Additional Diagnostic Yield of Adding Serology to PCR in Diagnosing Viral Acute Respiratory Infections in Kenyan Patients 5 Years of Age and Older

被引:20
作者
Feikin, Daniel R. [1 ]
Njenga, M. Kariuki [1 ]
Bigogo, Godfrey [1 ]
Aura, Barrack [1 ]
Gikunju, Stella [1 ]
Balish, Amanda [2 ]
Katz, Mark A. [1 ]
Erdman, Dean [2 ]
Breiman, Robert F. [1 ]
机构
[1] Ctr Dis Control & Prevent Publ Hlth & Res Collabo, Kenya Med Res Inst, Kisumu, Kenya
[2] Ctr Dis Control & Prevent, Natl Ctr Immunizat & Resp Dis, Atlanta, GA USA
关键词
COMMUNITY-ACQUIRED PNEUMONIA; REQUIRING HOSPITALIZATION; ADULTS; ETIOLOGY; THAILAND; VIRUS;
D O I
10.1128/CVI.00325-12
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The role of serology in the setting of PCR-based diagnosis of acute respiratory infections (ARIs) is unclear. We found that acute- and convalescent-phase paired-sample serologic testing increased the diagnostic yield of naso/oropharyngeal swabs for influenza virus, respiratory syncytial virus (RSV), human metapneumovirus, adenovirus, and parainfluenza viruses beyond PCR by 0.4% to 10.7%. Although still limited for clinical use, serology, along with PCR, can maximize etiologic diagnosis in epidemiologic studies.
引用
收藏
页码:113 / 114
页数:2
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