de la Iglesia P, Melón S, López B, Rodriguez M, Blanco M I, Mellado P, de Oña M
Laboratorio de Virología, Servicio de Microbiologia, Hospital, Asturias, Spain.
J Clin Microbiol. 1998 Aug;36(8):2389-91. doi: 10.1128/JCM.36.8.2389-2391.1998.
The susceptibility of human herpes simplex virus (HSV) to acyclovir (ACV) was determined with the use of a single dose of the drug (1 and 2 micrograms of ACV per ml for HSV-1 and HSV-2, respectively) in two rapid assays: a rapid cytopathic effect inhibitory assay (Rapid CIA) and a rapid dye uptake assay (Rapid DUA). These tests allow the simultaneous determination of virus titer and susceptibility to ACV at a determined viral concentration (100 50% tissue culture infective doses and 100 50% dye uptake units). These tests were compared with a conventional susceptibility assay (dye uptake assay) and showed similar results. Indeterminate results with the Rapid CIA appeared in 3 of 30 samples. With the use of both Rapid CIA and Rapid DUA, we were able to determine the susceptibility of 100% of the isolates. The rapid tests, unlike conventional assays, are able to provide susceptibility results within 3 days after the virus has been isolated from a clinical specimen and could thus play a direct role in therapeutic decisions.
使用单剂量药物(分别针对单纯疱疹病毒1型和2型,每毫升含1微克和2微克阿昔洛韦),通过两种快速检测方法来测定人单纯疱疹病毒(HSV)对阿昔洛韦(ACV)的敏感性:快速细胞病变效应抑制检测法(快速CIA)和快速染料摄取检测法(快速DUA)。这些检测方法可在确定的病毒浓度(100个50%组织培养感染剂量和100个50%染料摄取单位)下同时测定病毒滴度和对阿昔洛韦的敏感性。将这些检测方法与传统敏感性检测法(染料摄取检测法)进行比较,结果相似。30个样本中有3个样本的快速CIA结果不确定。同时使用快速CIA和快速DUA,我们能够确定100%分离株的敏感性。与传统检测方法不同,快速检测方法能够在从临床标本中分离出病毒后的3天内提供敏感性结果,因此可以在治疗决策中发挥直接作用。