The role of laboratory diagnostics in emerging viral infections: the example of the Middle East respiratory syndrome epidemic
Identifieur interne : 001966 ( Ncbi/Curation ); précédent : 001965; suivant : 001967The role of laboratory diagnostics in emerging viral infections: the example of the Middle East respiratory syndrome epidemic
Auteurs : Jasper F. W. Chan [République populaire de Chine] ; Siddharth Sridhar [République populaire de Chine] ; Cyril C. Y. Yip [République populaire de Chine] ; Susanna K. P. Lau [République populaire de Chine] ; Patrick C. Y. Woo [République populaire de Chine]Source :
- Journal of Microbiology (Seoul, Korea) [ 1225-8873 ] ; 2017.
Descripteurs français
- KwdFr :
- Coronavirus (isolement et purification), Culture virale (), Culture virale (normes), Dosage immunologique (), Dosage immunologique (normes), Humains, Infections à coronavirus (diagnostic), Infections à coronavirus (virologie), Maladies transmissibles émergentes (diagnostic), Maladies transmissibles émergentes (virologie), Prélèvement biologique (), Prélèvement biologique (normes), Réaction de polymérisation en chaîne (), Réaction de polymérisation en chaîne (instrumentation), Techniques de diagnostic moléculaire (), Techniques de diagnostic moléculaire (normes), Techniques de laboratoire clinique (), Techniques de laboratoire clinique (normes), Épidémies.
- MESH :
- diagnostic : Infections à coronavirus, Maladies transmissibles émergentes.
- isolement et purification : Coronavirus.
- normes : Culture virale, Dosage immunologique, Prélèvement biologique, Techniques de diagnostic moléculaire, Techniques de laboratoire clinique.
- virologie : Infections à coronavirus, Maladies transmissibles émergentes.
- instrumentation : Culture virale, Dosage immunologique, Humains, Prélèvement biologique, Réaction de polymérisation en chaîne, Techniques de diagnostic moléculaire, Techniques de laboratoire clinique, Épidémies.
English descriptors
- KwdEn :
- Clinical Laboratory Techniques (methods), Clinical Laboratory Techniques (standards), Communicable Diseases, Emerging (diagnosis), Communicable Diseases, Emerging (virology), Coronavirus (isolation & purification), Coronavirus Infections (diagnosis), Coronavirus Infections (virology), Epidemics, Humans, Immunoassay (methods), Immunoassay (standards), Molecular Diagnostic Techniques (methods), Molecular Diagnostic Techniques (standards), Polymerase Chain Reaction (instrumentation), Polymerase Chain Reaction (methods), Specimen Handling (methods), Specimen Handling (standards), Virus Cultivation (methods), Virus Cultivation (standards).
- MESH :
- diagnosis : Communicable Diseases, Emerging, Coronavirus Infections.
- instrumentation : Polymerase Chain Reaction.
- isolation & purification : Coronavirus.
- methods : Clinical Laboratory Techniques, Immunoassay, Molecular Diagnostic Techniques, Polymerase Chain Reaction, Specimen Handling, Virus Cultivation.
- standards : Clinical Laboratory Techniques, Immunoassay, Molecular Diagnostic Techniques, Specimen Handling, Virus Cultivation.
- virology : Communicable Diseases, Emerging, Coronavirus Infections.
- Epidemics, Humans.
Abstract
Rapidly emerging infectious disease outbreaks place a great strain on laboratories to develop and implement sensitive and specific diagnostic tests for patient management and infection control in a timely manner. Furthermore, laboratories also play a role in real-time zoonotic, environmental, and epidemiological investigations to identify the ultimate source of the epidemic, facilitating measures to eventually control the outbreak. Each assay modality has unique pros and cons; therefore, incorporation of a battery of tests using traditional culture-based, molecular and serological diagnostics into diagnostic algorithms is often required. As such, laboratories face challenges in assay development, test evaluation, and subsequent quality assurance. In this review, we describe the different testing modalities available for the ongoing Middle East respiratory syndrome (MERS) epidemic including cell culture, nucleic acid amplification, antigen detection, and antibody detection assays. Applications of such tests in both acute clinical and epidemiological investigation settings are highlighted. Using the MERS epidemic as an example, we illustrate the various challenges faced by laboratories in test development and implementation in the setting of a rapidly emerging infectious disease. Future directions in the diagnosis of MERS and other emerging infectious disease investigations are also highlighted.
Url:
DOI: 10.1007/s12275-017-7026-y
PubMed: 28243939
PubMed Central: 7090747
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PMC:7090747Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>Rapidly emerging infectious disease outbreaks place a great strain on laboratories to develop and implement sensitive and specific diagnostic tests for patient management and infection control in a timely manner. Furthermore, laboratories also play a role in real-time zoonotic, environmental, and epidemiological investigations to identify the ultimate source of the epidemic, facilitating measures to eventually control the outbreak. Each assay modality has unique pros and cons; therefore, incorporation of a battery of tests using traditional culture-based, molecular and serological diagnostics into diagnostic algorithms is often required. As such, laboratories face challenges in assay development, test evaluation, and subsequent quality assurance. In this review, we describe the different testing modalities available for the ongoing Middle East respiratory syndrome (MERS) epidemic including cell culture, nucleic acid amplification, antigen detection, and antibody detection assays. Applications of such tests in both acute clinical and epidemiological investigation settings are highlighted. Using the MERS epidemic as an example, we illustrate the various challenges faced by laboratories in test development and implementation in the setting of a rapidly emerging infectious disease. Future directions in the diagnosis of MERS and other emerging infectious disease investigations are also highlighted.</p>
</div>
</front>
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