Abstract
We applied a reverse transcription (RT)-PCR assay for influenza A virus to combined nasal wash-throat swab specimens previously obtained from an outpatient pediatric population with acute respiratory illness during concurrent epidemics of influenza A virus and respiratory syncytial virus. The results of the RT-PCR assay were compared with those previously reported with virus cultivation and commercially available rapid diagnostic kits (E.A. Dominguez, L.H. Taber, and R.B. Couch, J. Clin. Microbiol. 31:2286-2290, 1993). With virus cultivation as the "gold standard", the RT-PCR assay had a sensitivity, specificity, and efficiency of 95, 98, and 97%, respectively, compared with 75, 100, and 93%, respectively, for the best diagnostic kit (Becton Dickinson Directigen). RT-PCR is an effective alternative to virus isolation for the detection of influenza A virus in clinical specimens.
Full Text
The Full Text of this article is available as a PDF (148.7 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Atmar R. L., Metcalf T. G., Neill F. H., Estes M. K. Detection of enteric viruses in oysters by using the polymerase chain reaction. Appl Environ Microbiol. 1993 Feb;59(2):631–635. doi: 10.1128/aem.59.2.631-635.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Atmar R. L., Neill F. H., Romalde J. L., Le Guyader F., Woodley C. M., Metcalf T. G., Estes M. K. Detection of Norwalk virus and hepatitis A virus in shellfish tissues with the PCR. Appl Environ Microbiol. 1995 Aug;61(8):3014–3018. doi: 10.1128/aem.61.8.3014-3018.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cherian T., Bobo L., Steinhoff M. C., Karron R. A., Yolken R. H. Use of PCR-enzyme immunoassay for identification of influenza A virus matrix RNA in clinical samples negative for cultivable virus. J Clin Microbiol. 1994 Mar;32(3):623–628. doi: 10.1128/jcm.32.3.623-628.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Claas E. C., Sprenger M. J., Kleter G. E., van Beek R., Quint W. G., Masurel N. Type-specific identification of influenza viruses A, B and C by the polymerase chain reaction. J Virol Methods. 1992 Sep;39(1-2):1–13. doi: 10.1016/0166-0934(92)90120-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Claas E. C., van Milaan A. J., Sprenger M. J., Ruiten-Stuiver M., Arron G. I., Rothbarth P. H., Masurel N. Prospective application of reverse transcriptase polymerase chain reaction for diagnosing influenza infections in respiratory samples from a children's hospital. J Clin Microbiol. 1993 Aug;31(8):2218–2221. doi: 10.1128/jcm.31.8.2218-2221.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dominguez E. A., Taber L. H., Couch R. B. Comparison of rapid diagnostic techniques for respiratory syncytial and influenza A virus respiratory infections in young children. J Clin Microbiol. 1993 Sep;31(9):2286–2290. doi: 10.1128/jcm.31.9.2286-2290.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Donofrio J. C., Coonrod J. D., Davidson J. N., Betts R. F. Detection of influenza A and B in respiratory secretions with the polymerase chain reaction. PCR Methods Appl. 1992 May;1(4):263–268. doi: 10.1101/gr.1.4.263. [DOI] [PubMed] [Google Scholar]
- Kwok S., Higuchi R. Avoiding false positives with PCR. Nature. 1989 May 18;339(6221):237–238. doi: 10.1038/339237a0. [DOI] [PubMed] [Google Scholar]
- Paton A. W., Paton J. C., Lawrence A. J., Goldwater P. N., Harris R. J. Rapid detection of respiratory syncytial virus in nasopharyngeal aspirates by reverse transcription and polymerase chain reaction amplification. J Clin Microbiol. 1992 Apr;30(4):901–904. doi: 10.1128/jcm.30.4.901-904.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schweiger B., Lange I., Heckler R., Willers H., Schreier E. Rapid detection of influenza A neuraminidase subtypes by cDNA amplification coupled to a simple DNA enzyme immunoassay. Arch Virol. 1994;139(3-4):439–444. doi: 10.1007/BF01310805. [DOI] [PubMed] [Google Scholar]
- Wright K. E., Wilson G. A., Novosad D., Dimock C., Tan D., Weber J. M. Typing and subtyping of influenza viruses in clinical samples by PCR. J Clin Microbiol. 1995 May;33(5):1180–1184. doi: 10.1128/jcm.33.5.1180-1184.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yamada A., Imanishi J., Nakajima E., Nakajima K., Nakajima S. Detection of influenza viruses in throat swab by using polymerase chain reaction. Microbiol Immunol. 1991;35(3):259–265. doi: 10.1111/j.1348-0421.1991.tb01555.x. [DOI] [PubMed] [Google Scholar]
- Ziegler T., Hall H., Sánchez-Fauquier A., Gamble W. C., Cox N. J. Type- and subtype-specific detection of influenza viruses in clinical specimens by rapid culture assay. J Clin Microbiol. 1995 Feb;33(2):318–321. doi: 10.1128/jcm.33.2.318-321.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]