[1] Univ Nebraska Med Ctr, Dept Pathol & Microbiol, Omaha, NE 68198 USA
[2] Univ Nebraska Med Ctr, Dept Internal Med, Omaha, NE USA
[3] Univ Nebraska Omaha, Coll Informat Sci & Technol, Omaha, NE USA
[4] Ctr Dis Control & Prevent, Div Lab Sci & Stand, Atlanta, GA USA
[5] Nebraska Dept Hlth & Human Serv, Lincoln, NE USA