A comparison of the Quidel Solana GAS assay, the Luminex Aries Group A Strep assay and the Focus Diagnostics Simplexa Group A Strep Direct assay for detection of Group A Streptococcus in throat swab specimens.


Journal

Diagnostic microbiology and infectious disease
ISSN: 1879-0070
Titre abrégé: Diagn Microbiol Infect Dis
Pays: United States
ID NLM: 8305899

Informations de publication

Date de publication:
Nov 2019
Historique:
received: 27 03 2019
revised: 05 07 2019
accepted: 14 07 2019
pubmed: 2 9 2019
medline: 28 2 2020
entrez: 2 9 2019
Statut: ppublish

Résumé

We compared three commercially available group A Streptococcus (GAS) nucleic acid amplification tests, the Quidel Solana GAS assay, the Luminex Aries Group A Strep assay and the Focus Diagnostics Simplexa Group A Strep Direct assay, with GAS bacterial culture. A true positive result was defined as one positive by culture or positive by ≥2/3 molecular methods. Two hundred eighty-seven throat swabs (207 children, 80 adults) were collected. The sensitivity of culture was 84.8% (95% CI 77.7-90.3%) with a specificity of 100% (95% CI 97.5-100%). The Solana assay sensitivity was 94.2% (95% CI 88.9-97.5%) with a specificity of 98.7% (95% CI 95.2-99.8%). Simplexa assay sensitivity was 99.3% (95% CI 96.0-99.9%) with a specificity of 95.3% (95% CI 90.6-98.1%). Aries assay sensitivity was 96.4% (95% CI 91.8-98.8%) with a specificity of 98.0% (95% CI 94.2-99.6%). In summary, all the molecular methods evaluated showed high sensitivity and specificity and were more sensitive than culture.

Identifiants

pubmed: 31473033
pii: S0732-8893(19)30326-8
doi: 10.1016/j.diagmicrobio.2019.07.004
pii:
doi:

Types de publication

Comparative Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

114866

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Auteurs

Kelly Amrud (K)

The Ottawa Hospital/The Ottawa Hospital Research Institute, Ottawa, ON, Canada. Electronic address: kelly.amrud@mail.mcgill.ca.

Robert Slinger (R)

Eastern Ontario Regional Laboratory Association, Ottawa, ON, Canada; Children's Hospital of Eastern Ontario, Ottawa, ON, Canada. Electronic address: slinger@cheo.on.ca.

Nadia Sant (N)

The Ottawa Hospital/The Ottawa Hospital Research Institute, Ottawa, ON, Canada; Eastern Ontario Regional Laboratory Association, Ottawa, ON, Canada. Electronic address: nsant@toh.ca.

Karam Ramotar (K)

The Ottawa Hospital/The Ottawa Hospital Research Institute, Ottawa, ON, Canada; Eastern Ontario Regional Laboratory Association, Ottawa, ON, Canada. Electronic address: kramotar@toh.ca.

Marc Desjardins (M)

The Ottawa Hospital/The Ottawa Hospital Research Institute, Ottawa, ON, Canada; Eastern Ontario Regional Laboratory Association, Ottawa, ON, Canada. Electronic address: madesjardins@toh.ca.

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