2018, Number 3
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Rev Cubana Med Trop 2018; 70 (3)
Introduction of new assays of real time polymerase's chain reaction for the diagnosis and surveillance of respiratory viruses
Martínez MMK, Piñón RA, Acosta HB, Valdés RO, Muné JM, Savón VC, Arencibia GA, González BG, González MG, Oropesa FS, Goyenechea HÁ, Hernández FB, Roque OR, Martínez AJ
Language: Spanish
References: 11
Page:
PDF size: 171.94 Kb.
ABSTRACT
Acute respiratory infections are the major cause of mortality and morbidity worldwide.
Respiratory viruses are the main causative agents of acute respiratory infections. Rapid
and accurate detection of these pathogens is critical for the treatment and prevention
of the diseases these viral agents can cause. Currently, molecular diagnostic methods
are useful tools for the virological detection of respiratory viruses due to its high
sensitivity, specificity and their speed in obtaining results. The objective of this study
was to introduce four multiplex real-time TR-RCP assays for the diagnosis and
surveillance of fifteen virus causing acute respiratory infections. 2 441 clinical
respiratory samples were processed in the period between September 2013 and April
2014 in the National Laboratory of Reference for Influenza Virus and other Respiratory
Viruses. There were analyzed 2 352 nasopharyngeal exudates, 77 bronchial aspirations
and 12 necropsy samples. Multiplex real-time TR-RCP was performed using TaqMan
primers and probes previously published. From the 2 441 clinical samples studied, 1
290 were positive for some of the respiratory viruses, which represent 52.85 %.
Syncytial respiratory virus was the most frequently detected virus (47.83 %), then
influenza viruses (19 %) and human rhinovirus (14.73 %). The introduction at the
National Reference Laboratory of the four multiplex real-time TR-RCP assays allows
updating the algorithm for the diagnosis and surveillance of respiratory viruses in
Cuba, as a contribution to the National Program for the Prevention and Control of
Acute Respiratory Infection.
REFERENCES
WHO. Prevención y control de enfermedades respiratorias agudas con tendencia epidémica y pandémica durante la atención sanitaria. Pautas de la OMS. WHO/CDS/EPR/20076. 2007.
Khor CS, Sam IC, Hooi PS, Quek KF, Chan YF. Epidemiology and seasonality of respiratory viral infections in hospitalized children in Kuala Lumpur, Malaysia: a retrospective study of 27 years. BMC Pediatr. 2012;12:32.
Bierbaum S, Forster J, Berner R, Rucker G, Rohde G, Neumann-Haefelin D, et al. Detection of respiratory viruses using a multiplex real-time PCR assay in Germany, 2009/10. Archives of Virology. 2014;159:669-76.
Acosta B, Piñón A, Valdés O, Savón C, Arencibía A, Guilarte E, et al. Rapid Diagnosis of Pandemic (H1N1) 2009 in Cuba. Emerging Infectious Diseases. 2012;18(2).
Brittain-Long R, Nord S, Olofsson S, Westin J, Anderson LM, Lindh M. Multiplex realtime PCR for detection of respiratory tract infections. Journal of Clinical Virology. 2008;41(1):53-6.
Bonroy C, Vankeerberghen A, Boel A, De Beenhouwer H. Use of a multiplex realtime PCR to study the incidence of human metapneumovirus and human respiratory syncytial virus infections during two winter seasons in a Belgian paediatric hospital. Clinical Microbiology and Infection. 2007;13(5):504-9.
Gunson R, Collins TC, Carman W. Real-time TR-RCP detection of 12 respiratory viral infections in four triplex reaction.s Journal of Clinical Virology. 2005;33:341-4.
Nair H, Nokes DJ, Gessner BD, Dherani M, Madhi SA, Singleton RJ, et al. Global burden of acute lower respiratory infections due to respiratory syncytial virus in young children: a systematic review and meta-analysis. Lancet. 2010;375:1545-55.
van Gageldonk-Lafeber AB, Heijnen ML, Bartelds AI, Peters MF, van der Plas SM, Wilbrink B. A case-control study of acute respiratory tract infection in general practice patients in The Netherlands. Clin Infect Dis. 2005;41(4):490-7.
Savon C, Valdes O, Acosta B, Gonzalez G, Piñón A, Gonzalez G, et al. Infección por rinovirus en niños hospitalizados menores de un año. Cuba 2006. Rev Biomed. 2008;19:122-3.
OPS. Actualización Regional sobre Influenza y otros virus respiratorios. 2014 [citado 20 sept 2017]. Disponible en: http://www.paho.org/reportesinfluenza