Clinical and Diagnostic Laboratory Immunology, September 2001, p. 909-912, Vol. 8, No. 5
1071-412X/01/$04.00+0 DOI: 10.1128/CDLI.8.5.909-912.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Virology Section, Clinical Microbiology Department, Provincial Laboratory, Regina, Saskatchewan S4S 5W6, Canada
Received 26 January 2001/Returned for modification 11 April 2001/Accepted 9 May 2001
A new rapid direct immunofluorescence assay, the SimulFluor direct
fluorescent-antibody (DFA) assay, which can simultaneously detect
herpes simplex virus types 1 and 2 (HSV-1 and -2) and varicella-zoster virus (VZV), was evaluated in comparison with our current standard procedures of (i) shell vial direct immunoperoxidase (shell vial IP)
staining and cell culture for detection of HSV and (ii) cytospin DFA
staining for VZV detection. A total of 517 vesicular, oral, genital,
and skin lesion specimens were tested by all three procedures. For HSV
detection, the SimulFluor DFA assay had an overall sensitivity, specificity, positive predictive value, and negative predictive value
of 80.0, 98.3, 92.3, and 95.1%, respectively, when compared to
culture. Shell vial IP staining had a sensitivity, specificity, positive predictive value, and negative predictive value of 87.6, 100, 100, and 96.9%, respectively, when compared with cell culture. The
SimulFluor DFA assay, however, offers same-day, 1.5-hours results
versus a 1- to 2-day wait for shell vial IP staining results and a 1- to 6-day wait for culture results for HSV. For VZV detection SimulFluor
DFA staining detected 27 positive specimens as compared to 31 by our
standard cytospin DFA technique
a correlation of 87.1%. A positive
SimulFluor reaction for VZV is indicated by yellow-gold fluorescence
compared to the bright apple-green fluorescence observed by cytospin
DFA staining. There is no difference in turnaround time between the two
assays. The SimulFluor DFA assay is a rapid immunofluorescence assay
that can detect 80% of the HSV-positive specimens and 87% of
the VZV-positive specimens with a 1.5-h turnaround time.
| Antimicrob. Agents Chemother. | Clin. Microbiol. Rev. | Infect. Immun. |
|---|---|---|
| J. Clin. Microbiol. | J. Virol. | ALL ASM JOURNALS |