TABLE 2.
Effects of patient age and viral load on DFA sensitivity for S-OIVa
| Range of swine A influenza virus PCR CT valuesb | No. of samples in range (n = 272) | No. of cytospin-DFA-positive samples/no. of samples tested (%) by patient age and CT value |
||
|---|---|---|---|---|
| <5 yrs | 5-17 yrs | ≥18 yrs | ||
| 12-19 | 113 | 13/13 (100) | 58/58 (100) | 42/42 (100) |
| 20-25 | 102 | 10/10 (100) | 56/61 (91.8) | 29/31 (93.6) |
| 26-30 | 43 | 2/3 (66.7) | 11/25 (44.0) | 6/15 (40.0) |
| 31-35 | 9 | 0/1 (0) | 2/6 (33.3) | 1/2 (50.0) |
| 36-40 | 5 | 0 | 0/2 | 0/3 (0) |
| Total no. of positive samples/total no. of samples tested (%)c | 230/272 (84.6) | 25/27 (92.6) | 127/152 (83.5) | 78/93 (83.8) |
Abbreviations: S-OIV, swine origin influenza virus; CT, cycle threshold, the amplification cycle at which the real-time PCR result crosses the threshold to positive (the lower the CT, the higher the viral load present in the sample).
The PCR CT value is a reflection of viral load. Seven samples positive by pan A PCR only were excluded; all were DFA negative. Eight samples positive by pan A and swine A PCR but negative by swine H1 PCR were included; 7 were DFA negative and one was DFA indeterminate.
Of samples with swine A PCR CT of <26, 208/215 (96.7%) were DFA positive. Of samples with a CT of ≥26, 22/57 (38.6%) were DFA positive.