Abstract
OBJECTIVE: To evaluate four methods of rapid diagnosis of respiratory syncytial virus (RSV) infection in older adults and to compare sensitivities with serologic analysis.DESIGN: Prospective comparative analysis.SETTING: Two adult daycenters.PATIENTS: Frail older persons attending the daycenter who developed signs or symptoms of acute respiratory illness between the months of December and February.MEASUREMENTS: Viral cultures performed by standard technique and bedside inoculation: antigen detection by indirect immunofluorescence assay (IFA) and Directigen enzyme immunoassay (EIA) on nasal brush samples; serologic analysis of acute and convalescent sera using EIA.RESULTS: RSV infection was documented by serology in 11 of 54 (20%) subjects during the study period. Bedside viral cultures were the most sensitive assay and were positive in 6/9 infections. Standard viral culture detected 5/11 cases. Both methods of rapid antigen detection were found to be insensitive, with 1/11 detected by IFA and 0/11 detected by EIA.CONCLUSION: Rapid antigen tests for the diagnosis of RSV in older persons should be used with caution. J Am Geriatr Soc 44:71–73, 1996.
References
11
Referenced
58
10.1056/NEJM197303082881005
10.7326/0003-4819-109-3-203
10.1016/S0163-4453(84)90530-9
10.1016/S0140-6736(05)80082-0
10.1093/infdis/172.2.389
10.1007/BF01961862
10.1128/jcm.17.6.1099-1101.1983
/ J Clin Microbiol / Rapid detection of respiratory syncytial virus with a monoclonal antibody by Bell DM (1983)10.1093/infdis/157.4.640
10.1093/infdis/162.2.568
- EnglundJA PiedraPA JewellAet al.Rapid diagnosis of respiratory syncytial virus (RSV) infection in immunocompromised adults. Abstract #H36. 34th Interscience Conference on Antimicrobial Agents and Chemotherapy. Orlando FL October 1995.
{'key': 'e_1_2_6_12_2', 'first-page': '451', 'article-title': 'Culture vs direct antigen assays for detection of microbial pathogens from lower respiratory tract specimens suspected of containing the respiratory syncytial virus', 'volume': '115', 'author': 'Kellogg JA.', 'year': '1991', 'journal-title': 'Arch Pathol Lab Med'}
/ Arch Pathol Lab Med / Culture vs direct antigen assays for detection of microbial pathogens from lower respiratory tract specimens suspected of containing the respiratory syncytial virus by Kellogg JA. (1991)
Dates
Type | When |
---|---|
Created | 10 years, 3 months ago (April 28, 2015, 7:57 p.m.) |
Deposited | 1 year, 9 months ago (Oct. 27, 2023, 3:15 p.m.) |
Indexed | 4 months, 1 week ago (April 15, 2025, 7:34 a.m.) |
Issued | 29 years, 7 months ago (Jan. 1, 1996) |
Published | 29 years, 7 months ago (Jan. 1, 1996) |
Published Online | 10 years, 3 months ago (April 27, 2015) |
Published Print | 29 years, 7 months ago (Jan. 1, 1996) |
@article{Falsey_1996, title={Evaluation of Four Methods for the Diagnosis of Respiratory Syncytial Virus Infection in Older Adults}, volume={44}, ISSN={1532-5415}, url={http://dx.doi.org/10.1111/j.1532-5415.1996.tb05641.x}, DOI={10.1111/j.1532-5415.1996.tb05641.x}, number={1}, journal={Journal of the American Geriatrics Society}, publisher={Wiley}, author={Falsey, Ann R. and McCann, Robert M. and Hall, William J. and Criddle, Mary M.}, year={1996}, month=jan, pages={71–73} }