Analytical and clinical performance of a Chikungunya qRT-PCR for Central and South America.

Abstract:

:Chikungunya was introduced into the Americas in 2015 causing a pandemic across the continent. Testing during the acute phase of infection relies on qRT-PCR, but available assays have a number of limitations. A qRT-PCR assay specific to the chikungunya E1 gene was designed using sequence data from contemporary strains. A probit analysis established the 95% limit of detection as 19.6 copies per reaction. We compared the assay with a US Centers for Disease Control (CDC) chikungunya qRT-PCR as the reference standard. The assay had a sensitivity and specificity of 98.4% and 100% in 90 samples retrospectively collected in Guatemala. In a further 74 febrile samples prospectively collected in Ecuador and Guatemala the test had a sensitivity and specificity of 100% and 98.4%, respectively. Sequencing the nsp4 gene of the discordant positive sample indicated the presence of chikungunya RNA, and mismatches to the primer binding sites of the CDC assay.

authors

Edwards T,Del Carmen Castillo Signor L,Williams C,Larcher C,Espinel M,Theaker J,Donis E,Cuevas LE,Adams ER

doi

10.1016/j.diagmicrobio.2017.06.001

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

35-39

issue

1

eissn

0732-8893

issn

1879-0070

pii

S0732-8893(17)30177-3

journal_volume

89

pub_type

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