Abstract
In this study, the usability and performance of three commercially available multiplex real-time RT-PCR assays for the detection of major enteric viruses were investigated. In total, 481 fecal specimens were analyzed using the Allplex™ GI Virus Assay, the Rida®Gene Viral Stool Panel I, and the FTD Viral Gastroenteritis. The overall agreement between the assays was 99.9%. Despite convergent analytical performance, differences between the multiplex RT-PCR assays were apparent when considering their suitability for routine diagnostics.
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Bartsch SM, Lopman BA, Ozawa S et al (2016) Global economic burden of norovirus gastroenteritis. PLoS One 11(4):e0151219. https://doi.org/10.1371/journal.pone.0151219
Wikswo ME, Kambhampati A, Shioda K et al (2015) Outbreaks of acute gastroenteritis transmitted by person-to-person contact, environmental contamination, and unknown modes of transmission--United States, 2009-2013. MMWR Surveill Summ 64(12):1–16. https://doi.org/10.15585/mmwr.mm6412a1
Thongprachum A, Takanashi S, Kalesaran AF et al (2015) Four-year study of viruses that cause diarrhea in Japanese pediatric outpatients. J Med Virol 87(7):1141–1148. https://doi.org/10.1002/jmv.24155
Räsänen S, Lappalainen S, Kaikkonen S et al (2010) Mixed viral infections causing acute gastroenteritis in children in a waterborne outbreak. Epidemiol Infect 138(9):1227–1234. https://doi.org/10.1017/S0950268809991671
Pang XL, Preiksaitis JK, Lee B (2005) Multiplex real time RT-PCR for the detection and quantitation of norovirus genogroups I and II in patients with acute gastroenteritis. J Clin Virol 33(2):168–171
Chan MC, Sung JJ, Lam RK et al (2006) Sapovirus detection by quantitative real-time RT-PCR in clinical stool specimens. J Virol Methods 134(1–2):146–153. https://doi.org/10.1016/j.jviromet.2005.12.013
Logan C, O'Leary JJ, O'Sullivan N (2006) Real-time reverse transcription-PCR for detection of rotavirus and adenovirus as causative agents of acute viral gastroenteritis in children. J Clin Microbiol 44(9):3189–3195. https://doi.org/10.1128/JCM.00915-06
Dunbar NL, Bruggink LD, Marshall JA (2014) Evaluation of the RIDAGENE real-time PCR assay for the detection of GI and GII norovirus. Diagn Microbiol Infect Dis 79(3):317–321. https://doi.org/10.1016/j.diagmicrobio.2014.03.017
McAuliffe GN, Anderson TP, Stevens M et al (2013) Systematic application of multiplex PCR enhances the detection of bacteria, parasites, and viruses in stool samples. J Inf Secur 67(2):122–129. https://doi.org/10.1016/j.jinf.2013.04.009
Hyun J, Ko DH, Lee SK et al (2018) Evaluation of a new multiplex real-time PCR assay for detecting gastroenteritis-causing viruses in stool samples. Ann Lab Med 38(3):220–225. https://doi.org/10.3343/alm.2018.38.3.220
Verheyen J, Kaiser R, Bozic M et al (2012) Extraction of viral nucleic acids: comparison of five automated nucleic acid extraction platforms. J Clin Virol 54(3):255–259. https://doi.org/10.1016/j.jcv.2012.03.008
Moudjahed H, Pinçon C, Alidjinou K et al (2017) Comparison of three molecular assays for detection of enteric viruses in stool samples. J Virol Methods 250:55–58. https://doi.org/10.1016/j.jviromet.2017.09.026
Maunula L, Von Bonsdorff CH (2005) Norovirus genotypes causing gastroenteritis outbreaks in Finland 1998-2002. J Clin Virol 34(3):186–194
Puustinen L, Blazevic V, Salminen M et al (2011) Noroviruses as a major cause of acute gastroenteritis in children in Finland, 2009-2010. Scand J Infect Dis 43(10):804–808. https://doi.org/10.3109/00365548.2011.588610
Iturriza-Gómara M, Lopman B (2014) Norovirus in healthcare settings. Curr Opin Infect Dis 27(5):437–443. https://doi.org/10.1097/QCO.0000000000000094
Guo L, Song J, Xu X et al (2009) Genetic analysis of norovirus in children affected with acute gastroenteritis in Beijing, 2004–2007. J Clin Virol 44:94–98. https://doi.org/10.1016/j.jcv.2008.10.002
Eckardt AJ, Baumgart DC (2011) Viral gastroenteritis in adults. Recent Pat Antiinfect Drug Discov 6(1):54–63. https://doi.org/10.2174/157489111794407877
Dennehy PH (2011) Viral gastroenteritis in children. Pediatr Infect Dis J 30(1):63–64. https://doi.org/10.1097/INF.0b013e3182059102
Walter JE, Mitchell DK (2003) Astrovirus infection in children. Curr Opin Infect Dis 16(3):247–253. https://doi.org/10.1097/01.qco.0000073775.11390.60
Jalava K, Rintala H, Ollgren J et al (2014) Novel microbiological and spatial statistical methods to improve strength of epidemiological evidence in a community-wide waterborne outbreak. PLoS One 22(9(8)):e104713. https://doi.org/10.1371/journal.pone.0104713
Cieślik-Tarkota R, Albertyńska M, Rozwadowska B et al (2017) Outbreaks of nosocomial infections in Poland in the years 2011-2015. Przegl Epidemiol 71(2):199–205
Chernyshova LI, Radionova NM, Demchyshyna IV, Kotlik LS, Sadkova OB, Samoilovich EO, Semeiko GV, Daniels DS, Cohen AL, Aliabadi N (2017) Observations on the epidemiology of rotavirus infection among hospitalized children younger than 5 years in 2 Ukrainian hospitals, 2007-2015. Vaccine. https://doi.org/10.1016/j.vaccine.2017.11.044
Kota M, Bino S, Delogu R et al (2014) Epidemiology of rotavirus diarrhoea in Albania. Arch Virol 159(9):2491–2495. https://doi.org/10.1007/s00705-014-2093-4
Hemming M, Räsänen S, Huhti L et al (2013) Major reduction of rotavirus, but not norovirus, gastroenteritis in children seen in hospital after the introduction of RotaTeq vaccine into the National Immunization Programme in Finland. Eur J Pediatr 172(6):739–746. https://doi.org/10.1007/s00431-013-1945-3
Hemming-Harlo M, Markkula J, Huhti L et al (2016) Decrease of rotavirus gastroenteritis to a low level without resurgence for five years after universal RotaTeq vaccination in Finland. Pediatr Infect Dis J 35(12):1304–1308
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Siru Koskinen, Linda Luoma, and Hanna Saari are gratefully acknowledged for their help in sample analyses.
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This study was carried out alongside routine diagnostics.
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Hirvonen, J.J. Comparison of three multiplex real-time PCR assays for detection of enteric viruses in patients with diarrhea. Eur J Clin Microbiol Infect Dis 38, 241–244 (2019). https://doi.org/10.1007/s10096-018-3418-0
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DOI: https://doi.org/10.1007/s10096-018-3418-0