Advanced search
Start date
Betweenand
(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Low Sensitivity of NS1 Protein Tests Evidenced during a Dengue Type 2 Virus Outbreak in Santos, Brazil, in 2010

Full text
Author(s):
Show less -
Felix, Alvina Clara [1, 2] ; Romano, Camila Malta [1, 2] ; Centrone, Cristiane de Campos [1, 2] ; Rodrigues, Celia Lima [1, 2] ; Villas-Boas, Lucy [1, 2] ; Araujo, Evaldo Stanislau [1, 2, 3] ; de Matos, Andreia Manso [4] ; Carvalho, Karina Inacio [4] ; Turchi Martelli, Celina Maria [5] ; Kallas, Esper Georges [4] ; Pannuti, Claudio Sergio [1, 2] ; Levi, Jose Eduardo [1, 2]
Total Authors: 12
Affiliation:
[1] Univ Sao Paulo, Fac Med, Inst Med Trop Sao Paulo, Sao Paulo - Brazil
[2] Univ Sao Paulo, Fac Med, Dept Molestias Infecciosas Parasitarias LIMHC, Sao Paulo - Brazil
[3] Hosp Ana Costa, Santos - Brazil
[4] Univ Sao Paulo, Fac Med, Disciplina Imunol Clin & Alergia LIM 60, Sao Paulo - Brazil
[5] Univ Fed Goias, IPTSP, Goiania, Go - Brazil
Total Affiliations: 5
Document type: Journal article
Source: Clinical and Vaccine Immunology; v. 19, n. 12, p. 1972-1976, DEC 2012.
Web of Science Citations: 23
Abstract

In 2010, a large outbreak of dengue occurred in Santos, Brazil. The detection of the NS1 antigen was used for diagnosis in addition to the detection of IgG, IgM, and RNA. A large number of NS1 false-negative results were obtained. A total of 379 RNA-positive samples were selected for thorough evaluation. NS1 was reactive in 37.7% of cases. Most of the cases were characterized as a secondary infection by dengue 2 virus. Sequencing of NS1 positive and negative isolates did not reveal any mutation that could justify the diagnostic failure. Use of existing NS1 tests in the Brazilian population may present a low negative predictive value, and they should be used with caution, preferentially after performing a validation with samples freshly obtained during the ongoing epidemic. (AU)

FAPESP's process: 10/12313-5 - Analysis of inter and intra-host genetic variability of dengue virus serotype 2 (DENV2) from patients presenting dengue fever and dengue hemorrhagic fever
Grantee:Camila Malta Romano
Support Opportunities: Regular Research Grants