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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

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

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Autor(es):
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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]
Número total de Autores: 12
Afiliação do(s) autor(es):
[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
Número total de Afiliações: 5
Tipo de documento: Artigo Científico
Fonte: Clinical and Vaccine Immunology; v. 19, n. 12, p. 1972-1976, DEC 2012.
Citações Web of Science: 23
Resumo

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)

Processo FAPESP: 10/12313-5 - Análise da variabilidade genética inter e intra-paciente dos vírus da dengue sorotipo 2 (DENV2) obtidos de pacientes apresentando dengue clássica e dengue hemorrágica
Beneficiário:Camila Malta Romano
Modalidade de apoio: Auxílio à Pesquisa - Regular