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Rev Inst Med Trop Sao Paulo ; 50(1): 37-40, 2008.
Article in English | MEDLINE | ID: mdl-18327485

ABSTRACT

A total of 316 samples of nasopharyngeal aspirate from infants up to two years of age with acute respiratory-tract illnesses were processed for detection of respiratory syncytial virus (RSV) using three different techniques: viral isolation, direct immunofluorescence, and PCR. Of the samples, 36 (11.4%) were positive for RSV, considering the three techniques. PCR was the most sensitive technique, providing positive findings in 35/316 (11.1%) of the samples, followed by direct immunofluorescence (25/316, 7.9%) and viral isolation (20/315, 6.3%) (p < 0.001). A sample was positive by immunofluorescence and negative by PCR, and 11 (31.4%) were positive only by RT-PCR. We conclude that RT-PCR is more sensitive than IF and viral isolation to detect RSV in nasopharyngeal aspirate specimens in newborn and infants.


Subject(s)
Nasal Lavage Fluid/virology , Respiratory Syncytial Virus Infections/diagnosis , Respiratory Syncytial Viruses , Acute Disease , Antibodies, Monoclonal/blood , Antibodies, Viral/blood , Cell Culture Techniques , Child, Preschool , Cohort Studies , Fluorescent Antibody Technique, Direct , Humans , Infant , Infant, Newborn , Prospective Studies , RNA, Viral/genetics , Respiratory Syncytial Virus Infections/virology , Respiratory Syncytial Viruses/genetics , Respiratory Syncytial Viruses/immunology , Respiratory Syncytial Viruses/isolation & purification , Reverse Transcriptase Polymerase Chain Reaction , Sensitivity and Specificity
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