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Philosophical Transactions of the Royal Society B: Biological Sciences logoLink to Philosophical Transactions of the Royal Society B: Biological Sciences
. 2001 Dec 29;356(1416):1915–1924. doi: 10.1098/rstb.2001.1005

A flu optical immunoassay (ThermoBioStar's FLU OIA): a diagnostic tool for improved influenza management.

S P Tucker 1, C Cox 1, J Steaffens 1
PMCID: PMC1088569  PMID: 11779392

Abstract

ThermoBioStar's and Biota's flu optical immunoassay (FLU OIA) is a rapid test designed to diagnose influenza A and B infection using a variety of specimen types. The assay uses highly sensitive thin-film detection methods, coupled with specific monoclonal antibodies to the nucleoprotein. The test is simple to perform, requires no instrumentation and is intended to provide a result within 15 min of test initiation in the 'point-of-care' environment. In initial clinical studies, the assay was demonstrated to be equivalent to culture in identifying infected individuals. Subsequent independent studies using a variety of sample types have demonstrated sensitivity ranging from 48 to 100% and specificities ranging from 93 to 97%. In addition to detecting human strains, this assay has been demonstrated to be capable of detecting a variety of avian and non-human mammalian influenza viruses. The FLU OIA test has been used in large-scale surveillance schemes intended to provide rapid epidemiological data during normal influenza seasons and has demonstrated the potential for fulfilling a similar role for multispecies surveillance in, for example, conditions that offer challenges for conventional virus isolation methods. Conceivably, such use should facilitate the timely recognition of influenza outbreaks and prioritization of positive specimens for more conventional, laboratory characterization, leading to improved interpandemic surveillance and rapid reaction in the face of the next pandemic.

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Selected References

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  1. Barenfanger J., Drake C., Leon N., Mueller T., Troutt T. Clinical and financial benefits of rapid detection of respiratory viruses: an outcomes study. J Clin Microbiol. 2000 Aug;38(8):2824–2828. doi: 10.1128/jcm.38.8.2824-2828.2000. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Boivin G., Hardy I., Kress A. Evaluation of a rapid optical immunoassay for influenza viruses (FLU OIA test) in comparison with cell culture and reverse transcription-PCR. J Clin Microbiol. 2001 Feb;39(2):730–732. doi: 10.1128/JCM.39.2.730-732.2001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Carrat F., Tachet A., Housset B., Valleron A. J., Rouzioux C. Influenza and influenza-like illness in general practice: drawing lessons for surveillance from a pilot study in Paris, France. Br J Gen Pract. 1997 Apr;47(417):217–220. [PMC free article] [PubMed] [Google Scholar]
  4. Covalciuc K. A., Webb K. H., Carlson C. A. Comparison of four clinical specimen types for detection of influenza A and B viruses by optical immunoassay (FLU OIA test) and cell culture methods. J Clin Microbiol. 1999 Dec;37(12):3971–3974. doi: 10.1128/jcm.37.12.3971-3974.1999. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Cram P., Blitz S. G., Monto A., Fendrick A. M. Diagnostic testing for influenza: review of current status and implications of newer treatment options. Am J Manag Care. 1999 Dec;5(12):1555–1563. [PubMed] [Google Scholar]
  6. Drinka P. J., Gravenstein S., Krause P., Langer E. H., Barthels L., Dissing M., Shult P., Schilling M. Non-influenza respiratory viruses may overlap and obscure influenza activity. J Am Geriatr Soc. 1999 Sep;47(9):1087–1093. doi: 10.1111/j.1532-5415.1999.tb05232.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Herrmann B., Larsson C., Zweygberg B. W. Simultaneous detection and typing of influenza viruses A and B by a nested reverse transcription-PCR: comparison to virus isolation and antigen detection by immunofluorescence and optical immunoassay (FLU OIA). J Clin Microbiol. 2001 Jan;39(1):134–138. doi: 10.1128/JCM.39.1.134-138.2001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Hindiyeh M., Goulding C., Morgan H., Kenyon B., Langer J., Fox L., Dean G., Woolstenhulme D., Turnbow A., Billetdeaux E. Evaluation of BioStar FLU OIA assay for rapid detection of influenza A and B viruses in respiratory specimens. J Clin Virol. 2000 Aug;17(2):119–126. doi: 10.1016/s1386-6532(00)00081-0. [DOI] [PubMed] [Google Scholar]
  9. Joseph C. A. Virological surveillance of influenza in England and Wales: results of a two year pilot study 1993/94 and 1994/95. PHLS Influenza Subcommittee. Commun Dis Rep CDR Rev. 1995 Sep 15;5(10):R141–R145. [PubMed] [Google Scholar]
  10. Kaiser L., Briones M. S., Hayden F. G. Performance of virus isolation and Directigen Flu A to detect influenza A virus in experimental human infection. J Clin Virol. 1999 Dec;14(3):191–197. doi: 10.1016/s1386-6532(99)00058-x. [DOI] [PubMed] [Google Scholar]
  11. Kelly H., Murphy A., Leong W., Leydon J., Tresise P., Gerrard M., Chibo D., Birch C., Andrews R., Catton M. Laboratory-supported influenza surveillance in Victorian sentinel general practices. Commun Dis Intell. 2000 Dec;24(12):379–383. doi: 10.33321/cdi.2000.24.68. [DOI] [PubMed] [Google Scholar]
  12. Mitamura K., Sugaya N., Shimizu H., Nirasawa M., Takahashi K., Hirai Y., Takeuchi Y. [Optical immunoassay test for rapid detection of influenza A and B viruses: an evaluation]. Kansenshogaku Zasshi. 1999 Oct;73(10):1069–1073. doi: 10.11150/kansenshogakuzasshi1970.73.1069. [DOI] [PubMed] [Google Scholar]
  13. Newton D. W., Treanor J. J., Menegus M. A. Clinical and laboratory diagnosis of influenza virus infections. Am J Manag Care. 2000 Mar;6(5 Suppl):S265–S275. [PubMed] [Google Scholar]
  14. Watanabe S., Shimizu H., Kawakami C., Imai M. [Evaluation of an optical immunoassay test for rapid detection of influenza A and B viral antigen]. Kansenshogaku Zasshi. 1999 Dec;73(12):1199–1204. doi: 10.11150/kansenshogakuzasshi1970.73.1199. [DOI] [PubMed] [Google Scholar]
  15. Woo P. C., Chiu S. S., Seto W. H., Peiris M. Cost-effectiveness of rapid diagnosis of viral respiratory tract infections in pediatric patients. J Clin Microbiol. 1997 Jun;35(6):1579–1581. doi: 10.1128/jcm.35.6.1579-1581.1997. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Yamazaki M., Kimura K., Watanabe S., Komiyama O., Mishiku Y., Yamamoto K., Sugaya N., Hashimoto Y., Hagiwara N., Maezawa T. [Use of a rapid detection assay for influenza virus, on nasal aspirate specimens]. Kansenshogaku Zasshi. 1999 Oct;73(10):1064–1068. doi: 10.11150/kansenshogakuzasshi1970.73.1064. [DOI] [PubMed] [Google Scholar]

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