bacteriology-Virology-Hygiene, University Hospital of Saint-Etienne, Saint-Etienne Cedex 02, F-42055, France.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Pillet
authors.forename: Thomas
authors.initials: T
authors.lastname: Bourlet
authors.forename: Bruno
authors.initials: B
authors.lastname: Pozzetto
mesh_terms: D057205:Automation, Laboratory / Q000379:methods; D001769:Blood / Q000821:virology*; D003587:Cytomegalovirus / Q000302:isolation & purification*; D003586:Cytomegalovirus Infections / Q000175:diagnosis / Q000821:virology; D004279:DNA, Viral / Q000097:blood* / Q000235:genetics; D005602:France; D006801:Humans; D016867:Immunocompromised Host; D025202:Molecular Diagnostic Techniques / Q000379:methods*; D019562:Viral Load / Q000379:methods*
chemical_list: D004279:DNA, Viral