Evaluation of RIDA ^® GENE norovirus GI/GII real time RT-PCR using stool specimens collected from children and adults with acute gastroenteritis

Creator(s)

Neena Kanwar, Children's Mercy HospitalFollow
F. Hassan, Children's Mercy Hospital
L. Barclay, Centers for Disease Control and Prevention
C. Langley, Centers for Disease Control and Prevention
J. Vinjé, Centers for Disease Control and Prevention
P. W. Bryant, Wadsworth Center for Laboratories and Research
K. St George, Wadsworth Center for Laboratories and Research
L. Mosher, Michigan Department of Human Services
J. M. Matthews-Greer, Michigan Department of Human Services
M. A. Rocha, VA Greater Los Angeles Healthcare System
D. O. Beenhouwer, VA Greater Los Angeles Healthcare System
Christopher J. Harrison, Children's Mercy HospitalFollow
Mary Moffatt, Children's Mercy HospitalFollow
Nirav Shastri, Children's Mercy HospitalFollow
Rangaraj Selvarangan, Children's Mercy HospitalFollow

Document Type

Article

Publication Date

7-2018

Identifier

DOI: 10.1016/j.jcv.2018.04.006

Abstract

© 2018

Background: Norovirus is the leading cause of epidemic and sporadic acute gastroenteritis (AGE) in the United States. Widespread prevalence necessitates implementation of accurate norovirus detection assays in clinical diagnostic laboratories.

Objective: To evaluate RIDA ® GENE norovirus GI/GII real-time RT-PCR assay (RGN RT-PCR) using stool samples from patients with sporadic AGE.

Study design: Patients between 14 days to 101 years of age with symptoms of AGE were enrolled prospectively at four sites across the United States during 2014–2015. Stool specimens were screened for the presence of norovirus RNA by the RGN RT-PCR assay. Results were compared with a reference method that included conventional RT-PCR and sequencing of a partial region of the 5′end of the norovirus ORF2 gene.

Results: A total of 259 (36.0%) of 719 specimens tested positive for norovirus by the reference method. The RGN RT-PCR assay detected norovirus in 244 (94%) of these 259 norovirus positive specimens. The sensitivity and specificity (95% confidence interval) of the RGN RT-PCR assay for detecting norovirus genogroup (G) I was 82.8% (63.5–93.5) and 99.1% (98.0–99.6) and for GII was 94.8% (90.8–97.2) and 98.6% (96.9–99.4), respectively. Seven specimens tested positive by the RGN-RT PCR that were negative by the reference method. The fifteen false negative samples were typed as GII.4 Sydney, GII.13, GI.3, GI.5, GI.2, GII.1, and GII.3 in the reference method.

Conclusions: The RGN RT-PCR assay had a high sensitivity and specificity for the detection of norovirus in stool specimens from patients with sporadic AGE.

Journal Title

Journal of Clinical Virology

Volume

104

First Page

1

Last Page

4

Keywords

Gastroenteritis, Norovirus detection, Norovirus genotypes, RIDA GENE norovirus GI/GII RT-PCR assay @

Recommended Citation

Kanwar N, Hassan F, Barclay L, et al. Evaluation of RIDA®GENE norovirus GI/GII real time RT-PCR using stool specimens collected from children and adults with acute gastroenteritis. J Clin Virol. 2018;104:1-4. doi:10.1016/j.jcv.2018.04.006