Performance evaluation of the Panbio COVID-19/Flu A&B Panel for detection of SARS-CoV-2, influenza A, and influenza B antigens using mid-turbinate nasal swabs

J Clin Microbiol. 2024 Jul 16;62(7):e0020724. doi: 10.1128/jcm.00207-24. Epub 2024 Jun 18.

Abstract

The Panbio COVID-19/Flu A&B Panel (Abbott) is an in vitro diagnostic rapid test designed for the qualitative detection of nucleocapsid proteins SARS-CoV-2 and nucleoprotein influenza A and B antigens in nasal mid-turbinate (NMT) swab specimens from symptomatic individuals meeting COVID-19 and influenza clinical and/or epidemiological criteria. This study, the largest global one to date using fresh samples, aimed to assess the diagnostic sensitivity and specificity of the Panbio COVID-19/Flu A&B Panel in freshly collected NMT swab specimens from individuals suspected of respiratory viral infection consistent with COVID-19 and/or influenza within the first 5 days of symptom onset compared with results obtained with the cobas SARS-CoV-2 and influenza A/B qualitative assay (cobas 6800/8800 systems), which were tested using nasopharyngeal swab samples. A total of 512 evaluable subjects were enrolled in the COVID-19 cohort across 18 sites, and 1,148 evaluable subjects were enrolled in the influenza cohort across 22 sites in the Asia-Pacific, Europe, and the USA. The Panbio COVID-19/Flu A&B Panel demonstrated a sensitivity of 80.4% and a specificity of 99.7% for COVID-19. For influenza A, the sensitivity and specificity rates were 80.6% and 99.3%, respectively. Likewise, for influenza B, the sensitivity and specificity rates were 80.8% and 99.4%, respectively. In conclusion, the Panbio COVID-19/Flu A&B Panel emerges as a suitable rapid test for detecting COVID-19 and influenza in symptomatic subjects across diverse global populations, exhibiting high sensitivity. The assay achieved a sensitivity of 94.4% in samples with Ct ≤24 for COVID-19 and 92.6% in samples with Ct ≤30 for influenza A and B.

Importance: The Panbio COVID-19/Flu A&B Panel is a suitable rapid test for detecting COVID-19 and influenza in symptomatic subjects across diverse global populations, exhibiting high sensitivity. The assay achieved a sensitivity of 94.0% in samples with Ct ≤24 for COVID-19 and 92.6% in samples with Ct ≤30 for influenza A and B.

Keywords: COVID-19; Panbio COVID-19/Flu A&B Panel; SARS-CoV-2; cobas SARS-CoV-2 & Influenza A/B qualitative assay; sensitivity; specificity.

Publication types

  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antigens, Viral* / analysis
  • Antigens, Viral* / immunology
  • COVID-19 Testing / methods
  • COVID-19* / diagnosis
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Infant
  • Influenza A virus* / immunology
  • Influenza A virus* / isolation & purification
  • Influenza B virus* / immunology
  • Influenza B virus* / isolation & purification
  • Influenza, Human* / diagnosis
  • Influenza, Human* / virology
  • Male
  • Middle Aged
  • Nasopharynx / virology
  • SARS-CoV-2* / immunology
  • SARS-CoV-2* / isolation & purification
  • Sensitivity and Specificity*
  • Young Adult

Substances

  • Antigens, Viral