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1 Universita degli Studi di Milano;
2 Department of Maternal and Pediatric Sciences, Universita degli Studi di Milano
3 E-mail: nicola.principi{at}unimi.it
Received August 14, 2009
Accepted October 3, 2009
This study compared a kit containing a nasopharyngeal nylon flocked swab and a tube with a liquid universal transport medium (UTM) with a kit containing a plastic shafted rayon budded swab with a sponge reservoir of viral transport medium for the molecular detection of influenza viruses in children. Respiratory samples were collected from 314 children aged <5 yrs with influenza-like illness (186 males; mean age, 2.32 ± 2.27 yrs) using both swabs in a randomised sequence for each patient. The flocked swabs permitted to detect 28 influenza A (8.9%) and 45 influenza B cases (14.3%), and the rayon bud swabs 26 influenza A (8.2%) and 43 influenza B cases (13.7%), with detection rates of respectively 23.2% and 21.9%, and similar cycle threshold values. Pediatricians and laboratory staff were significantly more satisfied with both the simplicity (p<0.0001) and rapidity (p<0.0001) of the nasopharyngeal flocked swabs with UTM. These findings show that the flocked swabs with UTM and the rayon bud swabs with a sponge transport medium are similarly efficient in preserving influenza viruses nucleic acid, but the kit containing a flocked swab with a UTM allows the easier and more rapid collection and processing of specimens.
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