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评估 RIDA®GENE RT-PCR 检测法在瑞士成年人粪便样本中检测诺如病毒、星状病毒、腺病毒和轮状病毒的效果。

Evaluation of the RIDA®GENE RT-PCR assays for detection of sapovirus, astrovirus, adenovirus, and rotavirus in stool samples of adults in Switzerland.

机构信息

Institute of Medical Virology, University of Zurich, Zurich, Switzerland.

Division of Infectious Diseases and Hospital Epidemiology, University Children's Hospital Zurich, Zurich, Switzerland.

出版信息

Diagn Microbiol Infect Dis. 2020 Feb;96(2):114924. doi: 10.1016/j.diagmicrobio.2019.114924. Epub 2019 Nov 7.

Abstract

Sapovirus (SaV) and astrovirus (AstV) increasingly are recognized as cause of acute viral gastroenteritis (AGE). We evaluated the real-time RT-PCR assays RIDA®GENE SaV and viral stool panel II (RGN RT-PCR) for detection of SaV, AstV, adenovirus (AdV) F40/41 and rotavirus (RoV) in clinical stool samples (n = 69). Results were compared with reference singleplex RT-PCRs. The sensitivity for SaV, AstV and RoV are 100%, the specificity ranges from 98.1% to 100%. In 10 out of 11 AdV (all types) samples, the RGN RT-PCR for AdV F40/41 displayed negative results. Retrospectively, 196 stool specimens from adult patients previously tested negative for norovirus (NoV) were analyzed. In about 10% of NoV-negative stool samples, AdV (n = 9), RoV (n = 6), AstV (n = 3) or SaV (n = 3) were found. The RGN RT-PCR assays are useful for detection of enteric viruses other than NoV. This study emphasizes the need for further testing of NoV-negative stool samples in patients with AGE.

摘要

肠道病毒(SaV)和星状病毒(AstV)越来越被认为是急性病毒性胃肠炎(AGE)的病因。我们评估了实时 RT-PCR 检测试剂盒 RIDA®GENE SaV 和病毒粪便组套 II(RGN RT-PCR)在临床粪便样本(n=69)中检测 SaV、AstV、腺病毒(AdV)F40/41 和轮状病毒(RoV)的能力。结果与参考的单重 RT-PCR 进行了比较。SaV、AstV 和 RoV 的灵敏度为 100%,特异性范围为 98.1%至 100%。在 11 个 AdV(所有类型)样本中的 10 个中,RGN RT-PCR 对 AdV F40/41 显示阴性结果。回顾性分析了先前检测诺如病毒(NoV)为阴性的 196 份成人患者粪便标本。在约 10%的 NoV 阴性粪便样本中,发现了 AdV(n=9)、RoV(n=6)、AstV(n=3)或 SaV(n=3)。RGN RT-PCR 检测试剂盒对于检测除 NoV 以外的肠道病毒非常有用。本研究强调了对 AGE 患者的 NoV 阴性粪便样本进行进一步检测的必要性。

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