TABLE 5

Comparison of Types of Influenza Diagnostic Tests

Influenza Diagnostic TestMethodAvailabilityTypical Processing TimeSensitivityDistinguishing Subtype Strains of Influenza ACost
Rapid influenza diagnostic tests Antigen detection Wide <30 min 10%–80% No 
Direct and indirect immunofluorescence assays Antigen detection Wide 1–4 h 70%–100% No 
Viral cell culture Virus isolation Limited 3–10 d 100% Yes $$ 
Rapid cell culture (shell vials and cell mixtures) Virus isolation Limited 1–3 d 100% Yes $$ 
Nucleic acid amplification tests (including rRT-PCR) RNA detection Limited 1–6 h 86%–100% Yes $$$ 
Rapid influenza molecular assays RNA detection Wide <15 min 86%–100% No $$$ 
Influenza Diagnostic TestMethodAvailabilityTypical Processing TimeSensitivityDistinguishing Subtype Strains of Influenza ACost
Rapid influenza diagnostic tests Antigen detection Wide <30 min 10%–80% No 
Direct and indirect immunofluorescence assays Antigen detection Wide 1–4 h 70%–100% No 
Viral cell culture Virus isolation Limited 3–10 d 100% Yes $$ 
Rapid cell culture (shell vials and cell mixtures) Virus isolation Limited 1–3 d 100% Yes $$ 
Nucleic acid amplification tests (including rRT-PCR) RNA detection Limited 1–6 h 86%–100% Yes $$$ 
Rapid influenza molecular assays RNA detection Wide <15 min 86%–100% No $$$ 

Adapted from the Centers for Disease Control and Prevention (CDC). Guidance for clinicians on the use of rapid influenza diagnostic tests. Available at: www.cdc.gov/flu/professionals/diagnosis/clinician_guidance_ridt.htm. Accessed June 30, 2015.

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