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Development and evaluation of a multiplex conventional reverse-transcription polymerase chain reaction assay for detection of common viral pathogens causing acute gastroenteritis.
Diagnostic Microbiology and Infectious Disease ( IF 2.1 ) Pub Date : 2020-04-17 , DOI: 10.1016/j.diagmicrobio.2020.115061
Suvrotoa Mitra 1 , Mukti Kant Nayak 2 , Agniva Majumdar 3 , Avisek Sinha 1 , Soumyadipta Chatterjee 1 , Alok Deb 4 , Mamta Chawla-Sarkar 1 , Shanta Dutta 3
Affiliation  

Timely identification of etiological agents of enteric infections is necessary to reduce the burden of infantile diarrheal mortality. Nucleic acid amplification–based detection methods offer a quick, reliable way for diagnosis of microbes in clinical specimens. This study was undertaken to evaluate an easy-to-use, cost-effective multiplex conventional reverse-transcription polymerase chain reaction (RT-PCR) assay developed at the Indian Council of Medical Research–National Institute of Cholera and Enteric Diseases virology laboratory to identify 4 common enteric viruses (rotavirus, norovirus, adenovirus, astrovirus) in stool samples from patients who were being evaluated for acute diarrhea. On comparison with a commercially available real-time PCR method, significant agreement in sensitivity and specificity was observed. Though the turnaround time for RT-PCR was 6–8 h compared to 5–6 h for real-time PCR, the real-time PCR has high test cost (approximately 28 USD/2000 INR) for Fast-Track Diagnostics kit–based quantitative RT-PCR versus 6 USD or 400 INR for conventional multiplex RT-PCR/sample. Thus, the conventional RT-PCR method is expected to be adaptable at local hospitals and health cares in resource-poor settings.



中文翻译:

开发和评估用于检测引起急性胃肠炎的常见病毒病原体的多重常规逆转录聚合酶链反应测定法。

及时确定肠感染的病原体对于减轻婴儿腹泻死亡的负担是必要的。基于核酸扩增的检测方法提供了一种快速,可靠的方法来诊断临床标本中的微生物。这项研究的目的是评估一种易于使用,具有成本效益的多重常规逆转录聚合酶链反应(RT-PCR)分析方法,该方法是在印度医学研究理事会–霍乱和肠道疾病国家病毒学实验室实验室开发的,用于鉴定接受腹泻评估的患者粪便样本中有4种常见的肠病毒(轮状病毒,诺如病毒,腺病毒,星形病毒)。与可商购的实时PCR方法相比,在敏感性和特异性上有明显的一致性。尽管RT-PCR的周转时间为6-8小时,而实时PCR的周转时间为5-6小时,但基于Fast-Track Diagnostics套件的实时PCR的测试成本较高(约28 USD / 2000 INR)定量RT-PCR与常规多重RT-PCR /样品的6 USD或400 INR相比。因此,传统的RT-PCR方法有望在资源匮乏的地区适应当地的医院和医疗机构。

更新日期:2020-06-22
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