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Evaluation of a Rapid Detection Influenza Virus A Antigens Kit Using Paired Serum Antibody Test
Authors:Hangwei Chen  Huimin Wang  Xuehui Li  Lanhua You  Juan Wei  Weixian Shi
Affiliation:1.Department of Respiratory Medicine, The Military General Hospital of Beijing PLA (The Chinese People''s Liberation Army, PLA), Beijing, China.;2.Department of Respiratory Medicine, Beijing Pinggu Hospital, Beijing, China.;3.Beijing Centers for Diseases Control and Prevention (CDC) & Centers for Preventive Medical Research, Beijing, China.
Abstract:

Purpose

To evaluate the feasibility for gold immunochromatographic assay (GICA) in rapid detection of influenza virus A infection.

Materials and Methods

Seventy-three patients were enrolled. All patients contributed nasopharyngeal secretions and paired serum samples. Nasopharyngeal secretions was used for colloidal gold immunochromatographic rapid assay for influenza A virus immediately after the collection of specimen. Paired serum samples were used for the hemagglutination inhibition assay at the Centers for Disease Control and Prevention influenza network laboratory in Beijing.

Results

Compare GICA test to hemagglutination inhibition (HI) assay, the Kappa value was 0.402 and the p value in the paired χ2 test was higher than 0.05. Therefore, the difference was not statistically significant. The sensitivity of GICA was 50.0% and the specificity was 90.2%, and the negative predictive value was 90.2%.

Conclusion

The sensitivity for Influenza A antigen detection by using GICA is relatively low, the specificity is relatively satisfactory.
Keywords:Influenza A virus   colloidal gold immunochromatographic assay   antibody   rapid test
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