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February 1, 2001Journal of Clinical MicrobiologyOpen Access

Evaluation of a Rapid Optical Immunoassay for Influenza Viruses (FLU OIA Test) in Comparison with Cell Culture and Reverse Transcription-PCR

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Key result

The FLU OIA test had a significantly lower positivity rate (41.5%) compared to cell culture (55.2%, P=0.009) and RT-PCR (55.9%, P=0.004) for detecting influenza A virus from throat swab specimens.

Why the study?

Does the FLU OIA test accurately detect influenza viruses compared to cell culture and RT-PCR in subjects with flu-like illness?

Population

146 throat swab specimens from subjects with a flu-like illness

Comparison

FLU OIA test (rapid optical immunoassay) vs Cell culture and reverse transcription-PCR

Design

Cross-sectional

Authors

GBGuy BoivinAgriculture and Agri-Food CanadaIHIsabelle HardyWestern UniversityAKAndrew J. KressOptical Air Data Systems (United States)

Discussion

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Member takes

Implication

Caution against sole reliance on FLU OIA for influenza A; leaves open its diagnostic role versus culture or RT-PCR.

Study Design

Type

Cross-Sectional (n=146)

Multicenter

Yes

Structured PICO

Does the FLU OIA test accurately detect influenza viruses compared to cell culture and RT-PCR in subjects with flu-like illness?

P
Population
146 subjects aged 0.6 to 83 years with a flu-like illness of 72 hours or less duration evaluated across six Canadian clinics during the 1999-2000 flu season.
I
Intervention
FLU OIA test (rapid optical immunoassay)
C
Comparator
Cell culture and reverse transcription-PCR
O
Outcome
Rate of positivity for influenza virussurrogate

Main Result

Absolute Event Rate: 41.5% vs 55.2%

p-value: p=0.009

The FLU OIA test has a significantly lower positivity rate for detecting influenza A compared to cell culture and RT-PCR.

Limitations

  • Throat swab samples may not be optimal for the rapid FLU OIA test
  • Only influenza A virus was detected during the study season, limiting conclusions about influenza B

Cite This Study

Boivin et al. (2001) conducted a cross-sectional in Flu-like illness (n=146). FLU OIA test vs. Cell culture and RT-PCR was evaluated on Rate of positivity for influenza detection (p=0.009). The FLU OIA test had a significantly lower positivity rate (41.5%) compared to cell culture (55.2%, P=0.009) and RT-PCR (55.9%, P=0.004) for detecting influenza A virus from throat swab specimens.

synapsesocial.com/papers/6a9196fc1fac8a9c65dd5e80https://doi.org/10.1128/jcm.39.2.730-732.2001
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Comparison of rapid detection methods for influenza A virus and their value in health-care management of institutionalized geriatric patients1994 · 102 citations
  2. 2Comparison of reverse transcription-PCR with tissue culture and other rapid diagnostic assays for detection of type A influenza virus1996 · 121 citations
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  5. 5Predicting Influenza Infections during Epidemics with Use of a Clinical Case Definition2000 · 349 citations