The utility of latex agglutination assays in the diagnosis of pediatric viral gastroenteritis

Am J Clin Pathol. 1994 Jun;101(6):742-6. doi: 10.1093/ajcp/101.6.742.

Abstract

To design a rapid and efficient protocol for processing pediatric stool specimens, the authors used 434 specimens to evaluate two commercial latex assays to detect rotavirus (Meritec-Rotavirus and Rotalex) and one to detect adenovirus (Adenolex). Rotavirus latex assay results were compared with electron microscopic examination and adenovirus latex assay results with virus culture. Ninety-two specimens (21%) were positive for rotavirus and 28 (6.5%) for adenovirus; 5 (1%) had both viruses. The sensitivity, specificity, positive predictive values, and negative predictive values for the three assays were, respectively, as follows: Meritec-Rotavirus (97%, 99%, 97%, 99%), Rotalex (91%, 99%, 94%, 98%), and Adenolex (46%, 99%, 77%, 97%). For primary rotavirus screening, the Meritec-Rotavirus and Rotalex latex assays offer a good alternative to electron microscopic examination. For primary adenovirus screening, the low sensitivity of the Adenolex latex assay precludes its use as a routine screen. Its excellent specificity, however, makes it a useful tool for culture confirmation.

MeSH terms

  • Adenoviridae / isolation & purification
  • Child
  • Child, Preschool
  • Drug Costs
  • Evaluation Studies as Topic
  • Gastroenteritis / microbiology*
  • Humans
  • Infant
  • Latex Fixation Tests*
  • Reagent Kits, Diagnostic / economics
  • Rotavirus / isolation & purification
  • Sensitivity and Specificity
  • Virus Diseases / diagnosis*

Substances

  • Reagent Kits, Diagnostic