Evaluation of a commercial latex agglutination test for detecting rotavirus A and human adenovirus in children's stool specimens

J Clin Lab Anal. 2020 May;34(5):e23208. doi: 10.1002/jcla.23208. Epub 2020 Jan 13.

Abstract

Objectives: Rotavirus A and human adenovirus are the two most common causes of infantile diarrhea; thus, it is of great importance to find out a rapid and accurate diagnostic method. This study aimed to evaluate the diagnostic significance of latex agglutination test for detection of rotavirus A and human adenovirus.

Methods: A prospective study was conducted on 214 diarrhea children from September 2018 to March 2019 in our hospital. Fresh stool samples were collected for detection of rotavirus A and human adenovirus by latex agglutination test and quantitative reverse transcription polymerase chain reaction (RT-qPCR). Then, the consistency of results detected by these two methods was analyzed. RESULTS: With performing the latex agglutination test, it was revealed that positive rates for detecting rotavirus A virus and human adenovirus were 23.83% (51/214) and 25.24% (54/214), respectively. Meanwhile, results of RT-qPCR showed that positive rates for detecting rotavirus A virus and human adenovirus were 58 (27.10%) and 59 (27.57%), respectively. Using RT-qPCR as the gold standard, the sensitivity and specificity of the latex agglutination test for detecting rotavirus A were 81.03% and 97.44%, and the corresponding values for detecting human adenovirus were 76.27% and 94.19%, respectively.

Conclusion: This latex agglutination test showed a satisfactory consistency with RT-qPCR for detecting rotavirus A and human adenovirus. The mentioned commercial assay may be highly appropriate for rapid screening of rotavirus A and human adenovirus.

Keywords: RT-qPCR; adenovirus; latex agglutination test; rotavirus A; stool samples.

Publication types

  • Evaluation Study

MeSH terms

  • Adenovirus Infections, Human / virology*
  • Adenoviruses, Human / genetics
  • Adenoviruses, Human / isolation & purification
  • Adenoviruses, Human / pathogenicity
  • Child, Preschool
  • Diarrhea / virology
  • Feces / virology*
  • Humans
  • Latex Fixation Tests / methods*
  • Prospective Studies
  • Reverse Transcriptase Polymerase Chain Reaction
  • Rotavirus / genetics
  • Rotavirus / isolation & purification
  • Rotavirus / pathogenicity
  • Rotavirus Infections / virology*