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Updated: Sep 30, 2026

High-throughput Detection Method for Influenza Virus
Published on: February 4, 2012
Bedside diagnosis of influenzavirus infections in hospitalized children
Katherine A Poehling1, Marie R Griffin, Robert S Dittus
1Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA. katherine.poehling@mcmail.vanderbilt.edu
Insights
The bedside QuickVue Influenza Test accurately identifies influenza in hospitalized children. Negative results strongly suggest no infection, while positive results increase the likelihood of influenza illness.
Area of Science:
- Pediatric Infectious Diseases
- Clinical Diagnostics
- Virology
Background:
- Nosocomial influenza infections pose a significant risk in healthcare settings.
- Prompt diagnosis of influenza is crucial for effective antiviral therapy and infection control.
- There is a need for accessible, rapid diagnostic methods for influenzavirus.
Purpose of the Study:
- To evaluate the performance of the QuickVue Influenza Test, a lateral-flow immunoassay, for diagnosing influenza in hospitalized children.
- To assess the utility of this rapid diagnostic test at the bedside during the influenza season.
Main Methods:
- A prospective study was conducted on hospitalized children with respiratory symptoms or fever during the 1999-2000 influenza season.
- Nasal swabs were collected for comparison between the QuickVue Influenza Test and traditional methods (culture and PCR).
- The diagnostic accuracy of the QuickVue Influenza Test was analyzed against confirmed influenza A or B results.
Main Results:
- The study enrolled 233 children, with a confirmed influenza A prevalence of 8%.
- The QuickVue Influenza Test demonstrated high specificity (98%) and negative predictive value (98%).
- Sensitivity and positive predictive value were 74% for the test.
Conclusions:
- Negative QuickVue Influenza Tests in hospitalized children with fever/respiratory symptoms indicate a very low probability of influenza infection.
- Positive QuickVue Influenza Tests significantly increase the probability of influenza-associated illness in this pediatric population.
- The bedside lateral-flow immunoassay is a valuable tool for ruling out influenza in hospitalized children.
Objective:
For preventing nosocomial influenza infections and to facilitate prompt antiviral therapy, an accessible, rapid diagnostic method for influenzavirus is needed. We evaluated the performance of a lateral-flow immunoassay (QuickVue Influenza Test) completed at the bedside of hospitalized children during the influenza season.
Methods:
All children who were evaluated at a large teaching hospital during the 1999 to 2000 influenza season were eligible if they were 1) younger than 19 years and hospitalized with respiratory symptoms or 2) younger than 3 years and hospitalized with fever. Each study child had 2 nasal swabs obtained--1 for influenzavirus culture and polymerase chain reaction (PCR) and the other for the QuickVue Influenza Test. The performance of the rapid diagnostic test was compared with the results of culture or PCR for influenza A or B.
Results:
Of 303 eligible children, 233 (77%) were enrolled. In this population, 19 children had culture- and/or PCR-confirmed influenza A infection, prevalence of 8%. The QuickVue Influenza Test had a sensitivity of 74%, specificity of 98%, positive predictive value of 74%, and negative predictive value of 98%.
Conclusions:
Among children hospitalized with fever/respiratory symptoms during the influenza season, negative bedside QuickVue Influenza Tests indicated very low likelihood of influenza infection, whereas positive tests greatly increased the probability of influenza-associated illness.
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