Comparative analysis of three multiplex platforms for the detection of respiratory viral pathogens.

Creator(s)

Dithi Banerjee, Children's Mercy HospitalFollow
Ferdaus Hassan, Children's Mercy Kansas City
Vasanthi Avadhanula
Pedro A. Piedra
Julie Boom
Leila C. Sahni
Geoffrey A. Weinberg
Stephen Lindstrom
Brian Rha
Christopher J. Harrison, Children's Mercy HospitalFollow
Rangaraj Selvarangan, Children's Mercy HospitalFollow

Document Type

Article

Publication Date

11-2022

Identifier

DOI: 10.1016/j.jcv.2022.105274

Abstract

BACKGROUND: Acute viral respiratory infections are a major health burden in children worldwide. In recent years, rapid and sensitive multiplex nucleic acid amplification tests (NAATs) have replaced conventional methods for routine virus detection in the clinical laboratory.

OBJECTIVE/STUDY DESIGN: We compared BioFire® FilmArray® Respiratory Panel (FilmArray V1.7), Luminex NxTag® Respiratory Pathogen Panel (NxTag RPP) and Applied Biosystems TaqMan Array Card (TAC) for the detection of eight viruses in pediatric respiratory specimens. Results from the three platforms were analyzed with a single-plex real-time RT-PCR (rRT-PCR) assay for each virus.

RESULTS: Of the 170/210 single-plex virus-positive samples, FilmArray detected a virus in 166 (97.6%), TAC in 163 (95.8%) and NxTag RPP in 160 (94.1%) samples. The Positive Percent Agreement (PPA) of FilmArray, NxTag RPP and TAC was highest for influenza B (100%, 100% and 95.2% respectively) and lowest for seasonal coronaviruses on both FilmArray (90.2%) and NxTag RPP (81.8%), and for parainfluenza viruses 1- 4 on TAC (84%). The Negative Percent Agreement (NPA) was lowest for rhinovirus/enterovirus (92.9%, 96.7% and 97.3%) on FilmArray, NxTag RPP and TAC respectively. NPA for all three platforms was highest (100%) for both parainfluenza viruses 1- 4 and influenza A and B, and 100% for human metapneumovirus with TAC as well.

CONCLUSION: All three multiplex platforms displayed high overall agreement (>90%) and high NPA (>90%), while PPA was pathogen dependent and varied among platforms; high PPA (>90%) was observed for FilmArray for all eight viruses, TAC for six viruses and NxTag RPP for 4 viruses.

Journal Title

Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology

Volume

156

First Page

105274

Last Page

105274

Keywords

Comparative performance; Multiplex assays; Respiratory virus

Recommended Citation

Banerjee D, Hassan F, Avadhanula V, et al. Comparative analysis of three multiplex platforms for the detection of respiratory viral pathogens. J Clin Virol. 2022;156:105274. doi:10.1016/j.jcv.2022.105274