[Comparison of 2 techniques for the laboratory diagnosis of influenza virus infections]

V L Savy1, E G Baumeister, A M Campos

  • 1Departamento Virología, Instituto Nacional de Enfermedades Infecciosas-ANLIS, Buenos Aires, Argentina. vrmalbra@datamarkets.com.ar

Insights

Rapid immunofluorescent assay (IF) shows lower sensitivity for influenza diagnosis compared to viral culture. For accurate influenza detection, especially in small labs, consider IF limitations and optimize culture methods for full isolate characterization.

Area of Science:

  • Virology
  • Clinical Diagnostics
  • Epidemiology

Background:

  • Accurate and rapid influenza diagnosis is crucial for clinical and epidemiological surveillance.
  • Small laboratories require accessible and sensitive diagnostic techniques.
  • Current influenza diagnostic methods in Argentina needed evaluation for sensitivity.

Purpose of the Study:

  • To compare the sensitivity of indirect immunofluorescent assay (IF) with rapid viral culture for influenza diagnosis.
  • To assess the performance of IF for influenza virus detection in clinical samples.

Main Methods:

  • Tested 81 nasal and pharyngeal swabs from outpatients with influenza-like illness during the 1998 winter season in Argentina.
  • Compared rapid diagnosis by indirect immunofluorescent assay (IF) against rapid viral culture in MDCK cells.

Main Results:

  • Indirect immunofluorescent assay (IF) demonstrated a specificity of 91.9% and a sensitivity of 59.5%.
  • Viral culture in MDCK cells served as the comparative method for influenza diagnosis.

Conclusions:

  • The limitations of simple techniques like IF for influenza diagnosis must be considered.
  • Optimized viral culture methods are recommended for complex laboratories to enable full characterization of influenza isolates.

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