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Address correspondence to Dr. Steven J. Drews, Ministry of Health and Long-Term Care, Public Health Laboratories Branch, 81 Resources Rd., Etobicoke, Ontario M9P 3T1, Canada; tel 416 235 5703; fax 416 235 6550; e-mail steven. drews{at}ontario.ca.
The Seeplex® RV Detection kit was used to identify specific respiratory viruses from specimens collected during respiratory outbreaks in the Greater Toronto Area from 1 September 2007 to 1 February 2008. Two hundred-thirty-one patient samples (nasopharyngeal swabs) were collected from 63 respiratory outbreaks. The distribution of outbreaks characterized by molecular means was: 30% (n = 19) no identification; 52.5% (n = 33) one pathogen; 14.5% (n = 9) two pathogens; and 3% (n = 2) three pathogens. In contrast, culture-based protocols identified pathogens in fewer outbreaks: 63 % (n = 40) no identification; 35% (n = 22) 1 pathogen; and 2% (n = 1) 2 pathogens (p < 0.05). Compared to virus isolation, molecular testing identified a greater proportion of positive specimens for rhinovirus: 22% (n = 51/231) vs 5% (n = 12/231) (p = 0.01); and RSV A/B: 12% (n = 27/231) vs 5% (n = 11/231) (p < 0.05). Superiority of the molecular assay to detect rhinovirus and RSV outbreaks compared to culture is evident from this study.
Keywords: respiratory viruses, multiplex RT-PCR, viral culture, infection surveillance, rhinovirus, RSV
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S. Bolotin, C. De Lima, K.-W. Choi, E. Lombos, L. Burton, T. Mazzulli, and S. J. Drews Validation of the TaqMan Influenza A Detection Kit and a Rapid Automated Total Nucleic Acid Extraction Method to Detect Influenza A Virus in Nasopharyngeal Specimens Ann. Clin. Lab. Sci., January 1, 2009; 39(2): 155 - 159. [Abstract] [Full Text] [PDF] |
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