A comparative study of immunocapture ELISA and RT-PCR for screening clinical samples from Southern Greece for human influenza virus types A and B

J Med Microbiol. 2000 Nov;49(11):1037-1041. doi: 10.1099/0022-1317-49-11-1037.

Abstract

An immunocapture (IC) ELISA and reverse transcriptase (RT)-PCR assays were evaluated as screening methods for the detection of influenza virus types A and B in clinical samples collected from individuals presenting with influenza-like symptoms in Southern Greece. Standard virus isolation in embryonated hens' eggs was taken as the reference method. According to the reference method, 25 (16.7%) of the 150 clinical samples examined were infected by influenza viruses - 19 type A (H3N2) and 6 type B. The sensitivity of immunocapture ELISA was 64% and that for RT-PCR was 100%. The specificity of IC ELISA was 98% and by RT-PCR 97%. The positive diagnostic value of IC ELISA was 94% and of RT-PCR 86%, whereas the negative diagnostic values for IC ELISA and PCR were 93% and 100%, respectively. These findings confirm that RT-PCR provides significantly increased sensitivity over IC ELISA and can be of value in the management of regional influenza screening surveys conducted by the national public health services.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Animals
  • Chick Embryo
  • Child
  • Child, Preschool
  • Enzyme-Linked Immunosorbent Assay
  • False Negative Reactions
  • False Positive Reactions
  • Greece
  • Humans
  • Infant
  • Infant, Newborn
  • Influenza A virus / genetics
  • Influenza A virus / immunology
  • Influenza A virus / isolation & purification*
  • Influenza B virus / genetics
  • Influenza B virus / immunology
  • Influenza B virus / isolation & purification*
  • Influenza, Human / diagnosis
  • Influenza, Human / virology*
  • Middle Aged
  • Reverse Transcriptase Polymerase Chain Reaction
  • Sensitivity and Specificity