Table 2.
Comparison of different molecular assays and the routine clinical method for enteropathogen identification.
No. Cases | Detection with different assays | |||||
---|---|---|---|---|---|---|
VIASURE monoplex | VIASURE multiplex | R-Biopharm multiplex | Conventional diagnosticb | Resolution test | ||
Salmonella | ||||||
9 S. Typhimurium, 5 S. Enteritidis, 2 S. serogroup G, 1 S. Mbandaka, 1 S. Braenderup, 1 S. Paratyphi A | 19 | + | + | + | + | N/Ac |
1 Salmonella spp | 1 | + | + | + | - | Sequencingd |
1 S. serogroup G | 1 | + | + | - | + | N/Ac |
1 S. Typhimurium | 1 | - | - | + | + | N/Ac |
1 S. Typhimurium, 1 S. Enteritidis | 2 | - | - | - | + | N/Ac |
Total | 24 | 21 | 21 | 21 | 23 | |
Campylobacter | ||||||
35 C. jejuni, 3 C. coli, 3 Campylobacter spp | 41 | + | + | + | + | N/Ac |
5 C. concisus, 3 C. jejuni, 2 C. coli, 1 C. curvus, 1 C. gracilis, 4 Campylobacter spp | 16 | + | + | + | - | Sequencinge |
1 C. jejuni | 1 | + | + | - | + | N/Ac |
4 C. upsaliensis, 2 C. hyointestinalis, 1 C. coli, 1 C. concisus, 1 C. helveticus, 1 Campylobacter spp | 10 | + | + | - | - | Mericon assay/Sequencingf |
1 Campylobacter spp | 1 | + | - | + | - | Mericong |
1 C. concisus, 1 C. rectus | 2 | + | - | - | - | Mericon/ Sequencingh |
Total | 71 | 71 | 68 | 58 | 42 | |
Yersinia enterocolitica | ||||||
4 Yersinia enterocolitica O:3 | 4 | + | + | + | + | N/Ac |
Total | 4 | 4 | 4 | 4 | 4 |
Abbreviations: +, positive detection; −, negative detection; S., Salmonella; C., Campylobacter; N/A, not applicable.
bConventional diagnostic assays included the culture method, MALDI-TOF mass spectrometry, agglutination assays, and biochemical tests.
cA discrepancy analysis was not applicable, because these samples were positive in culture, which immediately defined them as a “case”.
dConventional PCR was unsuccessful; therefore, the Salmonella serotype was not resolved in this sample; however, it was considered a “case”, based on three diagnostic methods, which supported a positive result.
eSequencing was not successful in 4/16 samples, but the Mericon assay (the qPCR resolution test) performed with these four samples provided a positive result; thus, all were considered “cases”.
fAll of these samples were positive in the Mericon assay, and the positive result was confirmed with sequencing in 9/10 samples.
gThis sample was positive in the Mericon assay.
hThese two samples were positive in the Mericon assay, and the positive result was confirmed by sequencing in both samples.