Collection by trained pediatricians or parents of mid-turbinate nasal flocked swabs for the detection of influenza viruses in childhood.docVIP
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Collection by trained pediatricians or parents of mid-turbinate nasal flocked swabs for the detection of influenza viruses in childhood
Esposito et al. Virology Journal 2010, 7:85
/content/7/1/85
SHORT REPORT
Open Access
ShortCollection by trained pediatricians or parents of report
mid-turbinate nasal flocked swabs for the
detection of influenza viruses in childhood
Susanna Esposito1, Claudio G Molteni1, Cristina Daleno1, Antonia Valzano1, Claudia Tagliabue1, Carlotta Galeone2,
Gregorio Milani1, Emilio Fossali1, Paola Marchisio1 and Nicola Principi*1
Abstract
This study evaluated the efficiency of pediatric mid-turbinate nasal flocked swabs used by parents in 203 children aged
6 months to 5 years with signs and symptoms of respiratory disease. Two nasal samples were collected from each child
in a randomised sequence: one by a trained pediatrician and one by a parent. The real-time polymerase chain reaction
influenza virus detection rates were similar in the samples collected using the two methods (Cohens kappa = 0.86), as
were the cycle threshold values. In comparison with the pediatrician-collected samples, the sensitivity and specificity
of the parental collections were respectively 89.3% (95% confidence interval [CI]: 77.8-100%) and 97.7% (95% CI: 95.5-
100%), and the positive and negative predictive values were respectively 86.2% (95% CI: 73.7-95.1%) and 98.2% (95% CI:
96.4-100%). The children were significantly more satisfied with the parental collections (median values ± standard
deviation, 1.59 ± 0.55 vs 3.51 ± 0.36; p 0.0001). These findings show that mid-turbinate nasal flocked swabs
specifically designed for infants and children can be used by parents without reducing the influenza virus detection
rate. Moreover, the direct involvement of parents significantly increases patient acceptance, thus simplifying collection
and suggesting that this novel swab design should be considered for epidemiological surveys and vaccine efficacy
studies.
Finding
are too complex, invasive and time-consuming to be used
by untrained people [10-12].
In order to monitor the circulation
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