Enhanced viral etiological diagnosis of respiratory system infection outbreaks by use of a multitarget nucleic acid amplification assay

J Clin Microbiol. 2009 Dec;47(12):3839-45. doi: 10.1128/JCM.01469-09. Epub 2009 Oct 14.

Abstract

A study was undertaken to assess the utility of the xTAG respiratory viral panel (RVP) for enhanced laboratory investigation of respiratory outbreaks. Specimens (n = 1,108) from 244 suspected respiratory virus outbreaks in 2006 and 2007 in Alberta, Canada, were included in the study. Testing by direct fluorescent antigen detection (DFA) and various in-house nucleic acid amplification tests (NATs) for common respiratory viruses provided an etiological diagnosis in 177 outbreaks (72.5%), with 524 samples testing positive (47.3%) for a respiratory virus. Two hundred samples from 51 unresolved outbreaks were further tested by RVP retrospectively. Fifty-eight samples from 30 unresolved outbreaks had a respiratory virus detected by RVP (47 picornavirus-positive, 9 coronavirus-positive, and 2 influenza virus A-positive samples). Overall, detection of a viral etiological agent was achieved in 90.8% of outbreaks using a combination of DFA, NATs, and RVP. Use of RVP enhances the laboratory investigation of respiratory virus outbreaks and facilitates appropriate patient and outbreak management.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Alberta
  • Antigens, Viral / analysis
  • Child
  • Child, Preschool
  • Disease Outbreaks*
  • Humans
  • Infant
  • Infant, Newborn
  • Middle Aged
  • Nucleic Acid Amplification Techniques / methods*
  • Respiratory System / virology
  • Respiratory Tract Infections* / diagnosis
  • Respiratory Tract Infections* / virology
  • Sensitivity and Specificity
  • Virus Diseases* / diagnosis
  • Virus Diseases* / virology
  • Viruses* / classification
  • Viruses* / genetics
  • Viruses* / isolation & purification
  • Young Adult

Substances

  • Antigens, Viral