Analytical and workflow evaluation of the ARIES sample-to-result molecular assay for Clostridium difficile

SK Lawson, D Chung, S Das, J Friesen… - Annals of Clinical & …, 2018 - Assoc Clin Scientists
SK Lawson, D Chung, S Das, J Friesen, S Sefers, S Dunbar, JE Schmitz
Annals of Clinical & Laboratory Science, 2018Assoc Clin Scientists
We evaluated the analytical and workflow characteristics of the ARIES Clostridium difficile
assay, a recently developed qPCR-based test for toxigenic C. difficile. ARIES was compared
to the illumigene C. difficile assay, a commonly employed, loop-mediated amplification
technique with similar sample-to-result capabilities. Following illumigene analysis, 122
positive and 164 negative stool specimens were banked for subsequent ARIES testing. The
analytical agreement between the platforms was high: 93.4% positive agreement (89.0 …
We evaluated the analytical and workflow characteristics of the ARIES Clostridium difficile assay, a recently developed qPCR-based test for toxigenic C. difficile. ARIES was compared to the illumigene C. difficile assay, a commonly employed, loop-mediated amplification technique with similar sample-to-result capabilities. Following illumigene analysis, 122 positive and 164 negative stool specimens were banked for subsequent ARIES testing. The analytical agreement between the platforms was high: 93.4% positive agreement (89.0–97.8%) and 97.5% negative agreement (95.2–99.9%). For discordant specimens, amplification/bidirectional sequencing of tcdA/tcdB demonstrated toxigenic C. difficile in 2/4 illumigene(−)ARIES(+) and 2/8 illumigene(+)ARIES(−) specimens. In a time-motion study, the ARIES assay required less hands-on time than illumigene, but with greater total testing time. Overall, these findings support the ARIES C. difficile Assay as a new option for laboratories in their diagnostic repertoire.
Assoc Clin Scientists
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