The Detection of Rotavirus Antigenemia by Immunochromatographic Kits: a Case Series

Clinical Laboratory
|October 16, 2021
PubMed

Insights

Immunochromatographic kits effectively detected rotavirus antigen in pediatric patients with severe diarrhea. One kit showed sensitivity comparable to enzyme immunoassay, offering a rapid diagnostic alternative for rotavirus infection.

Area of Science:

  • Pediatric Infectious Diseases
  • Virology
  • Immunology

Background:

  • Acute gastroenteritis is a leading cause of childhood illness and mortality globally.
  • Rotaviruses (RVs) are a primary viral agent of acute gastroenteritis in young children, particularly in Asia and Africa.
  • Severe diarrhea and dehydration are significant complications in affected children.

Purpose of the Study:

  • To evaluate the efficacy of immunochromatographic (IC) kits for detecting rotavirus antigen in pediatric patient sera.
  • To compare the performance of IC kits with enzyme immunoassay (EIA) for rotavirus diagnosis.
  • To assess the presence and concentration of anti-rotavirus antibodies (IgG, IgA, IgM) in patient sera.

Main Methods:

  • Sera from four unvaccinated pediatric patients (4-6 years) with severe diarrhea were tested using three different IC kits.
  • Rotavirus antigen detection was performed using IC kits and confirmed by pretreatment with anti-VP6 rotavirus mouse monoclonal antibody.
  • Anti-rotavirus IgG, IgA, and IgM antibody levels were quantified using enzyme immunoassay (EIA).

Main Results:

  • All three IC kits detected rotavirus antigen in patient sera, with varying line intensities.
  • Pretreatment with anti-VP6 antibody confirmed the presence of rotavirus VP6 protein antigen in all tested sera.
  • EIA revealed the presence of IgG, IgA, and IgM antibodies against rotavirus in all patient sera at diverse concentrations.

Conclusions:

  • One IC kit demonstrated sensitivity comparable to EIA for rotavirus antigen detection.
  • This specific IC kit presents a viable alternative for the rapid screening and diagnosis of rotavirus infections in children.
  • Early and accurate diagnosis of rotavirus is crucial for timely management of severe gastroenteritis.
Abstract

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