Comparison of the Cepheid Xpert Xpress Flu/RSV assay and commercial real-time PCR for the detection of influenza A and influenza B in a prospective cohort from China

Int J Infect Dis. 2019 Mar:80:92-97. doi: 10.1016/j.ijid.2018.12.014. Epub 2019 Jan 8.

Abstract

Background: The Xpert Xpress Flu/RSV assay is released by FDA for rapid detection of influenza A (FluA), influenza B (FluB), and respiratory syncytial virus (RSV). This study aimed to evaluate its clinical performance in comparison to that of the RT-PCR assay cleared by China FDA (CFDA-PCR).

Methods: Nasopharyngeal specimens were collected from patients and tested by the two assays side by side. Discordant results were tested with a laboratory-developed real-time PCR for resolution. Viral load in the sample was quantified with a droplet digital PCR.

Results: A total of 658 specimens were involved and gave 94.7%-99.1% agreement between the two assays. The Xpert assay showed higher sensitivity for FluA (100% vs. 89.8%) and FluB detection (100% vs. 95.3%), and also higher accuracy (98.9% vs. 95.7%) for FluA than the CDFA-PCR. The positive and negative predictive values (NPV) for the three viruses ranged from 90.5% to 100% in the two assays, with higher NPV for FluA and FluB in Xpert assay. Moreover, the Xpert Ct values showed a linear correlation with virus titer in specimens tested.

Conclusion: Overall, the Xpert assay is a reliable and sensitive tool for the detection of FluA, FluB and RSV in our clinical settings.

Keywords: Digital PCR; RT-PCR; Sensitivity; Xpert Xpress Flu/RSV.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • China
  • Female
  • Humans
  • Influenza A virus / isolation & purification*
  • Influenza B virus / isolation & purification*
  • Influenza, Human / diagnosis*
  • Male
  • Middle Aged
  • Molecular Diagnostic Techniques
  • Nasopharynx / virology
  • Prospective Studies
  • Real-Time Polymerase Chain Reaction*
  • Respiratory Syncytial Virus, Human / isolation & purification
  • Sensitivity and Specificity
  • Specimen Handling
  • Viral Load
  • Young Adult