1. Validation of a point-of-need diagnostic tool for rapid diagnosis of norovirus gastroenteritis.
- Author
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Janapatla RP, Lee CC, Dudek A, Chuang CH, Chen SY, Lai CH, Chen CL, and Chiu CH
- Subjects
- Child, Feces, Genotype, Humans, Phylogeny, Point-of-Care Systems, Real-Time Polymerase Chain Reaction methods, Caliciviridae Infections diagnosis, Caliciviridae Infections epidemiology, Gastroenteritis diagnosis, Gastroenteritis epidemiology, Norovirus genetics
- Abstract
Background: The genogroups GI and GII of norovirus (NoV) ribonucleic acid (RNA) genetic variants are the most prevalent cause of acute gastroenteritis outbreaks, especially in children, worldwide. A fast, accurate and convenient tool for diagnosis of NoV may be preferable to the more complicated performance of real-time reverse transcription-polymerase chain reaction (RT-PCR)., Methods: In this study, we developed and evaluated a tool using insulated isothermal PCR (iiPCR)-mediated POCKIT Central NoV GI and NoV GII assay systems for diagnosis of NoV infection in pediatric patients suspected with gastroenteritis., Results: Performance of POCKIT Central Norovirus GI and GII assays using RT-iiPCR, compared to regular real-time RT-PCR showed the same diagnosis rate to NoV GI (100% of total percent agreement and 1.0 of Cohen's kappa value) and a similar detection rate to norovirus GII (96.3% of total percent agreement and 0.92 of Cohen's kappa value). In exclusivity tests, the POCKIT Central NoV GI and GII assays showed negative results to other viruses, indicating that the assays may be a NoV-specific detection tool., Conclusion: POCKIT Central NoV GI and GII Assay systems can provide a simple, rapid, sensitive, and specific point-of-need diagnostic tool for the detection of NoV GI and GII RNAs in clinical specimens from children with acute gastroenteritis., Competing Interests: Declaration of competing interest The authors have no conflicts of interest relevant to this article to declare., (Copyright © 2022 Taiwan Pediatric Association. Published by Elsevier B.V. All rights reserved.)
- Published
- 2022
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