Tai Chi-Sheng, Jian Ming-Jr, Lin Tai-Han, Chung Hsing-Yi, Chang Chih-Kai, Perng Cherng-Lih, Hsieh Po-Shiuan, Shang Hung-Sheng
Graduate Institute of Medical Science, National Defense Medical Center, Taipei 114, Taiwan.
Division of Clinical Pathology, Department of Pathology, National Defense Medical Center, Tri-Service General Hospital, Taipei 114, Taiwan.
Diagnostics (Basel). 2024 Oct 2;14(19):2200. doi: 10.3390/diagnostics14192200.
The coronavirus disease 2019 (COVID-19) pandemic has highlighted the urgent need for rapid and accurate diagnostic tools for upper respiratory tract infections (URTIs). Nucleic acid amplification tests (NAATs) have transformed URTI diagnostics by enabling the rapid detection of multiple pathogens simultaneously, thereby improving patient management and infection control. This study aimed to evaluate the diagnostic accuracy of the LabTurbo QuadAIO Common Flu Assay compared to that of the Xpert Xpress CoV-2/Flu/RSV Plus Assay for detecting SARS-CoV-2, Influenza A, Influenza B, and respiratory syncytial virus (RSV). A retrospective diagnostic accuracy study was conducted using nasopharyngeal samples from patients. Samples were tested using the LabTurbo QuadAIO Common Flu Assay and the comparator Xpert Xpress CoV-2/Flu/RSV Plus Assay. Positive and negative percent agreements (PPA and NPA) were calculated. The LabTurbo Assay demonstrated a PPA of 100% and an NPA of 100% for SARS-CoV-2, Influenza A, and Influenza B, whereas it showed a PPA of 100% and an NPA of 98.3% for RSV. The LabTurbo QuadAIO Assay exhibited high diagnostic accuracy for detecting multiple respiratory pathogens, including SARS-CoV-2, Influenza A, Influenza B, and RSV. Despite the slight discrepancy in the NPA for RSV, the overall performance of the LabTurbo Assay supports its integration into routine diagnostic workflows to enhance patient management and infection control.
2019年冠状病毒病(COVID-19)大流行凸显了对上呼吸道感染(URTI)快速准确诊断工具的迫切需求。核酸扩增检测(NAATs)通过能够同时快速检测多种病原体,从而改善患者管理和感染控制,彻底改变了URTI的诊断方式。本研究旨在评估LabTurbo QuadAIO通用流感检测法与Xpert Xpress CoV-2/流感/呼吸道合胞病毒(RSV)检测法在检测严重急性呼吸综合征冠状病毒2(SARS-CoV-2)、甲型流感病毒、乙型流感病毒和呼吸道合胞病毒(RSV)方面的诊断准确性。使用患者的鼻咽样本进行了一项回顾性诊断准确性研究。样本分别使用LabTurbo QuadAIO通用流感检测法和对照检测法Xpert Xpress CoV-2/流感/RSV检测法进行检测。计算阳性和阴性百分比一致性(PPA和NPA)。LabTurbo检测法对SARS-CoV-2、甲型流感病毒和乙型流感病毒的PPA为100%,NPA为100%,而对RSV的PPA为100%,NPA为98.3%。LabTurbo QuadAIO检测法在检测包括SARS-CoV-2、甲型流感病毒、乙型流感病毒和RSV在内的多种呼吸道病原体方面表现出较高的诊断准确性。尽管RSV的NPA存在轻微差异,但LabTurbo检测法的整体性能支持将其纳入常规诊断工作流程,以加强患者管理和感染控制。