Skip to main content
Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1989 Jul;27(7):1502–1505. doi: 10.1128/jcm.27.7.1502-1505.1989

Multisite evaluation of a monoclonal antibody reagent (Syva) for rapid diagnosis of cytomegalovirus in the shell vial assay.

D J Jespersen 1, W L Drew 1, C A Gleaves 1, J D Meyers 1, A L Warford 1, T F Smith 1
PMCID: PMC267603  PMID: 2549087

Abstract

A pre-cytopathic effect (CPE) monoclonal antibody reagent (Syva Co., Palo Alto, Calif.) was evaluated in four laboratories for the rapid detection of cytomegalovirus (CMV) in shell vial cell cultures at 16 to 24 h and 40 to 48 h postinoculation. Results were compared with those obtained by inoculation of the specimen into conventional tube cell cultures that were examined for the presence of typical CMV CPE and subsequently tested by reaction with the monoclonal antibody reagent in an indirect immunofluorescence test. Of 937 specimens, CMV was positive in 184 (20%). CMV was detected twice as frequently in shell vials only (n = 29) as in conventional tube cell cultures (n = 14). Pre-CPE shell vial assay was 91% sensitive (range, 84 to 98%) and 96% specific (range, 93 to 98%) compared with the detection of CPE in conventional tube cell cultures. Overall, 137 of 166 (83%) and 143 of 166 (86%) of the CMV strains were detected at 16 to 24 h and 40 to 48 h postinoculation, respectively. The Syva reagent produced sensitive and specific results for the rapid detection of CMV infection in shell vial cell cultures and reliably confirmed the presence of the virus as detected by CPE in conventional tube cell cultures.

Full text

PDF
1505

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alpert G., Mazeron M. C., Colimon R., Plotkin S. Rapid detection of human cytomegalovirus in the urine of humans. J Infect Dis. 1985 Sep;152(3):631–633. doi: 10.1093/infdis/152.3.631. [DOI] [PubMed] [Google Scholar]
  2. DeGirolami P. C., Dakos J., Eichelberger K., Mills L. S., DeLuca A. M. Rapid detection of cytomegalovirus in clinical specimens by immunofluorescent staining of shell vial cultures. Am J Clin Pathol. 1988 Apr;89(4):528–532. doi: 10.1093/ajcp/89.4.528. [DOI] [PubMed] [Google Scholar]
  3. Drew W. L. Cytomegalovirus infection in patients with AIDS. J Infect Dis. 1988 Aug;158(2):449–456. doi: 10.1093/infdis/158.2.449. [DOI] [PubMed] [Google Scholar]
  4. Gleaves C. A., Reed E. C., Hackman R. C., Meyers J. D. Rapid diagnosis of invasive cytomegalovirus infection by examination of tissue specimens in centrifugation culture. Am J Clin Pathol. 1987 Sep;88(3):354–358. doi: 10.1093/ajcp/88.3.354. [DOI] [PubMed] [Google Scholar]
  5. Gleaves C. A., Smith T. F., Shuster E. A., Pearson G. R. Comparison of standard tube and shell vial cell culture techniques for the detection of cytomegalovirus in clinical specimens. J Clin Microbiol. 1985 Feb;21(2):217–221. doi: 10.1128/jcm.21.2.217-221.1985. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Gleaves C. A., Smith T. F., Shuster E. A., Pearson G. R. Rapid detection of cytomegalovirus in MRC-5 cells inoculated with urine specimens by using low-speed centrifugation and monoclonal antibody to an early antigen. J Clin Microbiol. 1984 Jun;19(6):917–919. doi: 10.1128/jcm.19.6.917-919.1984. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Goldstein L. C., McDougall J., Hackman R., Meyers J. D., Thomas E. D., Nowinski R. C. Monoclonal antibodies to cytomegalovirus: rapid identification of clinical isolates and preliminary use in diagnosis of cytomegalovirus pneumonia. Infect Immun. 1982 Oct;38(1):273–281. doi: 10.1128/iai.38.1.273-281.1982. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Ho W. Z., Plotkin S. A. Rapid detection of cytomegalovirus infections by a tissue culture-centrifugation-monoclonal antibody-biotin/avidin immunofluorescence technique. Mol Cell Probes. 1987 Mar;1(1):83–93. doi: 10.1016/0890-8508(87)90009-0. [DOI] [PubMed] [Google Scholar]
  9. Meyers J. D. Management of cytomegalovirus infection. Am J Med. 1988 Aug 29;85(2A):102–106. [PubMed] [Google Scholar]
  10. Paya C. V., Wold A. D., Smith T. F. Detection of cytomegalovirus infections in specimens other than urine by the shell vial assay and conventional tube cell cultures. J Clin Microbiol. 1987 May;25(5):755–757. doi: 10.1128/jcm.25.5.755-757.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Phillips P. A., Bucens M. R. Rapid diagnosis of cytomegalovirus infection by immunofluorescent detection of early antigen in cell culture. Med J Aust. 1987 Dec 7;147(11-12):552–554. doi: 10.5694/j.1326-5377.1987.tb133682.x. [DOI] [PubMed] [Google Scholar]
  12. Randazzo D. N., Michalski F. J. Comparison of antibodies for rapid detection of cytomegalovirus. J Clin Microbiol. 1988 Feb;26(2):369–370. doi: 10.1128/jcm.26.2.369-370.1988. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Schirm J., Timmerije W., van der Bij W., The T. H., Wilterdink J. B., Tegzess A. M., van Son W. J., Schröder F. P. Rapid detection of infectious cytomegalovirus in blood with the aid of monoclonal antibodies. J Med Virol. 1987 Sep;23(1):31–40. doi: 10.1002/jmv.1890230105. [DOI] [PubMed] [Google Scholar]
  14. Singh N., Dummer J. S., Kusne S., Breinig M. K., Armstrong J. A., Makowka L., Starzl T. E., Ho M. Infections with cytomegalovirus and other herpesviruses in 121 liver transplant recipients: transmission by donated organ and the effect of OKT3 antibodies. J Infect Dis. 1988 Jul;158(1):124–131. doi: 10.1093/infdis/158.1.124. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Swenson P. D., Kaplan M. H. Comparison of two rapid culture methods for detection of cytomegalovirus in clinical specimens. J Clin Microbiol. 1987 Dec;25(12):2445–2446. doi: 10.1128/jcm.25.12.2445-2446.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Thiele G. M., Bicak M. S., Young A., Kinsey J., White R. J., Purtilo D. T. Rapid detection of cytomegalovirus by tissue culture, centrifugation, and immunofluorescence with a monoclonal antibody to an early nuclear antigen. J Virol Methods. 1987 Jul;16(4):327–338. doi: 10.1016/0166-0934(87)90018-8. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Clinical Microbiology are provided here courtesy of American Society for Microbiology (ASM)

RESOURCES