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Evaluation of a multiplex ligation-dependent probe amplification assay for the detection of respiratory pathogens in oncological patients.


ABSTRACT:

Background

Respiratory tract infections are widespread and may cause significant morbidity and mortality in immunosuppressed populations such as oncological patients.

Objectives

The RealAccurate Respiratory RT PCR Kit covering 14 respiratory viruses was compared to the RespiFinder Smart22, a broad-spectrum multiplex ligation-dependent probe amplification (MLPA) test, targeting 22 viral and bacterial respiratory pathogens.

Study design

After verification of its analytical performance, the clinical performance of the RespiFinder Smart22 was evaluated by re-analysis of 96 respiratory samples from oncological patients. Additionally, the time to result (TTR) of both methods was compared.

Results

The analytical performance of the RespiFinder Smart22 fulfilled all previously specified criteria. Concordant results in both assays were achieved in 74.0% of all clinical specimens and in 91.2% when only positive results were taken into account. The RespiFinder Smart22 yielded additional results in a total of 22 (22.9% of 96) samples due to higher test sensitivity and a broader, highly multiplexed spectrum of pathogens. The TTR of a typical routine test consisting of three samples were 206 and 356 min for the RealAccurate Respiratory RT PCR Kit and the RespiFinder Smart22, respectively. However, hands-on time was reduced by 59.0% applying the MLPA method.

Conclusions

In our hands, the RespiFinder Smart22 showed excellent analytical performance while hands-on time was halved in comparison to the RT PCR method. Regarding the clinical evaluation, the MLPA method provided additional results in 22.9% (22/96) of specimens due to its comprehensive format, higher test sensitivity and the capability to detect 22 pathogens compared to 14 with the RealAccurate Respiratory RT PCR Kit.

SUBMITTER: Berning L 

PROVIDER: S-EPMC7106480 | biostudies-literature | 2014 Jun

REPOSITORIES: biostudies-literature

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Evaluation of a multiplex ligation-dependent probe amplification assay for the detection of respiratory pathogens in oncological patients.

Berning Lucia L   Aberle Stephan W SW   Simon Benedikt B   Luger Christoph C   Apfalter Petra P   Machherndl-Spandl Sigrid S   Kerschner Heidrun H  

Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology 20140306 2


<h4>Background</h4>Respiratory tract infections are widespread and may cause significant morbidity and mortality in immunosuppressed populations such as oncological patients.<h4>Objectives</h4>The RealAccurate Respiratory RT PCR Kit covering 14 respiratory viruses was compared to the RespiFinder Smart22, a broad-spectrum multiplex ligation-dependent probe amplification (MLPA) test, targeting 22 viral and bacterial respiratory pathogens.<h4>Study design</h4>After verification of its analytical pe  ...[more]

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