Rapid Diagnosis of Influenza

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Rapid Diagnosis of Influenza David R. Peaper, MD, PhD, Marie L. Landry, MD  Clinics in Laboratory Medicine  Volume 34, Issue 2, Pages 365-385 (June 2014) DOI: 10.1016/j.cll.2014.02.009 Copyright © 2014 Elsevier Inc. Terms and Conditions

Fig. 1 Lateral flow immunochromatography for the detection of influenza A and B. (Bottom left) The patient specimen is applied to a defined area that contains antiviral antibodies labeled with a detection molecule. Next, labeled antibodies with or without bound antigen are drawn along the test strip through capillary action. Antiviral monoclonal antibody and anti–immunoglobulin G (IgG) are immobilized at the distal end of the test strip in well-demarcated areas corresponding to influenza A or influenza B. Viral antigens mediate the retention of labeled antiviral antibodies at the test strip, and anti-IgG binds residual labeled antibodies present. (Top right) Visible or fluorescent lines appear at both the test and control locations when viral antigens are present (positive test), or the control location only when antigens are absent (negative test). Clinics in Laboratory Medicine 2014 34, 365-385DOI: (10.1016/j.cll.2014.02.009) Copyright © 2014 Elsevier Inc. Terms and Conditions

Fig. 2 Workflow of commercially available influenza virus nucleic acid amplification test. Proprietary detection methods are used by xTag, eSensor, SeePlex, and Resplex assays. Black boxes indicate steps performed on a single instrument, white spaces indicate requirement to move samples to new instrument, and white lines indicate discrete processes occurring on a single instrument. Processes are not drawn to scale. PCR, polymerase chain reaction. Clinics in Laboratory Medicine 2014 34, 365-385DOI: (10.1016/j.cll.2014.02.009) Copyright © 2014 Elsevier Inc. Terms and Conditions