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Clinical evaluation of real-time PCR assays for rapid diagnosis of SARS coronavims during outbreak and post-epidemic periods

Identifieur interne : 000699 ( PascalFrancis/Corpus ); précédent : 000698; suivant : 000700

Clinical evaluation of real-time PCR assays for rapid diagnosis of SARS coronavims during outbreak and post-epidemic periods

Auteurs : W. C. Yam ; K. H. Chan ; K. H. Chow ; L. L. M. Poon ; H. Y. Lam ; K. Y. Yuen ; W. H. Seto ; J. S. M. Peiris

Source :

RBID : Pascal:05-0205858

Descripteurs français

English descriptors

Abstract

Background: The protocols of WHO network laboratories facilitated development of rapid diagnosis for SARS coronavirus (CoV) using reverse transcription (RT)-PCR assays. However, several reports have shown that conventional and real-time PCR assays were very specific for SARS CoV but lack sensitivity depending on the assay, specimen, and time course of disease. Objective: To evaluate an automatic nucleic acid extraction system and two standardized real-time PCR assays for rapid diagnosis of SARS CoV during outbreak and post-epidemic periods in Hong Kong. Study design: Specimens from clinically suspected SARS patients collected during outbreak and post-epidemic periods were tested by an automatic nucleic acid extraction system followed by our first generation conventional RT-PCR and two standardized real-time PCR assays (Artus GmbH, Germany and Roche Diagnostics, Germany). Paired serum samples were assayed for increasing titer against SARS CoV. Results: In the SARS epidemic, Artus and Roche PCR assays exhibited sensitivities of 87% and 85% for respiratory specimens (n = 64), 91% and 88% for stool (n=44), and 82% for urine (n = 29). A specificity of 100% was exhibited by both PCR assays except Artus attained only a 92% specificity for stool. For post-epidemic period, no SARS CoV was identified among 56 respiratory specimens by all PCR assays. Inhibitors to PCR assays were detected at an average rate of 7-8% among 202 clinical specimens. Conclusion: This study highlights the high throughput and performance of automatic RNA extraction in coordination with standardized real-time PCR assays suitable for large-scale routine diagnosis in case of future SARS epidemic. As no SARS CoV was detected among specimens collected during post-epidemic period, the positive predictive value of real-time PCR assays for detection of SARS CoV during low epidemic requires further evaluation.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 1386-6532
A03   1    @0 J. clin. virol.
A05       @2 33
A06       @2 1
A08 01  1  ENG  @1 Clinical evaluation of real-time PCR assays for rapid diagnosis of SARS coronavims during outbreak and post-epidemic periods
A11 01  1    @1 YAM (W. C.)
A11 02  1    @1 CHAN (K. H.)
A11 03  1    @1 CHOW (K. H.)
A11 04  1    @1 POON (L. L. M.)
A11 05  1    @1 LAM (H. Y.)
A11 06  1    @1 YUEN (K. Y.)
A11 07  1    @1 SETO (W. H.)
A11 08  1    @1 PEIRIS (J. S. M.)
A14 01      @1 Department of Microbiology, The University of Hong Kong, University Pathology Building, Queen Mary Hospital Compound @2 Pokfulam @3 HKG @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut. @Z 7 aut. @Z 8 aut.
A20       @1 19-24
A21       @1 2005
A23 01      @0 ENG
A43 01      @1 INIST @2 26272 @5 354000125656290040
A44       @0 0000 @1 © 2005 INIST-CNRS. All rights reserved.
A45       @0 15 ref.
A47 01  1    @0 05-0205858
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of clinical virology
A66 01      @0 NLD
C01 01    ENG  @0 Background: The protocols of WHO network laboratories facilitated development of rapid diagnosis for SARS coronavirus (CoV) using reverse transcription (RT)-PCR assays. However, several reports have shown that conventional and real-time PCR assays were very specific for SARS CoV but lack sensitivity depending on the assay, specimen, and time course of disease. Objective: To evaluate an automatic nucleic acid extraction system and two standardized real-time PCR assays for rapid diagnosis of SARS CoV during outbreak and post-epidemic periods in Hong Kong. Study design: Specimens from clinically suspected SARS patients collected during outbreak and post-epidemic periods were tested by an automatic nucleic acid extraction system followed by our first generation conventional RT-PCR and two standardized real-time PCR assays (Artus GmbH, Germany and Roche Diagnostics, Germany). Paired serum samples were assayed for increasing titer against SARS CoV. Results: In the SARS epidemic, Artus and Roche PCR assays exhibited sensitivities of 87% and 85% for respiratory specimens (n = 64), 91% and 88% for stool (n=44), and 82% for urine (n = 29). A specificity of 100% was exhibited by both PCR assays except Artus attained only a 92% specificity for stool. For post-epidemic period, no SARS CoV was identified among 56 respiratory specimens by all PCR assays. Inhibitors to PCR assays were detected at an average rate of 7-8% among 202 clinical specimens. Conclusion: This study highlights the high throughput and performance of automatic RNA extraction in coordination with standardized real-time PCR assays suitable for large-scale routine diagnosis in case of future SARS epidemic. As no SARS CoV was detected among specimens collected during post-epidemic period, the positive predictive value of real-time PCR assays for detection of SARS CoV during low epidemic requires further evaluation.
C02 01  X    @0 002A05C10
C02 02  X    @0 002B05C02J
C03 01  X  FRE  @0 Virus syndrome respiratoire aigu sévère @2 NW @5 01
C03 01  X  ENG  @0 Severe acute respiratory syndrome virus @2 NW @5 01
C03 01  X  SPA  @0 Severe acute respiratory syndrome virus @2 NW @5 01
C03 02  X  FRE  @0 Temps réel @5 05
C03 02  X  ENG  @0 Real time @5 05
C03 02  X  SPA  @0 Tiempo real @5 05
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C03 03  X  SPA  @0 Reacción cadena polimerasa @5 06
C03 04  X  FRE  @0 Diagnostic @5 07
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C03 06  X  ENG  @0 Microbiology @5 09
C03 06  X  SPA  @0 Microbiología @5 09
C03 07  X  FRE  @0 Virologie @5 10
C03 07  X  ENG  @0 Virology @5 10
C03 07  X  SPA  @0 Virología @5 10
C03 08  X  FRE  @0 Syndrome respiratoire aigu sévère @2 NM @5 14
C03 08  X  ENG  @0 Severe acute respiratory syndrome @2 NM @5 14
C03 08  X  SPA  @0 Síndrome respiratorio agudo severo @2 NM @5 14
C07 01  X  FRE  @0 Coronavirus @2 NW
C07 01  X  ENG  @0 Coronavirus @2 NW
C07 01  X  SPA  @0 Coronavirus @2 NW
C07 02  X  FRE  @0 Coronaviridae @2 NW
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C07 02  X  SPA  @0 Coronaviridae @2 NW
C07 03  X  FRE  @0 Nidovirales @2 NW
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Format Inist (serveur)

NO : PASCAL 05-0205858 INIST
ET : Clinical evaluation of real-time PCR assays for rapid diagnosis of SARS coronavims during outbreak and post-epidemic periods
AU : YAM (W. C.); CHAN (K. H.); CHOW (K. H.); POON (L. L. M.); LAM (H. Y.); YUEN (K. Y.); SETO (W. H.); PEIRIS (J. S. M.)
AF : Department of Microbiology, The University of Hong Kong, University Pathology Building, Queen Mary Hospital Compound/Pokfulam/Hong-Kong (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut., 8 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of clinical virology; ISSN 1386-6532; Pays-Bas; Da. 2005; Vol. 33; No. 1; Pp. 19-24; Bibl. 15 ref.
LA : Anglais
EA : Background: The protocols of WHO network laboratories facilitated development of rapid diagnosis for SARS coronavirus (CoV) using reverse transcription (RT)-PCR assays. However, several reports have shown that conventional and real-time PCR assays were very specific for SARS CoV but lack sensitivity depending on the assay, specimen, and time course of disease. Objective: To evaluate an automatic nucleic acid extraction system and two standardized real-time PCR assays for rapid diagnosis of SARS CoV during outbreak and post-epidemic periods in Hong Kong. Study design: Specimens from clinically suspected SARS patients collected during outbreak and post-epidemic periods were tested by an automatic nucleic acid extraction system followed by our first generation conventional RT-PCR and two standardized real-time PCR assays (Artus GmbH, Germany and Roche Diagnostics, Germany). Paired serum samples were assayed for increasing titer against SARS CoV. Results: In the SARS epidemic, Artus and Roche PCR assays exhibited sensitivities of 87% and 85% for respiratory specimens (n = 64), 91% and 88% for stool (n=44), and 82% for urine (n = 29). A specificity of 100% was exhibited by both PCR assays except Artus attained only a 92% specificity for stool. For post-epidemic period, no SARS CoV was identified among 56 respiratory specimens by all PCR assays. Inhibitors to PCR assays were detected at an average rate of 7-8% among 202 clinical specimens. Conclusion: This study highlights the high throughput and performance of automatic RNA extraction in coordination with standardized real-time PCR assays suitable for large-scale routine diagnosis in case of future SARS epidemic. As no SARS CoV was detected among specimens collected during post-epidemic period, the positive predictive value of real-time PCR assays for detection of SARS CoV during low epidemic requires further evaluation.
CC : 002A05C10; 002B05C02J
FD : Virus syndrome respiratoire aigu sévère; Temps réel; Réaction chaîne polymérase; Diagnostic; Epidémie; Microbiologie; Virologie; Syndrome respiratoire aigu sévère
FG : Coronavirus; Coronaviridae; Nidovirales; Virus; Appareil respiratoire pathologie; Virose; Infection; Poumon pathologie
ED : Severe acute respiratory syndrome virus; Real time; Polymerase chain reaction; Diagnosis; Epidemic; Microbiology; Virology; Severe acute respiratory syndrome
EG : Coronavirus; Coronaviridae; Nidovirales; Virus; Respiratory disease; Viral disease; Infection; Lung disease
SD : Severe acute respiratory syndrome virus; Tiempo real; Reacción cadena polimerasa; Diagnóstico; Epidemia; Microbiología; Virología; Síndrome respiratorio agudo severo
LO : INIST-26272.354000125656290040
ID : 05-0205858

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Pascal:05-0205858

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<term>Virus syndrome respiratoire aigu sévère</term>
<term>Temps réel</term>
<term>Réaction chaîne polymérase</term>
<term>Diagnostic</term>
<term>Epidémie</term>
<term>Microbiologie</term>
<term>Virologie</term>
<term>Syndrome respiratoire aigu sévère</term>
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<div type="abstract" xml:lang="en">Background: The protocols of WHO network laboratories facilitated development of rapid diagnosis for SARS coronavirus (CoV) using reverse transcription (RT)-PCR assays. However, several reports have shown that conventional and real-time PCR assays were very specific for SARS CoV but lack sensitivity depending on the assay, specimen, and time course of disease. Objective: To evaluate an automatic nucleic acid extraction system and two standardized real-time PCR assays for rapid diagnosis of SARS CoV during outbreak and post-epidemic periods in Hong Kong. Study design: Specimens from clinically suspected SARS patients collected during outbreak and post-epidemic periods were tested by an automatic nucleic acid extraction system followed by our first generation conventional RT-PCR and two standardized real-time PCR assays (Artus GmbH, Germany and Roche Diagnostics, Germany). Paired serum samples were assayed for increasing titer against SARS CoV. Results: In the SARS epidemic, Artus and Roche PCR assays exhibited sensitivities of 87% and 85% for respiratory specimens (n = 64), 91% and 88% for stool (n=44), and 82% for urine (n = 29). A specificity of 100% was exhibited by both PCR assays except Artus attained only a 92% specificity for stool. For post-epidemic period, no SARS CoV was identified among 56 respiratory specimens by all PCR assays. Inhibitors to PCR assays were detected at an average rate of 7-8% among 202 clinical specimens. Conclusion: This study highlights the high throughput and performance of automatic RNA extraction in coordination with standardized real-time PCR assays suitable for large-scale routine diagnosis in case of future SARS epidemic. As no SARS CoV was detected among specimens collected during post-epidemic period, the positive predictive value of real-time PCR assays for detection of SARS CoV during low epidemic requires further evaluation.</div>
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<s0>J. clin. virol.</s0>
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<s1>Clinical evaluation of real-time PCR assays for rapid diagnosis of SARS coronavims during outbreak and post-epidemic periods</s1>
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<s1>YAM (W. C.)</s1>
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<s1>CHAN (K. H.)</s1>
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<s1>CHOW (K. H.)</s1>
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<s1>POON (L. L. M.)</s1>
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<s1>LAM (H. Y.)</s1>
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<s1>YUEN (K. Y.)</s1>
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<s1>SETO (W. H.)</s1>
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<s0>Background: The protocols of WHO network laboratories facilitated development of rapid diagnosis for SARS coronavirus (CoV) using reverse transcription (RT)-PCR assays. However, several reports have shown that conventional and real-time PCR assays were very specific for SARS CoV but lack sensitivity depending on the assay, specimen, and time course of disease. Objective: To evaluate an automatic nucleic acid extraction system and two standardized real-time PCR assays for rapid diagnosis of SARS CoV during outbreak and post-epidemic periods in Hong Kong. Study design: Specimens from clinically suspected SARS patients collected during outbreak and post-epidemic periods were tested by an automatic nucleic acid extraction system followed by our first generation conventional RT-PCR and two standardized real-time PCR assays (Artus GmbH, Germany and Roche Diagnostics, Germany). Paired serum samples were assayed for increasing titer against SARS CoV. Results: In the SARS epidemic, Artus and Roche PCR assays exhibited sensitivities of 87% and 85% for respiratory specimens (n = 64), 91% and 88% for stool (n=44), and 82% for urine (n = 29). A specificity of 100% was exhibited by both PCR assays except Artus attained only a 92% specificity for stool. For post-epidemic period, no SARS CoV was identified among 56 respiratory specimens by all PCR assays. Inhibitors to PCR assays were detected at an average rate of 7-8% among 202 clinical specimens. Conclusion: This study highlights the high throughput and performance of automatic RNA extraction in coordination with standardized real-time PCR assays suitable for large-scale routine diagnosis in case of future SARS epidemic. As no SARS CoV was detected among specimens collected during post-epidemic period, the positive predictive value of real-time PCR assays for detection of SARS CoV during low epidemic requires further evaluation.</s0>
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<s5>06</s5>
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<s5>09</s5>
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<s0>Virus</s0>
<s2>NW</s2>
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<s0>Appareil respiratoire pathologie</s0>
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<s5>16</s5>
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<s5>16</s5>
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<NO>PASCAL 05-0205858 INIST</NO>
<ET>Clinical evaluation of real-time PCR assays for rapid diagnosis of SARS coronavims during outbreak and post-epidemic periods</ET>
<AU>YAM (W. C.); CHAN (K. H.); CHOW (K. H.); POON (L. L. M.); LAM (H. Y.); YUEN (K. Y.); SETO (W. H.); PEIRIS (J. S. M.)</AU>
<AF>Department of Microbiology, The University of Hong Kong, University Pathology Building, Queen Mary Hospital Compound/Pokfulam/Hong-Kong (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut., 8 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of clinical virology; ISSN 1386-6532; Pays-Bas; Da. 2005; Vol. 33; No. 1; Pp. 19-24; Bibl. 15 ref.</SO>
<LA>Anglais</LA>
<EA>Background: The protocols of WHO network laboratories facilitated development of rapid diagnosis for SARS coronavirus (CoV) using reverse transcription (RT)-PCR assays. However, several reports have shown that conventional and real-time PCR assays were very specific for SARS CoV but lack sensitivity depending on the assay, specimen, and time course of disease. Objective: To evaluate an automatic nucleic acid extraction system and two standardized real-time PCR assays for rapid diagnosis of SARS CoV during outbreak and post-epidemic periods in Hong Kong. Study design: Specimens from clinically suspected SARS patients collected during outbreak and post-epidemic periods were tested by an automatic nucleic acid extraction system followed by our first generation conventional RT-PCR and two standardized real-time PCR assays (Artus GmbH, Germany and Roche Diagnostics, Germany). Paired serum samples were assayed for increasing titer against SARS CoV. Results: In the SARS epidemic, Artus and Roche PCR assays exhibited sensitivities of 87% and 85% for respiratory specimens (n = 64), 91% and 88% for stool (n=44), and 82% for urine (n = 29). A specificity of 100% was exhibited by both PCR assays except Artus attained only a 92% specificity for stool. For post-epidemic period, no SARS CoV was identified among 56 respiratory specimens by all PCR assays. Inhibitors to PCR assays were detected at an average rate of 7-8% among 202 clinical specimens. Conclusion: This study highlights the high throughput and performance of automatic RNA extraction in coordination with standardized real-time PCR assays suitable for large-scale routine diagnosis in case of future SARS epidemic. As no SARS CoV was detected among specimens collected during post-epidemic period, the positive predictive value of real-time PCR assays for detection of SARS CoV during low epidemic requires further evaluation.</EA>
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<FD>Virus syndrome respiratoire aigu sévère; Temps réel; Réaction chaîne polymérase; Diagnostic; Epidémie; Microbiologie; Virologie; Syndrome respiratoire aigu sévère</FD>
<FG>Coronavirus; Coronaviridae; Nidovirales; Virus; Appareil respiratoire pathologie; Virose; Infection; Poumon pathologie</FG>
<ED>Severe acute respiratory syndrome virus; Real time; Polymerase chain reaction; Diagnosis; Epidemic; Microbiology; Virology; Severe acute respiratory syndrome</ED>
<EG>Coronavirus; Coronaviridae; Nidovirales; Virus; Respiratory disease; Viral disease; Infection; Lung disease</EG>
<SD>Severe acute respiratory syndrome virus; Tiempo real; Reacción cadena polimerasa; Diagnóstico; Epidemia; Microbiología; Virología; Síndrome respiratorio agudo severo</SD>
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