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Implementation of the cobas Liat influenza point-of-care test into an emergency department during a high-incidence season: a retrospective evaluation following real-world implementation

机译:高发病季节在急诊室实施cobas Liat流感即时医疗服务测试:在实际应用中的回顾性评估

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摘要

The cobas Liat influenza A/B and respiratory syncytial virus (RSV) assay (Liat) was used in the adult emergency department of a large London hospital from 21 January 2018 to 14 April 2018. Influenza was detected in 308 of 1027 (30%) samples tested; influenza A in 157 (15.3%), influenza B in 149 (14.5%) and RSV in 28 (2.7%). When compared against Fast Track Diagnostics Respiratory Pathogens 21 multiplex polymerase chain reaction and Cepheid Xpert Xpress Flu/RSV assay, Liat performance for the detection of influenza A or B was: sensitivity 85% [95% confidence interval (CI) 76–92)], specificity 98% (95% CI 97–99), negative predictive value 94% (95% CI 92–96) and positive predictive value 95% (95% CI 91–97).
机译:从2018年1月21日至2018年4月14日,伦敦一家大型医院的成人急诊科使用了Cobas Liat流感A / B和呼吸道合胞病毒(RSV)测定法(Liat)。在1027例中的308例中检测出流感(30%)测试样品;甲型流感157(15.3%),乙型流感149(14.5%)和RSV 28(2.7%)。与Fast Track Diagnostics呼吸道病原体21多重聚合酶链反应和造父变星Xpress Xpress Flu / RSV测定法进行比较时,用于检测甲型或乙型流感的Liat性能为:敏感性85%[95%置信区间(CI)76-92)] ,特异性98%(95%CI 97-99),阴性预测值94%(95%CI 92-96)和阳性预测值95%(95%CI 91-97)。

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