Multiplex nested reverse transcription-polymerase chain reaction for respiratory viruses in acute otitis media

被引:7
作者
Ishibashi, T
Monobe, H
Nomura, Y
Shinogami, M
Yano, J
机构
[1] Social Insurance Cent Gen Hosp, Dept Otolaryngol, Shinjyuku Ku, Tokyo 1690073, Japan
[2] Japanese Red Cross, Med Ctr, Dept Otolaryngol, Tokyo, Japan
[3] Univ Tokyo, Dept Otolaryngol, Tokyo 113, Japan
关键词
acute otitis media; clinical laboratory diagnosis; respiratory virus; reverse transcription-polymerase chain reaction;
D O I
10.1177/000348940311200311
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Because respiratory viruses play an important role in the causation and pathogenesis of acute otitis media (AOM), determining which virus has infected a child is important with respect to vaccines and antiviral drugs. In some instances, this information might be used to prevent the occurrence of AOM. We used a rapid, economical, and sensitive diagnostic system involving a multiplex nested reverse transcription-polymerase chain reaction (RT-PCR) assay to detect various respiratory viruses in clinical specimens of middle ear fluid (MEF) from children with AOM in our hospital. Multiplex RT-PCR was completed on 40 MEF samples from 28 infants and children less than 6 years old with AOM. Viral RNA was detected in 17 MEF samples (43%). Respiratory syncytial virus type A was present in 12 samples, adenovirus in 3, rhinovirus in 2, and influenza A (H3N2) in 1. The multiplex RT-PCR assay is recommended to clinical laboratories that are considering adoption of a molecular technique for viral diagnosis.
引用
收藏
页码:252 / 257
页数:6
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