PMID- 27061405 OWN - NLM STAT- MEDLINE DCOM- 20170104 LR - 20200422 IS - 1096-9071 (Electronic) IS - 0146-6615 (Print) IS - 0146-6615 (Linking) VI - 88 IP - 7 DP - 2016 Jul TI - Comparison of Luminex xTAG(R) RVP fast assay and real time RT-PCR for the detection of respiratory viruses in adults with community-acquired pneumonia. PG - 1173-9 LID - 10.1002/jmv.24463 [doi] AB - Community-acquired pneumonia (CAP) is the third cause of death worldwide. Viruses are frequently detected in adult CAP. Highly sensitive diagnostic techniques should be used due to poor viral shedding. Different sampling methods can affect viral detection, being necessary to establish the optimal type of sample for identifying respiratory viruses in adults. The detection rates of respiratory viruses by Luminex xTAG(R) RVP fast assay, real time RT-PCR (rtRT-PCR) (Sacace(R)), and immunofluorescence assay (IFA) in adult CAP were performed in nasopharyngeal swabs (NPS) and aspirates (NPA) from 179 hospitalized adults. Positivity was 47.5% for Luminex(R), 42.5% for rtRT-PCR (P = 0.3), and 2.7% for IFA (2.7%) (P < 0.0). The sensitivity, specificity, and kappa coefficient of xTAG(R) RVP compared with rtRT-PCR were 84.2%, 79.6%, and 0.62%, respectively. Luminex(R) and rtRT-PCR detected 65 (58.0%) and 57 (50.9%) viruses in 112 NPA and 35 (34.3%) and 31 (30.4%) in 102 NPS, respectively (P < 0.01). xTAG(R) RVP is appropriate for detecting respiratory viruses in CAP adults. Both molecular techniques yielded better results with nasopharyngeal aspirate than swabs. CI - (c) 2016 Wiley Periodicals, Inc. FAU - Luchsinger, Vivian AU - Luchsinger V AD - Program of Virology, Faculty of Medicine, University of Chile, Santiago, Chile. FAU - Prades, Yara AU - Prades Y AD - Program of Virology, Faculty of Medicine, University of Chile, Santiago, Chile. FAU - Ruiz, Mauricio AU - Ruiz M AD - Clinical Hospital of the University of Chile, Santiago, Chile. FAU - Pizarro, Rolando AU - Pizarro R AD - Dr. Lucio Cordova Hospital of Infectious Diseases, Santiago, Chile. FAU - Rossi, Patricio AU - Rossi P AD - San Jose Hospital Complex, Santiago, Chile. FAU - Lizama, Luis AU - Lizama L AD - Program of Virology, Faculty of Medicine, University of Chile, Santiago, Chile. FAU - Garmendia, Maria Luisa AU - Garmendia ML AD - Institute of Nutrition and Food Technology, University of Chile, Santiago, Chile. FAU - Meza, Angela AU - Meza A AD - San Jose Hospital Complex, Santiago, Chile. FAU - Larranaga, Carmen AU - Larranaga C AD - Program of Virology, Faculty of Medicine, University of Chile, Santiago, Chile. FAU - Avendano, Luis F AU - Avendano LF AD - Program of Virology, Faculty of Medicine, University of Chile, Santiago, Chile. LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160202 PL - United States TA - J Med Virol JT - Journal of medical virology JID - 7705876 RN - 0 (Reagent Kits, Diagnostic) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Community-Acquired Infections/*diagnosis/*virology MH - Female MH - Fluorescent Antibody Technique, Indirect MH - Hospitalization MH - Humans MH - Male MH - Middle Aged MH - Molecular Diagnostic Techniques/methods MH - Nasopharynx/virology MH - Pneumonia, Viral/*diagnosis/*virology MH - Reagent Kits, Diagnostic MH - Real-Time Polymerase Chain Reaction/*methods MH - Sensitivity and Specificity MH - Viruses/*isolation & purification MH - Young Adult PMC - PMC7166572 OTO - NOTNLM OT - Luminex xTAG RVP OT - community-acquired pneumonia OT - diagnosis OT - polymerase chain reaction OT - respiratory viruses EDAT- 2016/04/12 06:00 MHDA- 2017/01/05 06:00 PMCR- 2020/04/19 CRDT- 2016/04/11 06:00 PHST- 2015/12/26 00:00 [accepted] PHST- 2016/04/11 06:00 [entrez] PHST- 2016/04/12 06:00 [pubmed] PHST- 2017/01/05 06:00 [medline] PHST- 2020/04/19 00:00 [pmc-release] AID - JMV24463 [pii] AID - 10.1002/jmv.24463 [doi] PST - ppublish SO - J Med Virol. 2016 Jul;88(7):1173-9. doi: 10.1002/jmv.24463. Epub 2016 Feb 2.