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Analytical Performance Characteristics of the Cepheid GeneXpert Ebola Assay for the Detection of Ebola Virus
Authors:Benjamin A Pinsky  Malaya K Sahoo  Johanna Sandlund  Marika Kleman  Medha Kulkarni  Per Grufman  Malin Nygren  Robert Kwiatkowski  Ellen Jo Baron  Fred Tenover  Blake Denison  Russell Higuchi  Reuel Van Atta  Neil Reginald Beer  Alda Celena Carrillo  Pejman Naraghi-Arani  Chad E Mire  Charlene Ranadheera  Allen Grolla  Nina Lagerqvist  David H Persing
Abstract:BackgroundThe recently developed Xpert® Ebola Assay is a novel nucleic acid amplification test for simplified detection of Ebola virus (EBOV) in whole blood and buccal swab samples. The assay targets sequences in two EBOV genes, lowering the risk for new variants to escape detection in the test. The objective of this report is to present analytical characteristics of the Xpert® Ebola Assay on whole blood samples.ConclusionIn summary, we found the Xpert® Ebola Assay to have high analytical sensitivity and specificity for the detection of EBOV in whole blood. It offers ease of use, fast turnaround time, and remote monitoring. The test has an efficient viral inactivation protocol, fulfills inclusivity and exclusivity criteria, and has specimen stability characteristics consistent with the need for decentralized testing. The simplicity of the assay should enable testing in a wide variety of laboratory settings, including remote laboratories that are not capable of performing highly complex nucleic acid amplification tests, and during outbreaks where time to detection is critical.
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