Development and evaluation of a rapid nucleic acid amplification method to detect influenza A and B viruses in human respiratory specimens

开发并评估用于检测人类呼吸道标本中甲型和乙型流感病毒的快速核酸扩增方法

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作者:Sonja Elf, Pauliina Auvinen, Lisa Jahn, Karoliina Liikonen, Solveig Sjöblom, Päivi Saavalainen, Minna Mäki, Kevin E Eboigbodin

Abstract

Isothermal nucleic acid amplification methods can potentially shorten the amount of time required to diagnose influenza. We developed and evaluated a novel isothermal nucleic acid amplification method, RT-SIBA to rapidly detect and differentiate between influenza A and B viruses in a single reaction tube. The performance of the RT-SIBA Influenza assay was compared with two established RT-PCR methods. The sensitivities of the RT-SIBA, RealStar RT-PCR, and CDC RT-PCR assays for the detection of influenza A and B viruses in the clinical specimens were 98.8%, 100%, and 89.3%, respectively. All three assays demonstrated a specificity of 100%. The average time to positive result was significantly shorter with the RT-SIBA Influenza assay (<20 min) than with the two RT-PCR assays (>90 min). The method can be run using battery-operated, portable devices with a small footprint and therefore has potential applications in both laboratory and near-patient settings.

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