2015
DOI: 10.1128/jcm.01905-15
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Comparative Evaluation of AmpliVue HSV 1+2 Assay with ELVIS Culture for Detecting Herpes Simplex Virus 1 (HSV-1) and HSV-2 in Clinical Specimens

Abstract: The AmpliVue HSV 1+2 assay was compared to the ELVIS HSV ID and D3 Typing Culture System for the qualitative detection and differentiation of herpes simplex virus 1 (HSV-1) and HSV-2 DNA in 1,351 cutaneous and mucocutaneous specimens. Compared to ELVIS, AmpliVue had sensitivities of 95.7 and 97.6% for detecting HSV-1 and HSV-2, respectively. Following arbitration of discordant results by an independent molecular method, the AmpliVue assay had a resolved sensitivity and specificity of 99.2 and 99.7%, respective… Show more

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Cited by 18 publications
(13 citation statements)
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“…Other studies comparing HSV DNA-based NAATs to cell culture with molecular test discordant resolution have also reported greater sensitivity of those NAATs over culture [5][6][7][8][9][10][11][12], especially for detection of HSV-2 [9,10]. These studies used several different culture methods to evaluate the clinical performance of NAATs, including conventional culture [6,10], shell vial centrifugation culture [5,12], and ELVIS culture [7][8][9]11]. The shell vial centrifugation method used in the current study is faster than conventional culture and, unlike ELVIS, it can detect HSV-1 in HSV-2 positive specimens.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Other studies comparing HSV DNA-based NAATs to cell culture with molecular test discordant resolution have also reported greater sensitivity of those NAATs over culture [5][6][7][8][9][10][11][12], especially for detection of HSV-2 [9,10]. These studies used several different culture methods to evaluate the clinical performance of NAATs, including conventional culture [6,10], shell vial centrifugation culture [5,12], and ELVIS culture [7][8][9]11]. The shell vial centrifugation method used in the current study is faster than conventional culture and, unlike ELVIS, it can detect HSV-1 in HSV-2 positive specimens.…”
Section: Discussionmentioning
confidence: 99%
“…However, the early DNA-based NAATs were laboratory-developed PCR assays that are not practical for many clinical laboratories. More recently, FDA-cleared NAATs for HSV DNA detection have become available which are more extensively validated and less labor intensive than laboratory-developed PCR assays [9][10][11][12].…”
Section: Introductionmentioning
confidence: 99%
“…For example, in an interesting twist, the AmpliVue platform uses a hybrid strategy composed of new molecular and classic LFIA approaches that avoids the need for an electronic reader. In this strategy, two tags (e.g., biotin and 6-carboxyfluorescein [FAM]) are incorporated into the DNA amplicon during the isothermal DNA amplification step, and then the presence of the amplified DNA is detected by LFIA (e.g., anti-FAM antibodies at the test line and streptavidin-conjugated colored particles as the detector) (33). Although they are not POC or CLIA waived, tests like these have made molecular test results available in Ͻ2 h, with a relatively large proportion of that time available as "walk away" time that frees the laboratory technologist for efforts elsewhere.…”
Section: Futurementioning
confidence: 99%
“…Various other presentations of HSV-1 and HSV-2 can occur, ranging from encephalitis to neonatal invasive infections. Although the clinical presentation of initial infection and reactivation of those viruses can be classic, atypical lesions occur and must be differ-entiated from other illnesses (5) and one virus from the others (6). Requirement for patient isolation and pharmacologic therapy depend on the specific viral etiology and the clinical presentation.…”
mentioning
confidence: 99%