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Utility of Saliva for Detecting Influenza A Virus by cost effective extraction free SYBR Green-Based PCR
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  • Jabiya Eliza Varughese,
  • Anjali Anne Jacob,
  • Ani Thambi,
  • Jijo Joseph,
  • Alice David,
  • Grace Mary John,
  • Cleetus Cherupanakkal
Jabiya Eliza Varughese
Believers Church Medical College Hospital
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Anjali Anne Jacob
Believers Church Medical College Hospital
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Ani Thambi
Believers Church Medical College Hospital
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Jijo Joseph
Believers Church Medical College Hospital
Alice David
Believers Church Medical College Hospital
Grace Mary John
Believers Church Medical College Hospital
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Cleetus Cherupanakkal
Believers Church Medical College Hospital

Corresponding Author:cleetusc@bcmch.edu.in

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Abstract

Respiratory specimens collected via nasopharyngeal and throat swabs are the recommended method of choice for the molecular detection of the Influenza A virus. However, they often cause discomfort to patients and require trained healthcare workers. This study aimed to validate a cost-effective nucleic acid extraction-free PCR method using SYBR-Green chemistry with saliva samples to diagnose respiratory illnesses caused by Influenza A viruses. This study enrolled symptomatic pediatric and adult patients with influenza-like illness. A SYBR-Green based nucleic acid amplification test was used with CDC-recommended primers specific for detecting Influenza A viruses. Results from saliva PCR tests were compared with those of standard TaqMan chemistry-based PCR detection from nasopharyngeal swabs. The sensitivities of saliva PCR tests with and without nucleic acid extraction were 83% and 82%, respectively. Both the methods showed a specificity of 98%. Overall, the sensitivity and specificity of saliva as a sample using the developed SYBR-Green-based PCR for Influenza A virus detection were 90% and 98%, respectively. Given the high sensitivity, specificity, positive and negative predictive values, likelihood ratios, agreement percentage, and kappa statistics, this study concluded that saliva is a potential specimen for diagnosing Influenza A virus infection by extraction free nucleic acid amplification testing.
24 Oct 2024Submitted to Journal of Medical Virology
25 Oct 2024Submission Checks Completed
25 Oct 2024Assigned to Editor
25 Oct 2024Review(s) Completed, Editorial Evaluation Pending
30 Oct 2024Reviewer(s) Assigned