Rapid influenza diagnostic test

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A rapid influenza diagnostic test (RIDT) tells whether a person has a current influenza infection by detecting the influenza viral nucleoprotein antigen. Commercially available RIDTs can provide results within 30 minutes. These results can be observed by a color change or other visual signals. [1] [2] For clinicians, RIDTs serve as a first-line test that can be confirmed (especially if negative) by traditional diagnostic tests. RIDTs also allow clinicians to promptly start antiviral treatment in high-risk populations, to formulate effective infection control measures, and to make informed decisions regarding diagnostic investigations. [3] [4] RIDTs have been shown to reduce chest radiography and blood tests in ambulatory care settings, but not antibiotic prescribing, or time in the emergency department. [5]

Contents

Accordung to a study, an H1N1 rapid test had a sensitivity of 66 %, corresponding to a false-negative probability of 34 % in detecting H1N1. [6]

Sample collection

RIDT accuracy may be dependent on collection technique used to obtain the sample. Samples used for RIDT include respiratory specimens such as throat, nose, and nasopharyngeal secretions, as well as aspirate or washings collected from the trachea. [7]

See also

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An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable disease, is an illness resulting from an infection.

Pneumonia Inflammation of the alveoli of the lungs

Pneumonia is an inflammatory condition of the lung primarily affecting the small air sacs known as alveoli. Symptoms typically include some combination of productive or dry cough, chest pain, fever, and difficulty breathing. The severity of the condition is variable.

Infectious mononucleosis Common viral infectious disease

Infectious mononucleosis, also known as glandular fever, is an infection usually caused by the Epstein–Barr virus (EBV). Most people are infected by the virus as children, when the disease produces few or no symptoms. In young adults, the disease often results in fever, sore throat, enlarged lymph nodes in the neck, and tiredness. Most people recover in two to four weeks; however, feeling tired may last for months. The liver or spleen may also become swollen, and in less than one percent of cases splenic rupture may occur.

Diagnosis of HIV/AIDS Immunological test

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<i>Influenza A virus</i> Species of virus

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Respiratory syncytial virus Species of a virus

Respiratory syncytial virus (RSV), also called human respiratory syncytial virus (hRSV) and human orthopneumovirus, is a common, contagious virus that causes infections of the respiratory tract. It is a negative-sense, single-stranded RNA virus. Its name is derived from the large cells known as syncytia that form when infected cells fuse.

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<span class="mw-page-title-main">Influenza vaccine</span> Vaccine against influenza

Influenza vaccines, also known as flu jabs or flu shots, are vaccines that protect against infection by influenza viruses. New versions of the vaccines are developed twice a year, as the influenza virus rapidly changes. While their effectiveness varies from year to year, most provide modest to high protection against influenza. The United States Centers for Disease Control and Prevention (CDC) estimates that vaccination against influenza reduces sickness, medical visits, hospitalizations, and deaths. Immunized workers who do catch the flu return to work half a day sooner on average. Vaccine effectiveness in those over 65 years old remains uncertain due to a lack of high-quality research. Vaccinating children may protect those around them.

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Influenza-like illness Medical diagnosis

Influenza-like illness (ILI), also known as flu-like syndrome or flu-like symptoms, is a medical diagnosis of possible influenza or other illness causing a set of common symptoms. These include fever, shivering, chills, malaise, dry cough, loss of appetite, body aches, and nausea, sneezing typically in connection with a sudden onset of illness. In most cases, the symptoms are caused by cytokines released by immune system activation, and are thus relatively non-specific.

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NS1 antigen test

NS1 antigen test is a test for dengue, introduced in 2006. It allows rapid detection on the first day of fever, before antibodies appear some 5 or more days later. It has been adopted for use in some 40 nations. The method of detection is through enzyme-linked immunosorbent assay. India has introduced in 2010 the NS1 test costing 1,600 rupees at a private hospital in Mumbai.

A rapid antigen test (RAT), sometimes called a rapid antigen detection test (RADT), antigen rapid test (ART), or loosely just a rapid test, is a rapid diagnostic test suitable for point-of-care testing that directly detects the presence or absence of an antigen. Such tests are a type of lateral flow test that detect antigens, distinguishing them from other medical tests that detect antibodies or nucleic acid, of either laboratory or point-of-care types. Rapid tests generally give a result in 5 to 30 minutes, require minimal training or infrastructure, and have significant cost advantages. Rapid antigen tests for the detection of SARS-CoV-2, the virus that causes COVID-19, have been commonly used during the COVID-19 pandemic.

Type A influenza vaccine is for the prevention of infection of influenza A virus and also the influenza-related complications. Different monovalent type A influenza vaccines have been developed for different subtypes of influenza A virus including H1N1 and H5N1. Both intramuscular injection or intranasal spray are available on market. Unlike the seasonal influenza vaccines which are used annually, they are usually used during the outbreak of certain strand of subtypes of influenza A. Common adverse effects includes injection site reaction and local tenderness. Incidences of headache and myalgia were also reported with H1N1 whereas cases of fever has also been demonstrated with H5N1 vaccines. It is stated that immunosuppressant therapies would reduce the therapeutic effects of vaccines and that people with egg allergy should go for the egg-free preparations.

References

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  2. "Rapid Influenza Diagnostic Tests | Seasonal Influenza (Flu) | CDC". www.cdc.gov. 2017-04-07. Retrieved 2018-09-08.
  3. "Accuracy of Rapid Influenza Diagnostic Tests: A Meta Analysis". www.annals.org. 2012-04-03. Retrieved 2018-11-01.
  4. Chartrand C, Pai M (June 2012). "How accurate are rapid influenza diagnostic tests?". Expert Review of Anti-Infective Therapy. 10 (6): 615–7. doi: 10.1586/eri.12.49 . PMID   22734950.
  5. Lee, Joseph J; Verbakel, Jan Y; Goyder, Clare R; Ananthakumar, Thanusha; Tan, Pui San; Turner, Phillip J; Hayward, Gail; Van den Bruel, Ann (4 October 2018). "The clinical utility of point-of-care tests for influenza in ambulatory care: A systematic review and meta-analysis". Clinical Infectious Diseases. 69 (1): 24–33. doi:10.1093/cid/ciy837. PMC   6579962 . PMID   30285232.
  6. Louie JK, Guevara H, Boston E, Dahlke M, Nevarez M, Kong T, Schechter R, Glaser CA, Schnurr DP (May 2010). "Rapid influenza antigen test for diagnosis of pandemic (H1N1) 2009". Emerging Infectious Diseases. 16 (5): 824–6. doi:10.3201/eid1605.091797. PMC   2954007 . PMID   20409373.
  7. "Use of Influenza Rapid Diagnostic Tests" (PDF). Special Programme for Research and Training in Tropical Diseases. World Health Organization. 2010.

Further reading