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Journal of Clinical Microbiology, August 2004, p. 3707-3710, Vol. 42, No. 8
0095-1137/04/$08.00+0     DOI: 10.1128/JCM.42.8.3707-3710.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.

Comparison of the Directigen Flu A+B Membrane Enzyme Immunoassay with Viral Culture for Rapid Detection of Influenza A and B Viruses in Respiratory Specimens

Andreea C. Cazacu,1 Sooyoung E. Chung,2 Jewel Greer,1,3 and Gail J. Demmler1,3*

Department of Pediatrics, Baylor College of Medicine,1 Diagnostic Virology Laboratory, Texas Children's Hospital, Houston, Texas 77030,3 New York University School of Medicine, New York, New York 100162

Received 15 December 2003/ Returned for modification 7 February 2004/ Accepted 29 March 2004

The performance of a commercially available, rapid membrane enzyme immunoassay for influenza A and B virus detection was compared to that of viral culture in 4,092 respiratory specimens collected from patients presenting with respiratory symptoms during the 2002-2003 influenza season. The test's overall sensitivity was 43.83%, lower than previously reported but similar for detection of both influenza A and B viruses (42.98 versus 44.76%). However, specificity, 99.74%, was excellent for both influenza A and B viruses (99.82 versus 99.92%). These values make this test a very good confirmatory test when clinical suspicion is high, but a less accurate screening test for large populations.


* Corresponding author. Mailing address: Pediatric Infectious Diseases, Feigin Center MC3-2371, Texas Children's Hospital, 6621 Fannin, Houston, TX 77030. Phone: (832) 824-4330. Fax: (832) 825-4347. E-mail: gdemmler{at}bcm.tmc.edu.


Journal of Clinical Microbiology, August 2004, p. 3707-3710, Vol. 42, No. 8
0095-1137/04/$08.00+0     DOI: 10.1128/JCM.42.8.3707-3710.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.




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