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Assessment of a rapid immunochromatographic test for the diagnosis of norovirus gastroenteritis

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Abstract

Noroviruses are the leading cause of acute gastroenteritis in people of all ages. Since the viruses are highly infectious, rapid and early diagnosis is important to prevent and control the disease. The present study aimed to evaluate the commercial immunochromatographic test RIDA® QUICK Norovirus for the detection of norovirus in stool samples from patients with acute gastroenteritis in Thailand. As compared with reference RT-PCR results, the RIDA® QUICK Norovirus assay provided a sensitivity of 48.2 and 83.3% with a specificity of 87.5%. False positive results were observed in 12.5% of norovirus-negative stool samples. Based on commercial quantitative real-time RT-PCR, the RIDA® QUICK Norovirus assay revealed a highly significant association, p-value <0.001, and good agreement (kappa = 0.6). The assay could detect norovirus in stool samples ranging from 3.22 × 106 to 3.26 × 108 copies/ml. False negative results occurred in the stool samples containing 5.9 × 106 copies/ml of norovirus GI or 1.85 × 104 – 4.28 × 105 copies/ml of GII. The immunochromatographic RIDA® QUICK Norovirus assay may be useful for rapid screening of norovirus infections in patients with acute gastroenteritis in both developed and developing countries where the RT-PCR method has not been established for routine diagnosis.

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Acknowledgments

This study was partially supported for publication by the China Medical Board, Faculty of Public Health, Mahidol University. We thank the Z-medic Company (Bangkok, Thailand) for providing the RIDA® QUICK Norovirus assay for this study, Dr. Porntip Petmitr, Faculty of Tropical Medicine, for support in use of the LightCycler 1.5 instrument, and Dr. Hans-Gustav Schwartz, Faculty of Public Health, Mahidol University for editorial assistance.

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  1. Department of Microbiology, Faculty of Public Health, Mahidol University, 420/1 Ratchawithi Road, Bangkok, 10400, Thailand

    K. Pombubpa & L. Kittigul

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  1. K. Pombubpa
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  2. L. Kittigul
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Correspondence to L. Kittigul.

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Pombubpa, K., Kittigul, L. Assessment of a rapid immunochromatographic test for the diagnosis of norovirus gastroenteritis. Eur J Clin Microbiol Infect Dis 31, 2379–2383 (2012). https://doi.org/10.1007/s10096-012-1579-9

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  • DOI: https://doi.org/10.1007/s10096-012-1579-9

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