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14th ICID - Poster Abstracts - International Society for Infectious ...

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When citing these abstracts please use the following reference:<br />

Author(s) of abstract. Title of abstract [abstract]. Int J Infect Dis 2010;14S1: Abstract number.<br />

Please note that the official publication of the <strong>International</strong> Journal of <strong>Infectious</strong> Diseases 2010, Volume 14, Supplement 1<br />

is available electronically on http://www.sciencedirect.com<br />

Final Abstract Number: 28.039<br />

Session: Influenza<br />

Date: Wednesday, March 10, 2010<br />

Time: 12:30-13:30<br />

Room: <strong>Poster</strong> & Exhibition Area/Ground Level<br />

Type: <strong>Poster</strong> Presentation<br />

Evaluation of direct immunofluorescent assay (DFA) and rapid antigen test (RAT) <strong>for</strong> diagnosis of<br />

new pandemic influenza A H1N1 2009 (FLU AH1N1) during first wave in Santiago, Chile<br />

C. Vizcaya 1 , M. Ferrés 2 , C. Perret 3 , C. Martinez 4 , P. Godoy 4 , A. M. Contreras 4 , P. Ferrer 4 , T.<br />

Azocar 4<br />

1 Clinical Hospital of Catholic University, Santiago, Chile, 2 Catholic University, Santiago, Chile,<br />

3 Pontificia Universidad Catolica de Chile, Santiago, Chile, 4 <strong>Infectious</strong> diseases and Molecular<br />

Laboratory, Catholic University, Santiago, Chile<br />

Background: Since May 17th 2009 (epidemiological week 20th), the new strain of influenza A<br />

H1N1 was detected in respiratory samples of symptomatic patients in Santiago, Chile. The<br />

circulation of the virus lasted 11 weeks, with a peak between weeks 25-27th. The objective of our<br />

study was to evaluate the per<strong>for</strong>mance of influenza tests <strong>for</strong> diagnosis of FLU AH1N1.<br />

Methods: Nasopharyngeal swabs were taken from in and outpatients with influenza like illness<br />

(ILI), between June 1st and July 19th of 2009 (weeks 23-29th) and the results of DFA and RAT<br />

were compared using RT-PCR FLU AH1N1 (Light mix Kit Influenza A virus M2 and Light Mix<br />

Kit FLU A swine H1Ò of TIB MOLBIOL) as gold standard. We analyzed sensitivity, specificity,<br />

positive predictive value (PPV) and negative predictive value (NPV) of DFA (D3 Ultra 8 DFA<br />

Respiratory & Identification Kit ä de Diagnostic Hybrid) and RAT (QuickVeuÒ of Biomerieux).<br />

Results were compared by age group and over three different periods of the outbreak: increasing,<br />

peak and decreasing.<br />

Results: 510 patients had RT-PCR <strong>for</strong> FLU AH1N1 with simultaneous DFA, 385 with RAT and 48<br />

with both tests. Average age with DFA was 25,8 years (1 month-108 years, 53% females)<br />

and with RAT 32,9 years (2 months-108 years, 51% females), (p

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