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RT-PCR-based assessment of the SD Bioline Rota/Adeno Antigen-based test in infants with and without diarrhea

BACKGROUND: Rotavirus A (RVA) infections remain a major cause of severe acute diarrhea affecting children worldwide. To date, rapid diagnostic tests (RDT) are widely used to detect RVA. However, paediatricians question whether the RDT can still detect the virus accurately. Therefore, this study aime...

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Autores principales: Manouana, Gédéon Prince, Nguema-Moure, Paul Alvyn, Tomazatos, Alexandru, Maloum, Moustapha Nzamba, Bock, C.-Thomas, Kremsner, Peter G., Velavan, Thirumalaisamy P., Adegnika, Akim Ayola, Niendorf, Sandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9981446/
https://www.ncbi.nlm.nih.gov/pubmed/36864463
http://dx.doi.org/10.1186/s12985-023-01999-z
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author Manouana, Gédéon Prince
Nguema-Moure, Paul Alvyn
Tomazatos, Alexandru
Maloum, Moustapha Nzamba
Bock, C.-Thomas
Kremsner, Peter G.
Velavan, Thirumalaisamy P.
Adegnika, Akim Ayola
Niendorf, Sandra
author_facet Manouana, Gédéon Prince
Nguema-Moure, Paul Alvyn
Tomazatos, Alexandru
Maloum, Moustapha Nzamba
Bock, C.-Thomas
Kremsner, Peter G.
Velavan, Thirumalaisamy P.
Adegnika, Akim Ayola
Niendorf, Sandra
author_sort Manouana, Gédéon Prince
collection PubMed
description BACKGROUND: Rotavirus A (RVA) infections remain a major cause of severe acute diarrhea affecting children worldwide. To date, rapid diagnostic tests (RDT) are widely used to detect RVA. However, paediatricians question whether the RDT can still detect the virus accurately. Therefore, this study aimed to evaluate the performance of the rapid rotavirus test in comparison to the one-step RT-qPCR method. METHODS: A cross-sectional study was conducted in Lambaréné, Gabon, from April 2018 to November 2019. Stool samples were collected from children under 5 years of age with diarrhoea or a history of diarrhoea within the last 24 h, and from asymptomatic children from the same communities. All stool samples were processed and analysed using the SD BIOLINE Rota/Adeno Ag RDT against a quantitative reverse transcription PCR (RT-qPCR), which is considered the gold standard. RESULTS: For a total of 218 collected stool samples, the overall sensitivity of the RDT was 46.46% (confidence interval (CI) 36.38–56.77), with a specificity of 96.64% (CI 91.62–99.08) compared to one-step RT-qPCR. After confirming the presence or absence of RVA gastroenteritis, the RDT showed suitable results in detecting rotavirus A-associated disease, with a 91% concordance with the RT-qPCR. Furthermore, the performance of this test varied when correlated with seasonality, symptoms, and rotavirus genotype. CONCLUSION: This RDT showed high sensitivity and was suitable for the detection of RVA in patients with RVA gastroenteritis, although some asymptomatic RVA shedding was missed by RT-qPCR. It could be a useful diagnostic tool, especially in low-income countries.
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spelling pubmed-99814462023-03-03 RT-PCR-based assessment of the SD Bioline Rota/Adeno Antigen-based test in infants with and without diarrhea Manouana, Gédéon Prince Nguema-Moure, Paul Alvyn Tomazatos, Alexandru Maloum, Moustapha Nzamba Bock, C.-Thomas Kremsner, Peter G. Velavan, Thirumalaisamy P. Adegnika, Akim Ayola Niendorf, Sandra Virol J Research BACKGROUND: Rotavirus A (RVA) infections remain a major cause of severe acute diarrhea affecting children worldwide. To date, rapid diagnostic tests (RDT) are widely used to detect RVA. However, paediatricians question whether the RDT can still detect the virus accurately. Therefore, this study aimed to evaluate the performance of the rapid rotavirus test in comparison to the one-step RT-qPCR method. METHODS: A cross-sectional study was conducted in Lambaréné, Gabon, from April 2018 to November 2019. Stool samples were collected from children under 5 years of age with diarrhoea or a history of diarrhoea within the last 24 h, and from asymptomatic children from the same communities. All stool samples were processed and analysed using the SD BIOLINE Rota/Adeno Ag RDT against a quantitative reverse transcription PCR (RT-qPCR), which is considered the gold standard. RESULTS: For a total of 218 collected stool samples, the overall sensitivity of the RDT was 46.46% (confidence interval (CI) 36.38–56.77), with a specificity of 96.64% (CI 91.62–99.08) compared to one-step RT-qPCR. After confirming the presence or absence of RVA gastroenteritis, the RDT showed suitable results in detecting rotavirus A-associated disease, with a 91% concordance with the RT-qPCR. Furthermore, the performance of this test varied when correlated with seasonality, symptoms, and rotavirus genotype. CONCLUSION: This RDT showed high sensitivity and was suitable for the detection of RVA in patients with RVA gastroenteritis, although some asymptomatic RVA shedding was missed by RT-qPCR. It could be a useful diagnostic tool, especially in low-income countries. BioMed Central 2023-03-03 /pmc/articles/PMC9981446/ /pubmed/36864463 http://dx.doi.org/10.1186/s12985-023-01999-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Manouana, Gédéon Prince
Nguema-Moure, Paul Alvyn
Tomazatos, Alexandru
Maloum, Moustapha Nzamba
Bock, C.-Thomas
Kremsner, Peter G.
Velavan, Thirumalaisamy P.
Adegnika, Akim Ayola
Niendorf, Sandra
RT-PCR-based assessment of the SD Bioline Rota/Adeno Antigen-based test in infants with and without diarrhea
title RT-PCR-based assessment of the SD Bioline Rota/Adeno Antigen-based test in infants with and without diarrhea
title_full RT-PCR-based assessment of the SD Bioline Rota/Adeno Antigen-based test in infants with and without diarrhea
title_fullStr RT-PCR-based assessment of the SD Bioline Rota/Adeno Antigen-based test in infants with and without diarrhea
title_full_unstemmed RT-PCR-based assessment of the SD Bioline Rota/Adeno Antigen-based test in infants with and without diarrhea
title_short RT-PCR-based assessment of the SD Bioline Rota/Adeno Antigen-based test in infants with and without diarrhea
title_sort rt-pcr-based assessment of the sd bioline rota/adeno antigen-based test in infants with and without diarrhea
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9981446/
https://www.ncbi.nlm.nih.gov/pubmed/36864463
http://dx.doi.org/10.1186/s12985-023-01999-z
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