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The performance of RT-PCR compared with a rapid serological assay for acute dengue fever in a diagnostic laboratory

Identifieur interne : 004025 ( Main/Exploration ); précédent : 004024; suivant : 004026

The performance of RT-PCR compared with a rapid serological assay for acute dengue fever in a diagnostic laboratory

Auteurs : Timothy M. Barkham [Singapour] ; Youne Kow Chung [Singapour] ; Kin Fai Tang [Singapour] ; Eng Eong Ooi [Singapour]

Source :

RBID : ISTEX:B7136F7C3671FE7BEEAA8BABAECCF274885737FC

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Abstract

The laboratory diagnosis of dengue has largely relied on serological assays, although many different RT-PCR protocols have been reported. Owing to its limited use, the value of RT-PCR in the clinical laboratory has not been fully evaluated. During the outbreak of severe acute respiratory syndrome (SARS) in Singapore in 2003, RT-PCR to detect dengue viral RNA was used as a rapid diagnostic tool to differentiate dengue from SARS among patients who presented to a hospital designated to manage and quarantine SARS cases. A total of 343 results for RT-PCR and 439 results for serology were analysed and compared with the final discharge diagnosis. Our experience indicates that RT-PCR for dengue can be set up rapidly in a clinical laboratory, with very sensitive and specific results for the diagnosis of dengue, particularly in the first 5 days from onset of symptoms.

Url:
DOI: 10.1016/j.trstmh.2005.05.015


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