دورية أكاديمية
Self-collected compared with professional-collected swabbing in the diagnosis of influenza in symptomatic individuals: A meta-analysis and assessment of validity.
العنوان: | Self-collected compared with professional-collected swabbing in the diagnosis of influenza in symptomatic individuals: A meta-analysis and assessment of validity. |
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المؤلفون: | Seaman CP; School of Population and Global Health, University of Melbourne, Melbourne, Australia., Tran LTT; School of Population and Global Health, University of Melbourne, Melbourne, Australia., Cowling BJ; WHO Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, The University of Hong Kong, Hong Kong Special Administrative Region., Sullivan SG; School of Population and Global Health, University of Melbourne, Melbourne, Australia; WHO Collaborating Centre for Reference and Research on Influenza, Royal Melbourne Hospital, and the Doherty Department, University of Melbourne, at the Peter Doherty Institute for Infection and Immunity, Melbourne, Australia; Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, USA. Electronic address: sheena.sullivan@influenzacentre.org. |
المصدر: | Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology [J Clin Virol] 2019 Sep; Vol. 118, pp. 28-35. Date of Electronic Publication: 2019 Aug 02. |
نوع المنشور: | Comparative Study; Evaluation Study; Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Systematic Review |
اللغة: | English |
بيانات الدورية: | Publisher: Elsevier Science Country of Publication: Netherlands NLM ID: 9815671 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5967 (Electronic) Linking ISSN: 13866532 NLM ISO Abbreviation: J Clin Virol Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Amsterdam : Elsevier Science, c1998- |
مواضيع طبية MeSH: | Diagnostic Tests, Routine/*methods , Influenza, Human/*diagnosis , Nasal Cavity/*virology , Orthomyxoviridae/*isolation & purification , Self-Examination/*methods , Specimen Handling/*methods, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Sensitivity and Specificity ; Young Adult |
مستخلص: | Self-collected nasal swabs offer a cheaper alternative to professional-collected swabs for influenza testing. However, the diagnostic accuracy of self-collection has not been quantitatively reviewed. We identified 14 studies that compared diagnostic accuracy of self-collected to professional-collected swabs in influenza symptomatic individuals. Self-collected swabs were found to be highly acceptable, simple and comfortable to use. Data from nine studies were meta-analyzed. Pooled sensitivity was 87% (95% CI: 80%, 92%) and specificity was 99% (95% CI: 98%, 100%), compared to professional-collected swabs in the diagnosis of influenza. Pooled sensitivity and specificity estimates were used to assess the potential bias that would be introduced in studies had self-collected rather than professional-collected samples been used. While self-collected swabbing should not replace the role of clinical testing, our findings support the use of self-collected swabs for influenza research and surveillance. This method will be an important tool for evaluating novel influenza vaccines and vaccination strategies. (Copyright © 2019 Elsevier B.V. All rights reserved.) |
فهرسة مساهمة: | Keywords: Diagnostic accuracy; Influenza; Nasal swabbing; Self-swabbing; Systematic review |
تواريخ الأحداث: | Date Created: 20190811 Date Completed: 20200616 Latest Revision: 20200616 |
رمز التحديث: | 20240628 |
DOI: | 10.1016/j.jcv.2019.07.010 |
PMID: | 31400670 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1873-5967 |
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DOI: | 10.1016/j.jcv.2019.07.010 |