Evaluation of a pan-serotype point-of-care rapid diagnostic assay for accurate detection of acute dengue infection.

Abstract:

:The catastrophic rise in dengue infections in India and globally has created a need for an accurate, validated low-cost rapid diagnostic test (RDT) for dengue. We prospectively evaluated the diagnostic performance of NS1/IgM RDT (dengue day 1) using 211 samples from a pediatric dengue cohort representing all 4 serotypes in southern India. The dengue-positive panel consisted of 179 dengue real-time polymerase chain reaction (RT-PCR) positive samples from symptomatic children. The dengue-negative panel consisted of 32 samples from dengue-negative febrile children and asymptomatic individuals that were negative for dengue RT-PCR/NS1 enzyme-linked immunosorbent assay/IgM/IgG. NS1/IgM RDT sensitivity was 89.4% and specificity was 93.8%. The NS1/IgM RDT showed high sensitivity throughout the acute phase of illness, in primary and secondary infections, in different severity groups, and detected all 4 dengue serotypes, including coinfections. This NS1/IgM RDT is a useful point-of-care assay for rapid and reliable diagnosis of acute dengue and an excellent surveillance tool in our battle against dengue.

authors

Vivek R,Ahamed SF,Kotabagi S,Chandele A,Khanna I,Khanna N,Nayak K,Dias M,Kaja MK,Shet A

doi

10.1016/j.diagmicrobio.2016.09.020

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

229-234

issue

3

eissn

0732-8893

issn

1879-0070

pii

S0732-8893(16)30319-4

journal_volume

87

pub_type

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