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Nucleic acid testing for west nile virus RNA in plasma enhances rapid diagnosis of acute infection in symptomatic patients. | LitMetric

Nucleic acid testing for west nile virus RNA in plasma enhances rapid diagnosis of acute infection in symptomatic patients.

J Infect Dis

Provincial Laboratory for Public Health (Microbiology), and Department of Microbiology and Infectious Diseases, University of Calgary, Calgary, Alberta, Canada.

Published: May 2006

AI Article Synopsis

  • Nucleic acid amplification testing (NAAT) is effective for screening blood donors for West Nile virus (WNV) but hasn't been thoroughly studied in symptomatic patients.
  • In a study of 276 WNV cases, both NAAT and WNV-specific immunoglobulin M testing were performed; NAAT detected 45% of cases, while serology detected 58%, with a combined approach detecting 94.2%.
  • NAAT testing is particularly beneficial within the first 8 days of symptom onset, as early viremia is common in WNV infections, leading to improved diagnostic results.

Article Abstract

Although nucleic acid amplification testing (NAAT) for West Nile virus (WNV) is useful in screening blood donors, such methods have not been studied in symptomatic patients. For diagnosis of WNV infection, 1.0 mL of plasma was tested by NAAT, and WNV-specific immunoglobulin M was assayed. Of 276 WNV cases, 191 were tested by both serology and NAAT. Of these, 86 (45.0%), 111 (58.1%), and 180 (94.2%) were detected by NAAT, serology, and combined NAAT and serology, respectively. NAAT-based screening was most useful within 8 days of the onset of symptoms. Viremia is common in early symptomatic WNV infection, and NAAT enhances diagnostic yield.

Download full-text PDF

Source
http://dx.doi.org/10.1086/503577DOI Listing

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