1. Point of care real-time polymerase chain reaction-based diagnostic for Kyasanur forest disease
- Author
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Savita Patil, Triparna Majumdar, Anita M. Shete, Deepak Mali, Ashwini Waghmare, Pragya D Yadav, and Pranita Gawande
- Subjects
0301 basic medicine ,Microbiology (medical) ,Point-of-Care Systems ,Point-of-care testing ,030106 microbiology ,Infectious and parasitic diseases ,RC109-216 ,Real-Time Polymerase Chain Reaction ,Sensitivity and Specificity ,Encephalitis Viruses, Tick-Borne ,03 medical and health sciences ,0302 clinical medicine ,Diagnosis ,Validation ,TaqMan ,Animals ,Humans ,Medicine ,Viral rna ,030212 general & internal medicine ,Point of care test ,Point of care ,business.industry ,Haplorhini ,General Medicine ,medicine.disease ,Virology ,Highly sensitive ,Patient management ,Real-time RT-PCR ,Kyasanur forest disease ,Infectious Diseases ,Real-time polymerase chain reaction ,business - Abstract
Objectives Due to the remote forest area locations of sporadic cases and outbreaks of Kyasanur forest disease (KFD), rapid diagnosis poses a significant challenge. This study aimed to evaluate the diagnostic performance of Truenat KFD, a simple, rapid and user-friendly point-of-care test for detection of KFD and compare diagnostic accuracy with conventional real-time reverse transcription-polymerase chain reaction (RT-PCR) testing. Truenat KFD can be deployed in a field laboratory setting. Methods The study involved 145 clinical specimens, including human serum, monkey necropsy tissues and tick pool, to validate Truenat KFD (Molbio Diagnostics Pvt.Ltd.) for KFD diagnosis. Results We have optimized and validated the microchip-based Truenat KFD (Molbio Diagnostics Pvt.Ltd.) for KFD diagnosis. Point-of-care testing was highly sensitive and specific, with a detection limit of up to 10 copies of KFD viral RNA. Results were comparable with the gold-standard TaqMan and commercially available Altona RealStar AHFV / KFDV real-time RT-PCR assays. Screening results for human, monkey and tick specimens were 100% concordant across the assays. Conclusion Truenat KFD(Molbio Diagnostics Pvt.Ltd.) was found to be highly sensitive and specific with a significant limit of detection. This point-of-care test would be useful in rapid diagnosis of KFD in remote and/or field settings, quick patient management and control of virus spread.
- Published
- 2021