Dengue diagnostics: serious inaccuracies are likely to occur if pre-analytical conditions are not strictly followed



Título del documento: Dengue diagnostics: serious inaccuracies are likely to occur if pre-analytical conditions are not strictly followed
Revista: Memorias do Instituto Oswaldo Cruz
Base de datos: PERIÓDICA
Número de sistema: 000437066
ISSN: 0074-0276
Autores: 1
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Instituciones: 1Fundacao Ezequiel Dias, Instituto Octavio Magalhaes, Belo Horizonte, Minas Gerais. Brasil
2Centro Universitario de Belo Horizonte, Belo Horizonte, Minas Gerais. Brasil
3Universidade Federal de Minas Gerais, Faculdade de Medicina, Belo Horizonte, Minas Gerais. Brasil
4Fundacao Ezequiel Dias, Diretoria de Pesquisa e Desenvolvimento, Belo Horizonte, Minas Gerais. Brasil
Año:
Volumen: 115
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés The heat-labile nature of Dengue virus (DENV) in serum samples must be considered when applying routine diagnostic tests to avoid issues that could impact the accuracy of test results with direct implications for case management and disease reporting. OBJECTIVES To check if pre-analytical variables, such as storage time and temperature, have an impact on the accuracy of the main routine diagnostic tests for dengue. METHODS Virus isolation, reverse transcription real-time polymerase chain reaction (RT-PCR) and NS1 enzyme-linked immunosorbent assay (ELISA) were evaluated using 84 samples submitted to different pre-analytical conditions. FINDINGS Sensitivity and negative predictive value were directly affected by sample storage conditions. RT-PCR and virus isolation showed greater dependence on well-conserved samples for an accurate diagnosis. Interestingly, even storage at -30ºC for a relatively short time (15 days) was not adequate for accurate results using virus isolation and RT-PCR tests. On the other hand, NS1 ELISA showed no significant reduction in positivity for aliquots tested under the same conditions as in the previous tests. MAIN CONCLUSIONS Our results support the stability of the NS1 marker in ELISA diagnosis and indicate that the accuracy of routine tests such as virus isolation and RT-PCR is significantly affected by inadequate transport and storage conditions of serum samples
Disciplinas: Medicina
Palabras clave: Diagnóstico,
Microbiología,
Dengue,
ARN,
Técnicas de diagnóstico,
Muestras séricas,
Condiciones de almacenamiento
Keyword: Diagnosis,
Microbiology,
Diagnostic techniques,
Dengue,
RNA,
Serum samples,
Storage conditions
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