Comparison of two rapid influenza A/B test kits with reference methods showing high specificity and sensitivity for influenza A infection

J Med Virol. 2006 May;78(5):619-22. doi: 10.1002/jmv.20584.

Abstract

The rapid detection of influenza viruses is important for forming preventative strategies, directing initiation of anti-viral therapy, detecting potential avian influenza viruses, and excluding influenza-like pathogens, such as SARS. The ImmunoCard STAT! Flu A and B Plus test (Meridian Bioscience, Cincinnati, OH) is a new point of care (POC) test utilizing influenza-specific monoclonal antibodies for rapid diagnosis. The performance of this assay was compared to the established POC Binax NowFlu A and NowFlu B test, and the reference diagnostic standards of viral culture, indirect immunofluorescence (IFA), and RT-PCR where appropriate. Testing of nasopharyngeal aspirates (NPA) from children, throat swabs, and nasal swabs from adults indicated ImmunoCard STAT! specificity of 98% and 100% for influenza A and B, respectively in 224 specimens. The Binax test showed specificity of 99% and 100%, respectively for influenza A and B. Sensitivity results were identical for both rapid detection kits (80% and 47% for Flu A and B, respectively). Overall results were very similar for both testing devices with the advantage of ImmunoCard STAT! Flu A and B Plus test detecting influenza A and B with sharp and easy to read results.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Antibodies, Monoclonal
  • Antibodies, Viral
  • Child
  • Child, Preschool
  • Humans
  • Infant
  • Influenza A virus / immunology
  • Influenza A virus / isolation & purification*
  • Influenza B virus / immunology
  • Influenza B virus / isolation & purification*
  • Influenza, Human / diagnosis*
  • Influenza, Human / virology
  • Nasopharynx / virology
  • Pharynx / virology
  • Point-of-Care Systems
  • Reagent Kits, Diagnostic*
  • Reference Standards
  • Respiratory Mucosa / virology
  • Sensitivity and Specificity
  • Virology / methods*

Substances

  • Antibodies, Monoclonal
  • Antibodies, Viral
  • Reagent Kits, Diagnostic