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The Xpert Flu+RSV Xpress Assay is a fast, automated diagnostic test for qualitative detection and differentiation of influenza A and B viruses and respiratory syncytial virus (RSV) performed on the Cepheid GeneXpert Xpress System. The objective of this study was to establish performance characteristics of the Xpert Flu+RSV Xpress Assay compared to those of the Prodesse ProFlu+ real-time reverse transcription-PCR (RT-PCR) assay (ProFlu+) for the detection of influenza A and B viruses as well as RSV in a Clinical Laboratory Improvement Amendments (CLIA)-waived (CW) setting. Overall, the assay, using fresh and frozen nasopharyngeal (NP) swabs, demonstrated high concordance with results of the ProFlu+ assay in the combined CW and non-CW settings with positive percent agreements (PPA) (100%, 100%, and 97.1%) and negative percent agreements (NPA) (95.2%, 99.5%, and 99.6%) for influenza A and B viruses and RSV, respectively. In conclusion, this multicenter study using the Cepheid Xpert Flu+RSV Xpress Assay demonstrated high sensitivities and specificities for influenza A and B viruses and RSV in ∼60 min for use at the point-of-care in the CW setting.
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http://dx.doi.org/10.1128/JCM.01237-17 | DOI Listing |
J Med Virol
July 2025
Clinical Virology, University Hospital Basel, Basel, Switzerland.
Rapid antigen diagnostic tests (RDTs) can rapidly detect respiratory pathogens, allowing for the prompt initiation of infection control measures and the prevention of nosocomial spread within hospital settings. In this study, we prospectively evaluated the diagnostic performance of a combined RDT from AllTest Biotech for the simultaneous detection of SARS-CoV-2, influenza virus (IV-A/B), and respiratory syncytial virus (RSV). We compared its diagnostic performance to the Xpert-Xpress-SARS-CoV-2/Flu/RSV molecular test using 100 naso-oropharyngeal swabs (Ct-values ≤ 35), collected from symptomatic patients with acute respiratory tract infections (RTIs) at our tertiary care hospital.
View Article and Find Full Text PDFJ Clin Virol
October 2025
Cepheid, CA, USA.
Background: Respiratory viruses are responsible for millions of healthcare visits annually. The unpredictable periodicity of Coronavirus disease 2019 and seasonal patterns of influenza and respiratory syncytial virus result in concurrent circulation of these viruses with non-specific and overlapping clinical symptoms.
Study Design: This study evaluated the Cepheid Xpert Xpress CoV-2/Flu/RSV plus test using 3011 nasopharyngeal swab (NPS) and 2943 anterior nasal (NS) specimens.
Viruses
July 2025
National Microbiology Laboratory Branch, Public Health Agency of Canada, Winnipeg, MB R3E 3R2, Canada.
Since 2020, the Gs/Gd H5N1 influenza virus (clade 2.3.4.
View Article and Find Full Text PDFJ Clin Microbiol
August 2025
Department of Pathology, University of Texas Medical Branch, Galveston, Texas, USA.
The increasing transmission of highly pathogenic avian influenza (HPAI) H5N1 from animals to humans underscores the urgent need for enhanced diagnostic capabilities in clinical microbiology laboratories. Although analysis suggests that commercial multiplex respiratory panels can detect H5N1, these assays lack subtyping H5N1 capabilities, and their real-world performance remains largely unverified. In this study, we evaluated the limit of detection (LoD) for H5N1 using three commercial molecular diagnostic assays routinely employed at our institution: bioMérieux BioFire Respiratory 2.
View Article and Find Full Text PDFJ Clin Virol
August 2025
Department of Clinical Microbiology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland. Electronic address:
Background: The occurrence of respiratory infections caused by seasonal viruses influenza A/B, RSV and SARS-CoV-2 has increased the demand for rapid diagnostic assays. Comparative performance data of such assays is required.
Methods: In this retrospective study, clinical samples were tested with the STANDARD™ M10 Flu/RSV/SARS-CoV-2 test and the novel Savanna® Respiratory Viral Panel-4 tests, with Xpert® Xpress SARS-CoV-2/Flu/RSV as the reference.