Journal List > Lab Med Online > v.9(2) > 1128324

Kim, Kim, Cho, Park, and Lee: Performance Evaluation of Two Immunochromatographic Assays for Rotavirus Detection in Stool Specimens

Abstract

Background

Rotavirus is a major pathogen causing enteritis worldwide in children under five years of age. In recent years, immunochromato-graphic assay (ICA) has been widely used as a diagnostic test for rotavirus detection. This study aimed to compare and evaluate the performance of ICA-based rotavirus rapid test kits from two manufacturers.

Methods

Residual stool samples from a total of 130 children with acute enterocolitis from November 2017 to January 2018 were used. We compared the results of the two immunochromatographic methods (SD BIOLINE Rotavirus kit and GENEDIA Rotavirus Ag Rapid Test) with those of the currently used enzyme immunoassay method.

Results

Positive agreement, negative agreement, and total agreement rates between the SD BIOLINE rotavirus kit and the enzyme immunoassay were 98.0%, 100%, and 99.2%, respectively. Positive agreement, negative agreement, and total agreement rates between the GENEDIA Rotavirus Ag Rapid Test and the enzyme immunoassay were 96.0%, 100%, and 98.4%, respectively.

Conclusions

Both rotavirus rapid test kits showed very good agreement with the conventional enzyme immunoassay. Therefore, it could be a useful test to detect rotavirus directly from stool samples in a short time.

References

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Table 1.
Comparison of rotavirus detection results of SD BIOLINE Rotavirus kit and GENEDIA Rotavirus Ag Rapid Test with those obtained by ELISA
  ELISA
Positive Negative Total
ICA (SD) Positive 49 0 49
  Negative 1 80 81
  Total 50 80  
ICA (GENEDIA) Positive 48 0 48
  Negative 2 80 82
  Total 50 80  

SD, Positive agreement rate: 98.0% (95% confidence interval: 89.4–99.9%); negative agreement rate: 100% (95% confidence interval: 95.5–100.0%); total agreement rate: 99.2% (95% confidence interval: 95.8–99.9%); Kappa coefficient=0.984 (95% confidence interval: 0.953–1.015).

GENEDIA, Positive agreement rate: 96.0% (95% confidence interval: 85.7–99.8%); negative agreement rate: 100% (95% confidence interval: 95.5–100.0%); total agreement rate: 98.4% (95% confidence interval: 94.6–99.6%); Kappa coefficient =0.967 (95% confidence interval: 0.922–1.012).

Abbreviations: ELISA, enzyme-linked immunosorbent assay; ICA, immunochromato-graphic assay; SD, SD BIOLINE Rotavirus kit; GENEDIA, GENEDIA Rotavirus Ag Rapid Test.

Table 2.
Two discrepant results between ELISA and ICA
  ELISA ICA (SD) ICA (GENEDIA) PCR
Sample 1 Positive Negative Negative Positive
Sample 2 Positive Positive Negative N/A

Abbreviations: ELISA, enzyme-linked immunosorbent assay; ICA, immunochro-matographic assay; SD, SD BIOLINE Rotavirus kit; GENEDIA, GENEDIA Rotavirus Ag Rapid Test; PCR, polymerase chain reaction.

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