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June 28, 2007Journal of Clinical MicrobiologyOpen Access

Field Evaluation of a Rota- and Adenovirus Immunochromatographic Assay Using Stool Samples from Children with Acute Diarrhea in Ghana

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Why the study?

Does the Rida Quick rotavirus/adenovirus Combi rapid immunochromatographic test accurately detect rotavirus and adenovirus compared to PCR in children with acute diarrhea?

Population

238 children with acute diarrhea in Ghana, mean age 10 months (range: 15 days to 11 years).

Comparison

Rida Quick rotavirus/adenovirus Combi rapid… vs Nested PCR for rotavirus and adenovirus

Design

Cross-sectional

Authors

TWThomas WeitzelUniversidad del DesarrolloKRKlaus ReitherSwiss Tropical and Public Health InstituteFMFrank P. MockenhauptHumboldt-Universität zu Berlin

Discussion

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Implication

Supports ICT for rotavirus screening in resource-limited settings; leaves open adenovirus reliability and requires prospective validation.

Structured PICO

Does the Rida Quick rotavirus/adenovirus Combi rapid immunochromatographic test accurately detect rotavirus and adenovirus compared to PCR in children with acute diarrhea?

P
Population
238 children with acute diarrhea in Ghana, mean age 10 months (range: 15 days to 11 years).
I
Intervention
Rida Quick rotavirus/adenovirus Combi rapid immunochromatographic test (ICT)
C
Comparator
Nested PCR for rotavirus and adenovirus
O
Outcome
Diagnostic sensitivity and specificity for rotavirus and adenovirus compared to PCR

The rapid immunochromatographic test is a practical and sufficiently reliable tool for detecting rotavirus, but not adenovirus, in resource-poor field settings.

Limitations

  • Climate conditions in Ghana
  • Handling of tests and samples by study personnel without extensive laboratory experience
  • PCR possibly overestimates the true burden of acute adenovirus infection

Cite This Study

Weitzel et al. (2007) studied this question.

synapsesocial.com/papers/6a7bb16601db1a7270ed211dhttps://doi.org/10.1128/jcm.00562-07
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Evaluation of the ImmunoCardSTAT! Rotavirus Assay for Detection of Group A Rotavirus in Fecal Specimens1999 · 39 citations
  2. 2Viral agents of acute gastroenteritis in German children: Prevalence and molecular diversity2003 · 219 citations
  3. 3Infectious Diarrhea in Developed and Developing Countries2005 · 124 citations
  4. 4Manual of Clinical Microbiology.1980 · 14,441 citations