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Improved detection of respiratory viruses in pediatric outpatients with acute respiratory illness by real-time PCR using nasopharyngeal flocked swabs
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Munywoki, Patrick, Hamid, Fauzat, Mutunga, Martin, Welch, Steve, Cane, Patricia and Nokes, D. James. (2011) Improved detection of respiratory viruses in pediatric outpatients with acute respiratory illness by real-time PCR using nasopharyngeal flocked swabs. Journal of Clinical Microbiology, Vol.49 (No.9). pp. 3365-3367. ISSN 0095-1137
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Official URL: http://dx.doi.org/10.1128/JCM.02231-10
Abstract
Detection of respiratory viruses by realtime multiplexed PCR (M-PCR) and of RSV by M-PCR and immunofluorescence(IF) was evaluated using specimens collected by nasopharyngeal flocked swab(NFS) and nasal wash(NW). In children with mild respiratory illness, NFS collection was superior to NW collection for detection of viruses by M-PCR (sensitivity 89.6% vs 79.2%, P=0.0043). NFS collection was non-inferior to NW collection in detecting RSV by IF.
| Item Type: | Journal Article |
|---|---|
| Subjects: | R Medicine > RC Internal medicine R Medicine > RJ Pediatrics |
| Divisions: | Faculty of Science > Life Sciences (2010- ) |
| Library of Congress Subject Headings (LCSH): | Respiratory infections in children -- Diagnosis, Polymerase chain reaction, Diagnostic specimens -- Methodology |
| Journal or Publication Title: | Journal of Clinical Microbiology |
| Publisher: | American Society for Microbiology |
| ISSN: | 0095-1137 |
| Date: | 20 July 2011 |
| Volume: | Vol.49 |
| Number: | No.9 |
| Page Range: | pp. 3365-3367 |
| Identification Number: | 10.1128/JCM.02231-10 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Restricted or Subscription Access |
| Funder: | Bill & Melinda Gates Foundation, Wellcome Trust (London, England) |
| Grant number: | 076278 (WT), 090853 (WT) |
| References: | 1. Abu-Diab, A., M. Azzeh, R. Ghneim, R. Ghneim, M. Zoughbi, S. Turkuman, N. Rishmawi, A. E. Issa, I. Siriani, R. Dauodi, R. Kattan, and M. Y. Hindiyeh. 2008. Comparison between pernasal flocked swabs and nasopharyngeal aspirates for detection of common respiratory viruses in samples from children. J Clin Microbiol 46:2414-7. 2. Ahmed, A., M. F. Engelberts, K. R. Boer, N. Ahmed, and R. A. Hartskeerl. 2009. Development and validation of a real-time PCR for detection of pathogenic leptospira species in clinical materials. PLoS One 4:e7093. 3. Berkley, J. A., P. Munywoki, M. Ngama, S. Kazungu, J. Abwao, A. Bett, R. Lassauniere, T. Kresfelder, P. A. Cane, M. Venter, J. A. G. Scott, and D. J. Nokes. 2010. Viral Etiology of Severe Pneumonia Among Kenyan Infants and Children. JAMA 303:2051-2057. 4. Chan, K. H., J. S. Peiris, W. Lim, J. M. Nicholls, and S. S. Chiu. 2008. Comparison of nasopharyngeal flocked swabs and aspirates for rapid diagnosis of respiratory viruses in children. J Clin Virol 42:65-9. 5. Forgie, I. M., K. P. O'Neill, N. Lloyd-Evans, M. Leinonen, H. Campbell, H. C. Whittle, and B. M. Greenwood. 1991. Etiology of acute lower respiratory tract infections in Gambian children: I. Acute lower respiratory tract infections in infants presenting at the hospital. Pediatr Infect Dis J 10:33-41. 6. Gunson, R. N., T. C. Collins, and W. F. Carman. 2005. Real-time RT-PCR detection of 12 respiratory viral infections in four triplex reactions. J Clin Virol 33:341-4. 7. Hall, C. B., and R. G. Douglas, Jr. 1975. Clinically useful method for the isolation of respiratory syncytial virus. J Infect Dis 131:1-5. 8. Hammitt, L. L., S. Kazungu, S. Welch, A. Bett, C. O. Onyango, R. N. Gunson, J. A. Scott, and D. J. Nokes. 2011. Added value of an oropharyngeal swab in detection of viruses in children hospitalized with lower respiratory tract infection. J Clin Microbiol. 9. Macfarlane, P., J. Denham, J. Assous, and C. Hughes. 2005. RSV testing in bronchiolitis: which nasal sampling method is best? Arch Dis Child 90:634-5. 10. Meerhoff, T. J., M. L. Houben, F. E. Coenjaerts, J. L. Kimpen, R. W. Hofland, F. Schellevis, and L. J. Bont. 2010. Detection of multiple respiratory pathogens during primary respiratory infection: nasal swab versus nasopharyngeal aspirate using real time polymerase chain reaction. Eur J Clin Microbiol Infect Dis 29:365-71. 11. Nair, H., D. J. Nokes, B. D. Gessner, M. Dherani, S. A. Madhi, R. J. Singleton, K. L. O'Brien, A. Roca, P. F. Wright, N. Bruce, A. Chandran, E. Theodoratou, A. Sutanto, E. R. Sedyaningsih, M. Ngama, P. K. Munywoki, C. Kartasasmita, E. A. Simoes, I. Rudan, M. W. Weber, and H. Campbell. 2010. Global burden of acute lower respiratory infections due to respiratory syncytial virus in young children: a systematic review and meta-analysis. Lancet 375:1545-55. 12. Ngama, M. J., B. Ouma, M. E. English, and D. J. Nokes. 2004. Comparison of three methods of collecting nasal specimens for respiratory virus analysis. East Afr Med J 81:313-7. 13. Nokes, D. J., E. A. Okiro, M. Ngama, R. Ochola, L. J. White, P. D. Scott, M. English, P. A. Cane, and G. F. Medley. 2008. Respiratory syncytial virus infection and disease in infants and young children observed from birth in Kilifi District, Kenya. Clin Infect Dis 46:50-7. 14. Ohrmalm, L., M. Wong, M. Rotzen-Ostlund, O. Norbeck, K. Broliden, and T. Tolfvenstam. 2010. Flocked nasal swab versus nasopharyngeal aspirate for detection of respiratory tract viruses in immunocompromised adults: a matched comparative study. BMC Infect Dis 10:340. 15. WHO. 2006. Collecting, preserving and shipping specimens for the diagnosis of avian influenza A(H5N1) virus infection: Guide for field operations, p. 42, Viral transport media (VTM). http://www.who.int/csr/resources/publications/surveillance/WHO_CDS_EPR_ARO_ 2006_1.pdf; Last accessed on 28/04/2011;WHO. |
| URI: | http://wrap.warwick.ac.uk/id/eprint/39441 |
Data sourced from Thomson Reuters' Web of Knowledge
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