Development and deployment of a rapid recombinase polymerase amplification Ebola virus detection assay in Guinea in 2015

In the absence of a vaccine or specific treatments for Ebola virus disease (EVD), early identification of cases is crucial for the control of EVD epidemics. We evaluated a new extraction kit (SpeedXtract (SE), Qiagen) on sera and swabs in combination with an improved diagnostic reverse transcription...

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Veröffentlicht in:Euro surveillance : bulletin européen sur les maladies transmissibles 2015-11, Vol.20 (44), p.1
Hauptverfasser: Faye, Oumar, Faye, Ousmane, Soropogui, Barré, Patel, Pranav, El Wahed, Ahmed Abd, Loucoubar, Cheikh, Fall, Gamou, Kiory, Davy, Magassouba, N'Faly, Keita, Sakoba, Kondé, Mandy Kader, Diallo, Alpha Amadou, Koivogui, Lamine, Karlberg, Helen, Mirazimi, Ali, Nentwich, Oliver, Piepenburg, Olaf, Niedrig, Matthias, Weidmann, Manfred, Sall, Amadou Alpha
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container_issue 44
container_start_page 1
container_title Euro surveillance : bulletin européen sur les maladies transmissibles
container_volume 20
creator Faye, Oumar
Faye, Ousmane
Soropogui, Barré
Patel, Pranav
El Wahed, Ahmed Abd
Loucoubar, Cheikh
Fall, Gamou
Kiory, Davy
Magassouba, N'Faly
Keita, Sakoba
Kondé, Mandy Kader
Diallo, Alpha Amadou
Koivogui, Lamine
Karlberg, Helen
Mirazimi, Ali
Nentwich, Oliver
Piepenburg, Olaf
Niedrig, Matthias
Weidmann, Manfred
Sall, Amadou Alpha
description In the absence of a vaccine or specific treatments for Ebola virus disease (EVD), early identification of cases is crucial for the control of EVD epidemics. We evaluated a new extraction kit (SpeedXtract (SE), Qiagen) on sera and swabs in combination with an improved diagnostic reverse transcription recombinase polymerase amplification assay for the detection of Ebola virus (EBOV-RT-RPA). The performance of combined extraction and detection was best for swabs. Sensitivity and specificity of the combined SE and EBOV-RT-RPA were tested in a mobile laboratory consisting of a mobile glovebox and a Diagnostics-in-a-Suitcase powered by a battery and solar panel, deployed to Matoto Conakry, Guinea as part of the reinforced surveillance strategy in April 2015 to reach the goal of zero cases. The EBOV-RT-RPA was evaluated in comparison to two real-time PCR assays. Of 928 post-mortem swabs, 120 tested positive, and the combined SE and EBOV-RT-RPA yielded a sensitivity and specificity of 100% in reference to one real-time RT-PCR assay. Another widely used real-time RT-PCR was much less sensitive than expected. Results were provided very fast within 30 to 60 min, and the field deployment of the mobile laboratory helped improve burial management and community engagement.
doi_str_mv 10.2807/1560-7917.ES.2015.20.44.30053
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source MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; SWEPUB Freely available online
subjects Disease Outbreaks
Early Diagnosis
Ebola virus
Ebolavirus - genetics
Ebolavirus - isolation & purification
Epidemics
Guinea
Hemorrhagic Fever, Ebola - diagnosis
Hemorrhagic Fever, Ebola - virology
Humans
Polymerase chain reaction
Real-Time Polymerase Chain Reaction
Recombinases - metabolism
Reproducibility of Results
Reverse Transcriptase Polymerase Chain Reaction - methods
RNA, Viral - analysis
RNA, Viral - genetics
Sensitivity and Specificity
Surveillance
Time Factors
Vaccines
title Development and deployment of a rapid recombinase polymerase amplification Ebola virus detection assay in Guinea in 2015
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