Alvarez Vega M, Guzmán Tirado M G, Más Lago P
Rev Cubana Med Trop. 1989 Sep-Dec;41(3):385-97.
Two methods for the diagnosis of rotavirus are compared with 120 stool samples from children under two years of age who had been hospitalized in Centro Habana Children's Hospital with a clinical diagnosis of acute diarrheal disease and 30 samples of healthy children of the same age group who served as controls. The methods used were latex agglutination (Rotalex, commercially-available kit from ORION DIAGNOSTIC ESPOO, Finland) and polyacrylamide gel electrophoresis. Electronic microscopy was used to define those cases whose results did not coincide with the previous techniques. Comparison was made based on the sensitivity and specificity, cost and easiness of performance. Rotalex was less specific but more sensitive than electrophoresis in polyacrylamide gel. The latter is less expensive, since reactants are available at a lower price in dollars and have no expiration date, is very useful in epidemiologic and outbreak studies, since it detects subgroups of circulating rotavirus and it is a painstaking technique (1-20 samples in 10 hours). Rotalex is simple, rapid (1-20 samples in 30 minutes) and allows individual determinations; therefore, we consider its application in hospitals is feasible.
对两种轮状病毒诊断方法进行了比较。研究采用了来自哈瓦那市中心儿童医院120份两岁以下因急性腹泻疾病住院儿童的粪便样本,以及30份来自同一年龄组健康儿童的样本作为对照。所使用的方法为乳胶凝集试验(Rotalex,一种来自芬兰奥立安诊断公司(ORION DIAGNOSTIC ESPOO)的市售试剂盒)和聚丙烯酰胺凝胶电泳。电子显微镜用于确定那些结果与先前技术不一致的病例。基于敏感性、特异性、成本和操作简易性进行了比较。Rotalex的特异性低于聚丙烯酰胺凝胶电泳,但敏感性更高。后者成本更低,因为反应物以美元计价格更低且没有保质期,在流行病学和疫情研究中非常有用,因为它能检测出流行的轮状病毒亚群,不过这是一项耗时的技术(10小时内检测1 - 20个样本)。Rotalex操作简单、快速(30分钟内检测1 - 20个样本)且可进行单个检测;因此,我们认为它在医院中的应用是可行的。