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Virus No. detected Sensitivity Specificity PPV NPV M+R+ M+R- M-R+ M-R- (%) (%) (%) (%) RSV 46 92 6 294 33.3 98 88.5 76.2 FluA 4 32 2 400 11.1 99.5 66.7 92.6 hMPV 21 9 3 405 70 99.3 87.5 97.8 PIV3 19 7 5 407 73.1 98.9 79.2 98.4 H1N1-p** 10 15 0 289 40 100 100 95.1 PIV1 12 6 3 417 66.7 99.3 80 98.6 hBoV 10 8 0 420 55.6 100 100 98.1 OC43 4 11 1 422 26.7 99.8 80 97.5 EnV 2 12 30 394 14.3 92.9 6.3 97 ADV 4 3 0 431 57.1 100 100 99.3 NL63 3 3 1 431 50 99.8 75 99.3 229E 3 2 1 432 60 99.8 75 99.5 FluB 2 2 0 434 50 100 100 99.5 PIV4 2 1 1 434 66.7 99.8 66.7 99.8 PIV2 0 3 0 435 NA 100 NA 99.3 HKU1 0 0 0 438 NA NA NA NA * RhV was not evaluated as it was not detected by the monoplex real-time RT-PCR. PPV, positive predictive value; NPV, negative predictive value. ** The Resplex Ⅱ Panel v2.0 was replaced by a ResPlex Ⅱ Plus Panel PRE to enhance H1N1-P coverage during the study. A total of 314 samples were tested by the ResPlex Ⅱ Plus Panel PRE version. Table 1. The comparison of ResPlex (R) and monoplex real-time TaqMan RT-PCR (M) for 16 respiratory viruses *
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Monoplex
copies/mLNo. of ResPlex-PCR positive/No. of Monoplex PCR positive RSV (%) FluA (%) hMPV (%) PIV3 (%) H1N1-p (%) PIV1 (%) hBoV (%) ≥106 6/9 (66.7) 1/1 (100) 3/4 (75.0) 2/3 (66.7) 4/5 (80.0) 0/0 (0) 9/11 (81.8) 1-9.9×105 34/45 (75.5) 2/5 (40.0) 10/14 (71.4) 8/8 (100.0) 5/6 (83.3) 5/5 (100.0) 1/3 (33.3) 1-9.9×104 5/38 (13.2) 1/7 (14.3) 6/9 (66.7) 4/5 (80.0) 1/6 (16.7) 6/7 (85.7) 0/2 (0) 1-9.9×103 1/33 (3.0) 0/12 (0) 2/3 (66.7) 2/4 (50.0) 0/6 (0) 1/3 (33.3) 0/1 (0) 1-9.9×102 0/13 (0) 0/11 (0) 0/0 (0) 3/6 (50.0) 0/2 (0) 0/3 (0) 0/1 (0) Negative 6/300 (2.0) 2/402 (0.5) 3/408 (0.7) 5/412 (1.2) 0/289 (0) 3/420 (0.7) 0/420 (0) z -6.859 -5.119 -1.267 -1.011 -2.538 -1.068 -1.511 p 0.000 0.000 0.205 0.312 0.011 0.285 0.131 Table 2. Relationship of sensitivity of ResPlex PCR and viral loads determined by monoplex PCR
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Virus Resplex Ⅱ Panel
No. of specimensSensitivity
(%)ResPlex Ⅱ Plus Panel PRE
No. of specimensSensitivity
(%)χ2
valueP
valueM+R+ M+R- M-R+ M-R- M+R+ M+R- M-R+ M-R- RSV 14 25 3 82 35.9 32 67 3 212 32.3 0.161 0.688 FluA 2 2 2 118 50.0 2 30 0 282 6.3 6.891 0.053 hMPV 4 4 2 114 50.0 17 5 1 291 77.3 2.078 0.195 PIV3 6 0 2 116 100.0 13 7 3 291 65.0 2.874 0.146 PIV1 3 0 2 119 100.0 9 6 1 298 60.0 1.80 0.515 hBoV 5 1 0 118 83.3 5 7 0 302 41.7 2.813 0.152 * R, ResPlex Ⅱ Panel; M, monoplex real-time TaqMan RT-PCR. Table 3. Sensitivity of two kinds of ResPlex Ⅱ kit for common viruses *
Figure 0 个
Table 3 个