Id |
Subject |
Object |
Predicate |
Lexical cue |
T1 |
716-1061 |
Epistemic_statement |
denotes |
The overall specificity of the Luminex xTAG RVP Fast v1 assay was slightly higher than that of the CLART® PneumoVir assay for human bocavirus, influenza A virus/H3N2, influenza B virus, human metapneumovirus, and parainfluenza virus, whereas the sensitivity of the latter was higher for most targeted viruses except, notably, for picornaviruses. |
T2 |
1333-1528 |
Epistemic_statement |
denotes |
They can range from mild self-limiting illness to severe disease, the latter particularly in pediatric and severely immunosuppressed patients (Ison and Hayden, 2002; Vallières and Renaud, 2013) . |
T3 |
1971-2087 |
Epistemic_statement |
denotes |
The decision to choose one or other molecular system is complex and requires systematic and comparative evaluations. |
T4 |
2088-2656 |
Epistemic_statement |
denotes |
In this context, the Luminex xTAG RVP Fast assay (Luminex Molecular Diagnostics, Austin, TX, USA) has been extensively evaluated in recent years, and comparative studies have been also published showing high reliability for detection of 19 RVs in different clinical settings (Babady et al., 2012; Dabisch-Ruthe et al., 2012; Gadsby et al., 2010; Hwang et al., 2014; Jokela et al., 2012; Krunic et al., 2007; Merante et al., 2007; Pabbaraju et al., 2008 Pabbaraju et al., , 2011 Pillet et al., 2013; Popowitch et al., 2013; Rand et al., 2011; Raymaekers et al., 2011) . |
T5 |
2657-2850 |
Epistemic_statement |
denotes |
The CLART® PneumoVir assay (Genomica, Coslada, Spain) is a reverse transcription-polymerase chain reaction (RT-PCR) DNA microarray method that makes it possible to detect simultaneously 17 RVs. |
T6 |
2851-3069 |
Epistemic_statement |
denotes |
The reliability of this procedure for the detection of RVs in children and adults has been previously shown (Culebras et al., 2013; Frobert et al., 2011; Pillet et al., 2013; Renois et al., 2010; Tokman et al., 2014) . |
T7 |
3070-3162 |
Epistemic_statement |
denotes |
Nevertheless, little is known as to how this system compares with other multiplex platforms. |
T8 |
4671-4837 |
Epistemic_statement |
denotes |
Likewise, the NucliSENS® easyMAG™ method has been previously validated for its use coupled to the CLART® PneumoVir assay (Frobert et al., 2011; Pillet et al., 2013) . |
T9 |
4838-5108 |
Epistemic_statement |
denotes |
In turn, the Qiagen EZ-1 Viral extraction kit has been validated by the manufacturer (personal communication) and by our group (unpublished results) against the manual nucleic acid extraction and purification method recommended by the manufacturer in the package insert. |
T10 |
5406-5512 |
Epistemic_statement |
denotes |
Both leftover specimens and nucleic acid extracts were then conserved at −70°C for further investigations. |
T11 |
5886-6233 |
Epistemic_statement |
denotes |
In order to determine whether long-term storage and repeated freezing and thawing (maximum, 3 cycles) had any effect on RVs detectability, 10 randomly selected nucleic acid extracts that were subjected to nested PCR sequencing for analysis of discrepancies were reanalyzed by both the Luminex xTAG RVP Fast v1 assay and the CLART® PneumoVir assay. |
T12 |
8325-8464 |
Epistemic_statement |
denotes |
The CLART® PneumoVir DNA array assay (Genomica, Coslada, Spain) was performed and interpreted following the manufacturer's recommendations. |
T13 |
10443-10583 |
Epistemic_statement |
denotes |
The latter were those in which both assays were coincident in at least 1 virus, although 1 assay could identify more viruses than the other. |
T14 |
11788-11916 |
Epistemic_statement |
denotes |
Likewise, both methods performed comparably for detection of multiple infections (n = 29 versus n = 27, respectively; P = 0.94). |
T15 |
12646-12729 |
Epistemic_statement |
denotes |
It is of note that InfA H1N1/v was detected by the CLART® PneumoVir in 5 specimens. |
T16 |
13339-13554 |
Epistemic_statement |
denotes |
In contrast, the CLART® PneumoVir method appeared to perform slightly better for detection of most of the other RVs included in the panels, although the differences did not reach statistical significance (Table 3 ). |
T17 |
14059-14300 |
Epistemic_statement |
denotes |
In the remaining 6 specimens, the presence of 1 or more viral agents in respiratory specimens, as detected by one or the other method, could not be confirmed by the reference method and thus were considered false-positive results (Table 2) . |
T18 |
14301-14517 |
Epistemic_statement |
denotes |
Following resolution of discrepancies, the data indicated that the sensitivity of the Luminex xTAG RVP Fast v1 assay was higher than of the CLART® PneumoVir assay for detection of picornaviruses (89.8% versus 59.3%). |
T19 |
15125-15194 |
Epistemic_statement |
denotes |
It is of note that this version is no longer available in the market. |
T20 |
15675-15844 |
Epistemic_statement |
denotes |
ii) The sensitivity of the CLART® PneumoVir assay was higher than that of the Luminex xTAG RVP Fast v1 assay for most targeted agents, except notably for picornaviruses. |
T21 |
16970-17162 |
Epistemic_statement |
denotes |
This has also been reported in other studies (Pillet et al., 2013; Tokman et al., 2014) and may likely be due to the fact that the assay only detects enterovirus type B (Pillet et al., 2013) . |
T22 |
17163-17343 |
Epistemic_statement |
denotes |
False-positive results were scarce, and most frequently obtained with the CLART® PneumoVir assay, especially for hBoV and some PIVs, and notably in the context of mixed infections. |
T23 |
17344-17418 |
Epistemic_statement |
denotes |
Mispriming is a likely reason accounting for these false-positive results. |
T24 |
17419-17644 |
Epistemic_statement |
denotes |
Nevertheless, given the high overall sensitivity of CLART® PneumoVir, we cannot rule out the possibility of these being true positives that remained undetected by the nested PCR assay employed for resolution of discrepancies. |
T25 |
17645-17738 |
Epistemic_statement |
denotes |
This is in contrast to previously published data (Pillet et al., 2013; Tokman et al., 2014) . |
T26 |
17739-17856 |
Epistemic_statement |
denotes |
The use of different criteria for resolving discordant results among the studies may account for these discrepancies. |
T27 |
17857-18115 |
Epistemic_statement |
denotes |
Limitations of the current study are the relatively scarce number of positive specimens for several viral agents, and its retrospective design, which implied the use of thawed instead of freshly obtained specimens for testing with the CLART® PneumoVir assay. |
T28 |
18405-18652 |
Epistemic_statement |
denotes |
Despite the above limitations, our data proved the reliability of the CLART® PneumoVir assay as compared to the Luminex xTAG RVP Fast v1 assay for the diagnosis of upper and lower tract respiratory infections, both in adult and pediatric patients. |