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http://dx.doi.org/10.5352/JLS.2008.18.3.374

Comparison of the Real-Time Nucleic Acid Sequence-Based Amplification (NASBA) Assay, Reverse Transcription-PCR (RT-PCR) and Virus Isolation for the Detection of Enterovirus RNA.  

Na, Young-Ran (Division of Epidemiology, Busan Institute of Health and Environment)
Joe, Hyeon-Cheol (Division of Epidemiology, Busan Institute of Health and Environment)
Lee, Young-Suk (Division of Epidemiology, Busan Institute of Health and Environment)
Bin, Jae-Hun (Division of Epidemiology, Busan Institute of Health and Environment)
Cheigh, Hong-Sik (Division of Epidemiology, Busan Institute of Health and Environment)
Min, Sang-Kee (Division of Epidemiology, Busan Institute of Health and Environment)
Publication Information
Journal of Life Science / v.18, no.3, 2008 , pp. 374-380 More about this Journal
Abstract
Rapid detection of enterovirus (EVs) is important in the management of aseptic meningitis. We examined the relative efficiency and specificity of the real-time nucleic acid sequence-based amplification (NASBA) comparing with the established reverse transcription polymerase chain reaction (RT-PCR) and viral culture method which were used for the detection of enterovirus RNA in clinical specimens. Of the total 292 samples, 145 were found to be positive to enterovirus RNA by real-time NASBA, 101 were positive by viral culture, and 86 were positive by RT-PCR. 147 samples and 46 samples were determined to be negative and positive by all methods respectively, but 4 samples were positive only by real-time NASBA. To compare the specificity of each method, various clinical samples which were diagnosed for herpes simplex virus (HSV)-1, HSV-2, adenovirus, mumps, and rhinovirus were applied. Except one rhinovirus sample which was false positive to enterovirus RNA by RT-PCR, the other different samples were negative to all three methods. The real-time NASBA procedure can be completed within 5 hours in contrast with 9 hours for the RT-PCR and 3-14 days for the viral culture. From this study, it was suggested that the real-time NASBA assay could be a standardized, rapid, specific, and sensitive procedure for the detection of enterovirus RNA.
Keywords
Enterovirus; real-time NASBA; RT-PCR; viral culture;
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