The role of laboratory diagnostics in emerging viral infections: the example of the Middle East respiratory syndrome epidemic
Identifieur interne : 000688 ( Pmc/Checkpoint ); précédent : 000687; suivant : 000689The 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.
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.
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DOI: 10.1007/s12275-017-7026-y
PubMed: 28243939
PubMed Central: 7090747
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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>
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<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Microbiol</journal-id>
<journal-id journal-id-type="iso-abbrev">J. Microbiol</journal-id>
<journal-title-group><journal-title>Journal of Microbiology (Seoul, Korea)</journal-title>
</journal-title-group>
<issn pub-type="ppub">1225-8873</issn>
<issn pub-type="epub">1976-3794</issn>
<publisher><publisher-name>The Microbiological Society of Korea</publisher-name>
<publisher-loc>Seoul</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">28243939</article-id>
<article-id pub-id-type="pmc">7090747</article-id>
<article-id pub-id-type="publisher-id">7026</article-id>
<article-id pub-id-type="doi">10.1007/s12275-017-7026-y</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review</subject>
</subj-group>
</article-categories>
<title-group><article-title>The role of laboratory diagnostics in emerging viral infections: the example of the Middle East respiratory syndrome epidemic</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Chan</surname>
<given-names>Jasper F. W.</given-names>
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<xref ref-type="aff" rid="Aff2">2</xref>
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<contrib contrib-type="author"><name><surname>Sridhar</surname>
<given-names>Siddharth</given-names>
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<given-names>Cyril C. Y.</given-names>
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<given-names>Patrick C. Y.</given-names>
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<address><email>pcywoo@hku.hk</email>
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<xref ref-type="aff" rid="Aff3">3</xref>
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<aff id="Aff1"><label>1</label>
<institution-wrap><institution-id institution-id-type="ISNI">0000000121742757</institution-id>
<institution-id institution-id-type="GRID">grid.194645.b</institution-id>
<institution>State Key Laboratory of Emerging Infectious Diseases,</institution>
<institution>The University of Hong Kong, Hong Kong Special Administrative Region,</institution>
</institution-wrap>
Hong Kong, P. R. China</aff>
<aff id="Aff2"><label>2</label>
<institution-wrap><institution-id institution-id-type="ISNI">0000000121742757</institution-id>
<institution-id institution-id-type="GRID">grid.194645.b</institution-id>
<institution>Department of Microbiology,</institution>
<institution>The University of Hong Kong, Hong Kong Special Administrative Region,</institution>
</institution-wrap>
Hong Kong, P. R. China</aff>
<aff id="Aff3"><label>3</label>
<institution-wrap><institution-id institution-id-type="ISNI">0000000121742757</institution-id>
<institution-id institution-id-type="GRID">grid.194645.b</institution-id>
<institution>Research Centre of Infection and Immunology,</institution>
<institution>The University of Hong Kong, Hong Kong Special Administrative Region,</institution>
</institution-wrap>
Hong Kong, P. R. China</aff>
<aff id="Aff4"><label>4</label>
<institution-wrap><institution-id institution-id-type="ISNI">0000000121742757</institution-id>
<institution-id institution-id-type="GRID">grid.194645.b</institution-id>
<institution>Carol Yu Centre for Infection,</institution>
<institution>The University of Hong Kong, Hong Kong Special Administrative Region,</institution>
</institution-wrap>
Hong Kong, P. R. China</aff>
</contrib-group>
<pub-date pub-type="epub"><day>28</day>
<month>2</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="ppub"><year>2017</year>
</pub-date>
<volume>55</volume>
<issue>3</issue>
<fpage>172</fpage>
<lpage>182</lpage>
<history><date date-type="received"><day>16</day>
<month>1</month>
<year>2017</year>
</date>
<date date-type="accepted"><day>9</day>
<month>2</month>
<year>2017</year>
</date>
</history>
<permissions><copyright-statement>© The Microbiological Society of Korea and Springer-Verlag Berlin Heidelberg 2017</copyright-statement>
<license><license-p>This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.</license-p>
</license>
</permissions>
<abstract id="Abs1"><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>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>coronavirus</kwd>
<kwd>middle east</kwd>
<kwd>MERS</kwd>
<kwd>diagnosis</kwd>
<kwd>epidemic</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Microbiological Society of Korea and Springer-Verlag Berlin Heidelberg 2017</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>République populaire de Chine</li>
</country>
</list>
<tree><country name="République populaire de Chine"><noRegion><name sortKey="Chan, Jasper F W" sort="Chan, Jasper F W" uniqKey="Chan J" first="Jasper F. W." last="Chan">Jasper F. W. Chan</name>
</noRegion>
<name sortKey="Chan, Jasper F W" sort="Chan, Jasper F W" uniqKey="Chan J" first="Jasper F. W." last="Chan">Jasper F. W. Chan</name>
<name sortKey="Chan, Jasper F W" sort="Chan, Jasper F W" uniqKey="Chan J" first="Jasper F. W." last="Chan">Jasper F. W. Chan</name>
<name sortKey="Chan, Jasper F W" sort="Chan, Jasper F W" uniqKey="Chan J" first="Jasper F. W." last="Chan">Jasper F. W. Chan</name>
<name sortKey="Lau, Susanna K P" sort="Lau, Susanna K P" uniqKey="Lau S" first="Susanna K. P." last="Lau">Susanna K. P. Lau</name>
<name sortKey="Lau, Susanna K P" sort="Lau, Susanna K P" uniqKey="Lau S" first="Susanna K. P." last="Lau">Susanna K. P. Lau</name>
<name sortKey="Lau, Susanna K P" sort="Lau, Susanna K P" uniqKey="Lau S" first="Susanna K. P." last="Lau">Susanna K. P. Lau</name>
<name sortKey="Lau, Susanna K P" sort="Lau, Susanna K P" uniqKey="Lau S" first="Susanna K. P." last="Lau">Susanna K. P. Lau</name>
<name sortKey="Sridhar, Siddharth" sort="Sridhar, Siddharth" uniqKey="Sridhar S" first="Siddharth" last="Sridhar">Siddharth Sridhar</name>
<name sortKey="Woo, Patrick C Y" sort="Woo, Patrick C Y" uniqKey="Woo P" first="Patrick C. Y." last="Woo">Patrick C. Y. Woo</name>
<name sortKey="Woo, Patrick C Y" sort="Woo, Patrick C Y" uniqKey="Woo P" first="Patrick C. Y." last="Woo">Patrick C. Y. Woo</name>
<name sortKey="Woo, Patrick C Y" sort="Woo, Patrick C Y" uniqKey="Woo P" first="Patrick C. Y." last="Woo">Patrick C. Y. Woo</name>
<name sortKey="Woo, Patrick C Y" sort="Woo, Patrick C Y" uniqKey="Woo P" first="Patrick C. Y." last="Woo">Patrick C. Y. Woo</name>
<name sortKey="Yip, Cyril C Y" sort="Yip, Cyril C Y" uniqKey="Yip C" first="Cyril C. Y." last="Yip">Cyril C. Y. Yip</name>
</country>
</tree>
</affiliations>
</record>
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