論文

査読有り 本文へのリンクあり
2018年1月

Diagnostic accuracy of a rapid E1-antigen test for chikungunya virus infection in a reference setting

Clinical Microbiology and Infection
  • R. Huits
  • T. Okabayashi
  • L. Cnops
  • B. Barbé
  • R. Van Den Berg
  • K. Bartholomeeusen
  • K. K. Ariën
  • J. Jacobs
  • E. Bottieau
  • E. E. Nakayama
  • T. Shioda
  • M. Van Esbroeck
  • 全て表示

24
1
開始ページ
78
終了ページ
81
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.cmi.2017.06.004
出版者・発行元
Elsevier B.V.

Objectives Rapid diagnostic tests targeting virus-specific antigen could significantly enhance the diagnostic capacity for chikungunya virus infections. We evaluated the accuracy of an immunochromatographic antigen test for diagnosis of chikungunya in a reference laboratory for arboviruses. Methods An immunochromatographic rapid test that uses mouse monoclonal antibodies as a tracer against the E1-envelope protein of chikungunya (ARKRAY, Inc. Kyoto, Japan) was evaluated. Sensitivity was tested in sera from travellers with RT-PCR confirmed chikungunya virus infection (Eastern/Central/Southern African (ECSA) genotype) (n=9) and from patients diagnosed during the 2014-2015 chikungunya outbreak on Aruba (Asian genotype, n=30). Samples from patients with other febrile and non-febrile illnesses (n=26), sera spiked with Flavivirus and Alphavirus reference strains (n=13, including non-spiked serum), and samples containing other selected pathogens (n=20) were used to test specificity of the E1-antigen test. Results Sensitivity of the E1-antigen test was 8/9 (88.9%, 95% CI 56.5–98.0) for the ECSA genotype, but only 10/30 (33.3%, 95% CI 19.2-51.2) for the Asian genotype. Overall diagnostic specificity was 49/59 (83.1%, 95% CI 71.5-90.5). Conclusions The E1-antigen test we evaluated had fair diagnostic sensitivity for ECSA genotype chikungunya, but low sensitivity for Asian genotype, and poor overall specificity. Antibodies that react across genotypes will be required for further development of a rapid test for chikungunya. Performance of new tests should be evaluated against different chikungunya genotypes.

リンク情報
DOI
https://doi.org/10.1016/j.cmi.2017.06.004
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/28606643
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85025436526&origin=inward 本文へのリンクあり
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85025436526&origin=inward
ID情報
  • DOI : 10.1016/j.cmi.2017.06.004
  • ISSN : 1198-743X
  • eISSN : 1469-0691
  • PubMed ID : 28606643
  • SCOPUS ID : 85025436526

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