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.
journal_name
Diagn Microbiol Infect Disjournal_title
Diagnostic microbiology and infectious diseaseauthors
Edwards T,Del Carmen Castillo Signor L,Williams C,Larcher C,Espinel M,Theaker J,Donis E,Cuevas LE,Adams ERdoi
10.1016/j.diagmicrobio.2017.06.001subject
Has Abstractpub_date
2017-09-01 00:00:00pages
35-39issue
1eissn
0732-8893issn
1879-0070pii
S0732-8893(17)30177-3journal_volume
89pub_type
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