
AbstractConfirming Ebola virus disease (EVD), a deadly infectious disease, requires real-time RT-PCR, which takes up to a few hours to yield results. Therefore, a rapid diagnostic assay is imperative for EVD diagnosis. A rapid nucleic acid test based on recombinase polymerase amplification (EBOV-RPA) was developed to specifically detect the 2014 outbreak strains. The EBOV-RPA assay was evaluated by testing samples from suspected EVD patients in parallel with RT-PCR. An EBOV-RPA, which could be completed in 20 min, was successfully developed. Of 271 patients who tested positive for Ebola virus by RT-PCR, 264 (sensitivity: 97%, 95% CI: 95.5–99.3%) were positive by EBOV-RPA; 101 of 104 patients (specificity: 97%, 95% CI: 93.9–100%) who tested negative by RT-PCR were also negative by EBOV-RPA. The sensitivity values for samples with a Ct value of <34, which accounted for 95.59% of the samples, was 100%. Discordant samples positive by RT-PCR but negative by EBOV-RPA had significantly high Ct values. Results of external quality assessment samples with EBOV-RPA were 100%, consistent with those of RT-PCR. The EBOV-RPA assay showed 97% sensitivity and 97% specificity for all EVD samples tested, making it a rapid and sensitive test for EVD diagnosis.
Adult, Male, Adolescent, Sensitivity and Specificity, Article, Disease Outbreaks, Sierra Leone, Humans, Child, Aged, Aged, 80 and over, Infant, Newborn, Infant, RNA-Directed DNA Polymerase, Hemorrhagic Fever, Ebola, Middle Aged, Ebolavirus, Child, Preschool, RNA, Viral, Female, Nucleic Acid Amplification Techniques
Adult, Male, Adolescent, Sensitivity and Specificity, Article, Disease Outbreaks, Sierra Leone, Humans, Child, Aged, Aged, 80 and over, Infant, Newborn, Infant, RNA-Directed DNA Polymerase, Hemorrhagic Fever, Ebola, Middle Aged, Ebolavirus, Child, Preschool, RNA, Viral, Female, Nucleic Acid Amplification Techniques
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