Evaluation of third-generation ELISA and a rapid immunochromatographic assay for the detection of norovirus infection in fecal samples from inpatients of a German tertiary care hospital

Eur J Clin Microbiol Infect Dis. 2012 May;31(5):733-7. doi: 10.1007/s10096-011-1366-z. Epub 2011 Aug 2.

Abstract

The analytical accuracy of the RIDASCREEN Norovirus 3rd Generation ELISA assay and the rapid immunochromatographic RIDAQUICK Norovirus assay were determined in comparison to PCR. In a prospective study 410 consecutive samples were collected from inpatients of a tertiary care hospital in Germany. All samples were tested with the two antigen detection assays, as well as with three different real-time reverse transcription PCR methods as the reference standard. A sample was considered true-positive if at least 2 out of 3 PCR methods yielded a positive signal (137 positive samples, >99% genogroup II). Compared with the PCR-based reference the overall diagnostic sensitivities of the ELISA and the immunochromatographic assay were 77% and 69% and the diagnostic specificities were 96% and 97% respectively. Both assays allow the rapid and economic screening of large numbers of samples and thus are useful diagnostic tools for the detection of suspected norovirus infections.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Caliciviridae Infections / diagnosis*
  • Caliciviridae Infections / virology
  • Child
  • Child, Preschool
  • Chromatography, Affinity / methods*
  • Clinical Laboratory Techniques / methods*
  • Enzyme-Linked Immunosorbent Assay / methods
  • Feces / virology*
  • Female
  • Gastroenteritis / virology*
  • Germany
  • Hospitals
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Middle Aged
  • Norovirus / isolation & purification*
  • Polymerase Chain Reaction / methods
  • Prospective Studies
  • Sensitivity and Specificity
  • Young Adult