The DOI matches its Crossref record, with a small difference in title or year; 1 of the 1 references it cites were found in a registry or an index.
Performance of the GeneXpert® enterovirus assay for detection of enteroviral RNA in cerebrospinal fluid
Abstract
Background The GeneXpert Dx System allows for automated extraction, processing, amplification and real-time detection of target nucleic acids. Objectives To evaluate the performance of the Cepheid Xpert enterovirus (EV) assay for detection of EV RNA compared to a nucleic acid sequence based amplification (NASBA) assay and a user-developed TaqMan RT-PCR assay. Study design Assays were evaluated using a 12-member proficiency panel and up to 138 CSF specimens. Samples in which EV RNA was detected by two or more assays were considered true positives. Results The GeneXpert, NASBA, and TaqMan assays correctly identified 10, 8, and 7 of 12 proficiency panel members, respectively. For detection of EV RNA in CSF, the sensitivities of the GeneXpert, NASBA, and TaqMan were 100%, 87.5%, and 96%, respectively. There were no false positives. Two samples tested by GeneXpert and NASBA yielded indeterminate or invalid results and could not be resolved. Conclusions The Xpert EV assay is a sensitive and specific method for detection of EV RNA in CSF specimens. The ease of use, random access capability, and minimal hands-on time with the automated GeneXpert system affords laboratories with little molecular diagnostics expertise an opportunity to complete a clinically useful testing within 2.5 h.
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The FilmArray has the significant advantage over the one currently available, FDA-cleared molecular test for detection of enterovirus in CSF, in that the FilmArray can also detect HPeV in addition to the other 12 pathogens.
“Of importance, the FilmArray has the significant advantage over the one currently available, FDA-cleared molecular test (33) for detection of enterovirus in CSF, in that the FilmArray can also detect HPeV in addition to the other 12 pathogens.”
From Multicenter Evaluation of BioFire FilmArray Meningitis/Encephalitis Panel for Detection of Bacteria, Viruses, and Yeast in Cerebrospinal Fluid Specimens (2016) · cites this paper as [33]
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Assessment of the Utility of Viral Culture of Cerebrospinal Fluid
Polage, C. R., & Petti, C. A. (2006) · Clinical Infectious Diseases · doi:10.1086/509581 · Cited by 61
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Leber, A. L., Everhart, K., Balada-Llasat, J.-M., Cullison, J., Daly, J., Holt, S., Lephart, P., Salimnia, H., Schreckenberger, P. C., DesJarlais, S., et al. (2016) · Journal of Clinical Microbiology · doi:10.1128/jcm.00730-16 · Cited by 609
Viral (aseptic) meningitis: A review.
Wright, W. F., Pinto, C. N., Palisoc, K., & Baghli, S. (2019) · Journal of the Neurological Sciences · doi:10.1016/j.jns.2019.01.050 · Cited by 116
Metadata
- Authors
- Marlowe, E. M., Novak, S. M., Dunn, J. J., Smith, A., Cumpio, J., Makalintal, E., Barnes, D., & Burchette, R. J.
- Affiliations
- Cook Children's Medical Center (US)
- Kaiser Permanente (US)
- Corresponding author
- Marlowe, Elizabeth M.
- Venue
- Journal of Clinical Virology
- Publisher
- Elsevier BV
- Published
- 2008-09
- Volume
- 43
- Issue
- 1
- Pages
- 110-113
- ISSN
- 1386-6532 (ISSN-L)
- OpenAlex
- W2043776256
- Cited by
- 40
- References
- 1
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 6 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 6 · 2015: 4 · 2014: 2 · 2013: 4 · 2012: 1
- FWCI
- 2.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Virology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Viral Infections and Immunology Research
- Physical Sciences › Engineering › Biomedical Engineering › Biosensors and Analytical Detection
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Molecular Biology Techniques and Applications
- Keywords
- cerebrospinal fluid, TaqMan real-time PCR, assay sensitivity and specificity, proficiency panels, molecular diagnosis
- MeSH terms
- Enterovirus Infections, Enterovirus, Humans, RNA, Viral, Sensitivity and Specificity, Reverse Transcriptase Polymerase Chain Reaction, Self-Sustained Sequence Replication, Molecular Diagnostic Techniques
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