Performance of a rapid test versus real-time PCR for diagnosis of H1N1 swine flu

J Egypt Public Health Assoc. 2014 Aug;89(2):96-9. doi: 10.1097/01.EPX.0000452224.96616.42.

Abstract

Background and objective: For effective control and treatment of swine influenza, rapid and cost-effective diagnosis is important. Although the gold-standard method for the diagnosis of influenza virus is culture isolation, it is not routinely used in outpatient settings because of the cost and the time needed to complete the assay. This has led to the development of an array of rapid influenza diagnostic tests. The aim of this study was to compare between the performance of CerTest Swine Flu card and RT-PCR in the detection of H1N1 infection.

Materials and methods: This study included 40 clinically suspected cases of H1N1. Nasal and throat swabs were collected from patients, placed in viral transport medium, and kept at 4°C until being tested on the same day for the presence of H1N1, using the CerTest Swine Flu test and real-time PCR.

Results: Of these 40 suspected cases, seven (17.5%) were found to be positive by the PCR technique, whereas 33 (82.5%) were found to be negative. Of the seven positive cases by the PCR technique, six were found to be positive by the rapid test, and thus the sensitivity of the rapid test was found to be 85.7%, and the specificity was 100%.

Conclusion: CerTest Swine Flu card rapid test was found to have reliable sensitivity and specificity compared with the gold-standard RT-PCR.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Influenza A Virus, H1N1 Subtype / isolation & purification*
  • Influenza, Human / diagnosis*
  • Male
  • Middle Aged
  • Nasal Mucosa / virology
  • Pharynx / virology
  • Polymerase Chain Reaction / methods*
  • Polymerase Chain Reaction / standards
  • Real-Time Polymerase Chain Reaction
  • Sensitivity and Specificity
  • Young Adult