Gray J J, Green J, Cunliffe C, Gallimore C, Lee J V, Neal K, Brown D W
Clinical Microbiology and Public Health Laboratory, Addenbrooke's Hospital, Cambridge, UK.
J Med Virol. 1997 Aug;52(4):425-9.
Samples of faeces collected from a party of canoeists involved in a gastroenteritis outbreak were examined by electron microscopy and RT-PCR for evidence of infection with SRSVs. A broadly reactive primer pair was used to detect SRSVs followed by application of genogroup-specific primers to SRSV-positive specimens. Exposure data were collected by means of a questionnaire. SRSVs were detected in 1/4 specimens examined by EM and 3/4 by RT-PCR. Genogrouping, and sequencing of PCR products revealed two distinct strains: a genogroup I strain, related to the Desert Shield virus, and a genogroup II strain, related to the Lordsdale virus to be associated with the outbreak. Exposure data indicated that capsising and eating food before getting changed were associated with an increased risk of gastroenteritis and was consistent with infection following the consumption of contaminated water. This study confirms the greater sensitivity of RT-PCR for the diagnosis of SRSV infections and its utility, when incorporating genogroup-specific primers, in establishing more complex epidemiological data.
从一群患肠胃炎的划独木舟者身上采集粪便样本,通过电子显微镜和逆转录聚合酶链反应(RT-PCR)检测是否感染了小圆病毒(SRSV)。使用一对具有广泛反应性的引物检测SRSV,随后对SRSV阳性样本应用基因群特异性引物。通过问卷调查收集暴露数据。在通过电子显微镜检查的1/4样本和通过RT-PCR检查的3/4样本中检测到了SRSV。对PCR产物进行基因分型和测序,发现了两种不同的毒株:一种是与沙漠盾牌病毒相关的基因群I毒株,另一种是与洛兹代尔病毒相关的基因群II毒株,它们与此次疫情有关。暴露数据表明,翻船以及换衣服前吃东西会增加患肠胃炎的风险,这与饮用受污染水后感染的情况相符。这项研究证实了RT-PCR在诊断SRSV感染方面具有更高的灵敏度,并且在结合基因群特异性引物时,对于建立更复杂的流行病学数据具有实用价值。