Abstract
We determined the efficacy of PCR for the direct detection of infectious cytomegalovirus (CMV) in specimen-inoculated MRC-5 tube cultures (cell culture-PCR [CC-PCR]). Parallel testing was performed by a shell vial assay-indirect immunofluorescence assay (SVA-IFA) and isolation (conventional MRC tube cultures [TC-CPE]. The sensitivity, specificity, and positive and negative predictive values for CC-PCR, SVA-IFA, and TC-CPE were 81, 99, 94, and 94%, 86, 100, 100, and 96%, and 77, 100, 100, and 93%, respectively. Future application of CC-PCR may be directed toward its use as a screening tool for cytomegalovirus genotypic variants.
Full Text
The Full Text of this article is available as a PDF (163.0 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bower M., Barton S. E., Nelson M. R., Bobby J., Smith D., Youle M., Gazzard B. G. The significance of the detection of cytomegalovirus in the bronchoalveolar lavage fluid in AIDS patients with pneumonia. AIDS. 1990 Apr;4(4):317–320. doi: 10.1097/00002030-199004000-00005. [DOI] [PubMed] [Google Scholar]
- Chou S. W. Reactivation and recombination of multiple cytomegalovirus strains from individual organ donors. J Infect Dis. 1989 Jul;160(1):11–15. doi: 10.1093/infdis/160.1.11. [DOI] [PubMed] [Google Scholar]
- Chou S. Effect of interstrain variation on diagnostic DNA amplification of the cytomegalovirus major immediate-early gene region. J Clin Microbiol. 1992 Sep;30(9):2307–2310. doi: 10.1128/jcm.30.9.2307-2310.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Delgado R., Lumbreras C., Alba C., Pedraza M. A., Otero J. R., Gómez R., Moreno E., Noriega A. R., Payá C. V. Low predictive value of polymerase chain reaction for diagnosis of cytomegalovirus disease in liver transplant recipients. J Clin Microbiol. 1992 Jul;30(7):1876–1878. doi: 10.1128/jcm.30.7.1876-1878.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fernando S., Booth J., Boriskin Y., Butcher P., Carrington D., Steel H., Tryhorn Y., Corbishley C., Keeling P., Murday A. Association of cytomegalovirus infection with post-transplantation cardiac rejection as studied using the polymerase chain reaction. J Med Virol. 1994 Apr;42(4):396–404. doi: 10.1002/jmv.1890420412. [DOI] [PubMed] [Google Scholar]
- Gerna G., Zipeto D., Parea M., Revello M. G., Silini E., Percivalle E., Zavattoni M., Grossi P., Milanesi G. Monitoring of human cytomegalovirus infections and ganciclovir treatment in heart transplant recipients by determination of viremia, antigenemia, and DNAemia. J Infect Dis. 1991 Sep;164(3):488–498. doi: 10.1093/infdis/164.3.488. [DOI] [PubMed] [Google Scholar]
- Lipson S. M., Kaplan M. H., Simon J. K., Ciamician Z., Tseng L. F. Improved detection of cytomegalovirus viremia in AIDS patients using shell vial and indirect immunoperoxidase methodologies. J Med Virol. 1992 Sep;38(1):36–43. doi: 10.1002/jmv.1890380109. [DOI] [PubMed] [Google Scholar]
- Lipson S. M., Kaplan M. H., Tseng L. F., Mandel F. S. Use of the cytomegalovirus antigenemia (CMV-Ag) assay for the detection of CMV in the blood of AIDS patients. Can J Microbiol. 1993 Nov;39(11):1059–1065. doi: 10.1139/m93-160. [DOI] [PubMed] [Google Scholar]
- Lipson S. M., Zelinsky-Papez K. A. Comparison of four latex agglutination (LA) and three enzyme-linked immunosorbent assays (ELISA) for the detection of rotavirus in fecal specimens. Am J Clin Pathol. 1989 Nov;92(5):637–643. doi: 10.1093/ajcp/92.5.637. [DOI] [PubMed] [Google Scholar]
- Miller M. J., Bovey S., Pado K., Bruckner D. A., Wagar E. A. Application of PCR to multiple specimen types for diagnosis of cytomegalovirus infection: comparison with cell culture and shell vial assay. J Clin Microbiol. 1994 Jan;32(1):5–10. doi: 10.1128/jcm.32.1.5-10.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Patel R., Smith T. F., Espy M., Wiesner R. H., Krom R. A., Portela D., Paya C. V. Detection of cytomegalovirus DNA in sera of liver transplant recipients. J Clin Microbiol. 1994 Jun;32(6):1431–1434. doi: 10.1128/jcm.32.6.1431-1434.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Smith K. L., Kulski J. K., Cobain T., Dunstan R. A. Detection of cytomegalovirus in blood donors by the polymerase chain reaction. Transfusion. 1993 Jun;33(6):497–503. doi: 10.1046/j.1537-2995.1993.33693296813.x. [DOI] [PubMed] [Google Scholar]
- Spector S. A., Merrill R., Wolf D., Dankner W. M. Detection of human cytomegalovirus in plasma of AIDS patients during acute visceral disease by DNA amplification. J Clin Microbiol. 1992 Sep;30(9):2359–2365. doi: 10.1128/jcm.30.9.2359-2365.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wahl G. M., Meinkoth J. L., Kimmel A. R. Northern and Southern blots. Methods Enzymol. 1987;152:572–581. doi: 10.1016/0076-6879(87)52064-x. [DOI] [PubMed] [Google Scholar]
