Cent Eur J Public Health 2008, 16(2):59-64 | DOI: 10.21101/cejph.a3443
Polymerase Chain Reaction (PCR) - an Efficient Tool for Diagnosis of Influenza and Acute Respiratory Illnesses During Influenza Season
- 1 Regional Authority of Public Health Banská Bystrica, Division of Medical Microbiology, Banská Bystrica, Slovak Republic
- 2 Authority of Public Health, National Reference Center for Influenza, Bratislava, Slovak Republic
- 3 Children Faculty Hospital Banská Bystrica, Banská Bystrica, Slovak Republic
Many severe diseases of the respiratory tract lead to hospitalisation. These diseases are often caused by viral infections and may cause increased mortality. The most common viral pathogens involved in these cases, which are also associated with significant morbidity and mortality during the influenza seasons are influenza viruses. Rapid differential diagnosis of influenza viruses is therefore of great importance. Classical diagnosis of these viruses involves virus cultures. Of the rapid diagnostic methodologies which have been developed are RT-PCR, multiplex PCR, real-time PCR. In the present study we have monitored clinical samples from patients of different age groups from selected regions in Slovakia and compared the effectiveness of the classical and molecular biological diagnostic methods. The molecular biological methods proved to be rapid, accurate and effective. Application of these techniques in diagnosis of the respiratory illnesses should help in the prevention, therapy and disease control.
Keywords: influenza viruses, diagnostic choices, cultivation, RT-PCR, real-time PCR, effectiveness of diagnosis
Received: August 16, 2007; Revised: February 25, 2008; Accepted: February 25, 2008; Published: June 1, 2008 Show citation
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References
- Glezen WP. Serious morbidity and mortality associated with influenza epidemics. Epidemiol Rev. 1982;4:25-44.
Go to original source...
Go to PubMed...
- Monto AS, Ohmit SE, Margulies JR, Talsma A. Medical practice-based influenza surveillace: viral prevalence and assessment of morbidity. Am J Epidemiol. 1995 Mar 15;141(6):502-6.
Go to original source...
- Moriuchi H, Katsushima N, Nishimura H, Nakamura K, Numazaki Y. Community-acquired influenza C virus infection in children. J Pediatr. 1991 Feb;118(2):235-8.
Go to original source...
Go to PubMed...
- Hindiyeh M, Levy V,Azar R, Varsano N, Regev L, ShalevY, et al. Evaluation of a multiplex real-time reverse transcriptase PCR assay for detection and differentiation of influenza viruses A and B during the 2001-2002 influenza season in Israel. J Clin Microbiol. 2005 Feb;43(2):589-95.
Go to original source...
Go to PubMed...
- Gregory V, Bennett M, Orkhan MH, Al-Hajjar S, Varsano N, Mendelson E, et al. Emergence of influenzaA H1N2 reassortant viruses in the human population during 2001. Virology. 2002 Aug 15;300(1):1-7.
Go to original source...
Go to PubMed...
- Guo YJ, Xu XY, Cox NJ. Human influenza A (H1N2) viruses isolated from China. J Gen Virol. 1992 Feb;73(Pt 2):383-7.
Go to original source...
Go to PubMed...
- Zambon MC. Epidemiology and pathogenesis of influenza. JAntimicrob Chemother. 1999 Nov;44 Suppl B:3-9.
Go to original source...
- Stephenson I, Zambon M. The epidemiology of influenza. Occup Med (Lond). 2002 Aug;52(5):241-7.
Go to original source...
Go to PubMed...
- Polanecký V, Tůmová B.Aproposal of action plan for pandemic influenza caused by a new virus variant-the National Pandemic Plan of the Czech Republic (NPP-CR). Cent Eur J Public Health. 2001 Nov;9(4):A-H.
- Avian influenza. Cent Eur J Public Health. 2006 Mar;14(1):47-50.
- Fleming DM. Influenza diagnosis and treatment: a view from clinical practice. Philos Trans R Soc Lond B Biol Sci. 2001 Dec 29;356(1416):193343.
Go to original source...
- American College of Obstetricians and Gynecologists. Antiviral drugs for prophylaxis and treatment of influenza. Obstet Gynecol. 2005 Feb;105(2):427-9.
Go to original source...
Go to PubMed...
- Stiver G. The treatment of influenza with antiviral drugs. CMAJ. 2003 Jan 7;168(1):49-56.
Go to PubMed...
- Hayden FG. Perspectives on antiviral use during pandemic influenza. Philos Trans R Soc Lond B Biol Sci. 2001 Dec 29;356(1416):1877-84.
Go to original source...
Go to PubMed...
- Hayden FG, Belshe R, Villanueva C, Lanno R, Hughes C, Small I, et al. Management of influenza in households: a prospective, randomized comparison of oseltamivir treatment with or without postexposure prophylaxis. J Infect Dis. 2004 Feb 1;189(3): 440-9.
Go to original source...
Go to PubMed...
- Oxford J, Balasingam S, Lambkin R.A new millennium conundrum: how to use a powerful class of influenza anti-neuraminidase drugs (NAIs) in the community. J Antimicrob Chemother. 2004 Feb;53(2):133-6.
Go to original source...
Go to PubMed...
- Williamson JC, Pegram PS. Neuraminidase inhibitors in patients with underlying airways disease. Am J Respir Med. 2002;1(2):85-90.
Go to original source...
- Stone B, Burrows J, Schepetiuk S, Higgins G, Hampson A, Shaw R, et al. Rapid detection and simultaneous subtype differentiation of influenza A viruses by real time PCR. J Virol Methods. 2004 May;117(2):10312.
Go to original source...
Go to PubMed...
- Hayden FG, Osterhaus AD, Treanor JJ, Fleming DM, Aoki FY, Nicholson KG, et al; GG167 Influenza Study Group. Efficacy and safety of neuraminidase inhibitor zanamivir in the treatment of influenza virus infections. N Engl J Med. 1997 Sep 25;337(13):874-80.
Go to original source...
Go to PubMed...
- Mäkelä MJ, Pauksens K, Rostila T, Fleming DM, Man CY, Keene ON, et al. Clinical efficacy and safety of the orally inhaled neuraminidase inhibitor zanamivir in the treatment of influenza: a randomized, double-blind, placebo-controlled European study. J Infect. 2000 Jan;40(1):42-8.
Go to original source...
Go to PubMed...
- Treanor JJ, Hayden FG, Vrooman PS, Barbarash R, Bettis R, Riff D, et al; US Oral Neuraminidase Study Group. Efficacy and safety of the oral neuraminidase inhibitor oseltamivir treating acute influenza: a randomized controlled trial. JAMA. 2000 Feb 23;283(8):1016-24.
Go to original source...
Go to PubMed...
- Newton DW, Treanor JJ, Menegus MA. Clinical and laboratory diagnosis of influenza virus infections. Am J Manag Care. 2000 Mar;6(5 Suppl): S265-75.
Go to PubMed...
- Ziegler T, Cox NJ. Influenza viruses. In: Murray PR, Baron EJ, Pfaller MA, Tenover FC, Yolken RH, editors. Manual of clinical microbiology. Washington, D.C.: American Society for Microbiology; 1999. p. 92835.
- Chomel JJ, Remilleux MF, Marchand P, Aymard M. Rapid diagnosis of influenzaA. Comparison with ELISAimmunocapture and culture. J Virol Methods. 1992 Jun;37(3):337-43.
Go to original source...
Go to PubMed...
- Espy MJ, SmithTF, Harmon MW, KendalAP. Rapid detection of influenza virus by shell vial assay with monoclonal antibodies. J Clin Microbiol. 1986 Oct;24(4):677-9.
Go to original source...
Go to PubMed...
- Mills RD, Cain KJ, Woods GL. Detection of influenza virus by centrifugal inoculation of MDCK cells and staining with monoclonal antibodies. J Clin Microbiol. 1989 Nov;27(11):2505-8.
Go to original source...
Go to PubMed...
- Stokes CE, Bernstein JM, Kyger SA, Hayden FG. Rapid diagnosis of influenzaA and B by 24-h fluorescent focus assay. J Clin Microbiol. 1988 Jul;26(7):1263-6.
Go to original source...
Go to PubMed...
- Dominguez EA, Taber LH, Couch RB. Comparison of rapid diagnostic techniques for respiratory syncytial and influenza A virus respiratory infections in young children. J Clin Microbiol. 1993 Sep;31(9):2286-90.
Go to original source...
Go to PubMed...
- Atmar RL, Baxter BD, Dominguez EA, Taber LH. Comparison of reverse transcription- PCR with tissue culture and other rapid diagnostic assays for detection of type A influenza virus. J Clin Microbiol. 1996 Oct;34(10):2604-6.
Go to original source...
Go to PubMed...
- Reina J, Munar M, Blanco I. Evaluation of a direct immunofluorescence assay, dot-blot enzyme immunoassay, and shell vial culture in diagnosis of lower respiratory tract infections caused by influenza A virus. Diagn Microbiol Infect Dis. 1996 Jul;25(3):143-5.
Go to original source...
- Ellis JS, Fleming DM, Zambon MC. Multiplex reverse transcription-PCR for surveillance of influenza A and B viruses in England and Wales in 1995 and 1996. J Clin Microbiol. 1997 Aug;35(8):2076-82.
Go to original source...
Go to PubMed...
- Stockton J, Ellis JS, Saville M, Clewley JP, Zambon MC. Multiplex PCR for typing and subtyping influenza and respiratory syncytial viruses. J Clin Microbiol. 1998 Oct;36(10):2990-5.
Go to original source...
Go to PubMed...
- Waner JL, Todd SJ, Shalaby H, Murphy P, Wall LV. Comparison of Directigen FLU- A with viral isolation and direct immunofluorescence for the rapid detection and identification of influenza A virus. J Clin Microbiol. 1991 Mar;29(3):479-82.
Go to original source...
Go to PubMed...
- Ryan-Poirier KA, Katz JM, Webster RG, Kawaoka Y. Application of Directigen FLU-A for the detection of influenza A virus in human and nonhuman specimens. J Clin Microbiol. 1992 May;30(5):1072-5.
Go to original source...
Go to PubMed...
- Marcante R, Chiumento F, Palů G, Cavedon G. Rapid diagnosis of influenza type A infection: comparison of shell-vial culture, Directigen FLU-A and enzyme-linked immunosorbent assay. New Microbiol. 1996 Apr;19(2):141-7.
Go to PubMed...
- Booth S, Baleriola C, Rawlinson WD. Comparison of two rapid influenza A/B test kits with reference methods showing high specificity and sensitivity for influenza A infection. J Med Virol. 2006 May;78(5):619-22.
Go to original source...
Go to PubMed...
- Fouchier RA, Bestebroer TM, Herfst S, Van Der Kemp L, Rimmelzwaan GF, OsterhausAD. Detection of influenzaA viruses from different species by PCR amplification of conserved sequences in the matrix gene. J Clin Microbiol. 2000 Nov;38(11):4096-101.
Go to original source...
Go to PubMed...
- Hindiyeh M, Hillyard DR, Carroll KC. Evaluation of the Prodesse Hexaplex multiplex PCR assay for direct detection of seven respiratory viruses in clinical specimens. Am J Clin Pathol. 2001 Aug;116(2):218-24.
Go to original source...
Go to PubMed...
- Poddar SK. Influenza virus types and subtypes detection by single step single tube multiplex reverse transcription-polymerase chain reaction (RT-PCR) and agarose gel electrophoresis. J Virol Methods. 2002 Jan;99(1-2):63-70.
Go to original source...
Go to PubMed...
- Fan J, Henrickson KJ, Savatski LL. Rapid simultaneous diagnosis of infections with respiratory syncytial viruses A and B, influenza viruses A and B, and human parainfluenza virus types 1,2 and 3 by multiplex quantitative reverse transcription-polymerase chain reaction-enzyme hybridization assay (Hexaplex). Clin Infect Dis. 1998 Jun;26(6):1397402.
Go to original source...
- Gröndahl B, Puppe W, Hoppe A, Kühne I, Weigl JA, Schmitt HJ. Rapid identification of nine microorganisms causing acute respiratory tract infections by single-tube multiplex reverse transcription-PCR: feasibility study. J Clin Microbiol. 1999 Jan;37(1):1-7.
Go to original source...
Go to PubMed...
- Liolios L, Jenney A, Spelman D, Kotsimbos T, Catton M, Wesselingh S. Comparison of a multiplex reverse transcription-PCR-enzyme hybridization assay with conventional viral culture and immunofluorescence techniques for the detection of seven viral respiratory pathogens. J Clin Microbiol. 2001 Aug;39(8):2779-83.
Go to original source...
Go to PubMed...
- Kehl SC, Henrickson KJ, Hua W, Fan J. Evaluation of the Hexaplex assay for detection of respiratory viruses in children. J Clin Microbiol. 2001 May;39(5):1696-701.
Go to original source...
Go to PubMed...
- Boivin G, Côté S, Déry P, De Serres G, Bergeron MG. Multiplex real-time PCR assay for detection of influenza and human respiratory syncytial viruses. J Clin Microbiol. 2004 Jan;42(1):45-51.
Go to original source...
Go to PubMed...
- Edwards MC, Gibbs RA. Multiplex PCR: advantages, development, and applications. PCR Methods Appl. 1994 Feb;3(4):S65-75.
Go to original source...
- Habib-Bein NF, Beckwith WH 3rd, Mayo D, Landry ML. Comparison of SmartCycler real-time reverse transcription-PCR assay in a public health laboratory with direct immunofluorescence and cell culture assays in a medical center for detection of influenza A virus. J Clin Microbiol. 2003 Aug;41(8):3597-601.
Go to original source...
Go to PubMed...
- Schweiger B, Zadow I, Heckler R, Timm H, Pauli G. Application of a fluorogenic PCR assay for typing and subtyping of influenza viruses in respiratory samples. J Clin Microbiol. 2000 Apr;38(4):1552-8.
Go to original source...
Go to PubMed...
- SmithAB, Mock V, Melear R, Colarusso P, Willis DE. Rapid detection of influenzaA and B viruses in clinical specimens by Light Cycler real-time RT-PCR. J Clin Virol. 2003 Sep;28(1):51-8.
Go to original source...
Go to PubMed...
- Van Elden LJ, Nijhuis M, Schipper P, Schuurman R, van Loon AM. Simultaneous detection of influenza viruses A and B using real-time quantitative PCR. J Clin Microbiol. 2001 Jan;39(1):196-200.
Go to original source...
Go to PubMed...
- Reischl U, Cockerill F, Wittwer C, editors. Rapid cycle real-time PCRmethods and applications: microbiology and food analysis. Berlin: Springer-Verlag; 2002.
Go to original source...