Ann Lab Med.  2018 May;38(3):220-225. 10.3343/alm.2018.38.3.220.

Evaluation of a New Multiplex Real-Time PCR Assay for Detecting Gastroenteritis-Causing Viruses in Stool Samples

• Hyun J
• Ko DH
• Lee SK
• Kim HS
• Kim JS
• Song W
• Kim HS

• KMID: 2403455
• DOI: http://doi.org/10.3343/alm.2018.38.3.220

Abstract

BACKGROUND
Diarrhea has been the second leading cause of death among children under the age of five, and the rapid and accurate pathogen diagnosis in patients with diarrhea is crucial for reducing morbidity and mortality. A newly developed one-step multiplex real-time PCR assay, the Allplex GI-Virus Assay, was evaluated for its ability to detect six diarrhea-causing viruses (rotavirus, norovirus genogroup I (GI) and genogroup II (GII), enteric adenovirus, astrovirus, and sapovirus) in stool samples.
METHODS
The performance of the Allplex assay was compared with those of another multiplex PCR assay (Seeplex Diarrhea-V Ace Detection) and genotyping by sequencing, using 446 stool samples from patients with acute gastroenteritis.
RESULTS
The overall agreement rates between the results of the Allplex and Seeplex assays were 98.7% for rotavirus, 99.1% for norovirus GI, 93.3% for norovirus GII, 98.0% for adenovirus, and 99.6% for astrovirus. The overall agreement rates between the Allplex assay and genotyping were 99.1% for rotavirus, 99.1% for norovirus GI, 98.7% for norovirus GII, 89.7% for adenovirus, 98.2% for astrovirus, and 99.8% for sapovirus. In addition, eight rotavirus genotypes, three norovirus GI genotypes, four norovirus GII genotypes, eight adenovirus genotypes, two astrovirus genotypes, and two sapovirus genotypes were detected.
CONCLUSIONS
The Allplex assay showed high agreement with Seeplex and genotyping results, and was able to additionally detect sapoviruses. The Allplex assay could be useful in identifying viral gastrointestinal infections in patients with acute gastroenteritis symptoms.

Keyword

Gastroenteritis; Allplex assay; Rotavirus; Norovirus; Adenovirus; Astrovirus; Sapovirus

MeSH Terms

Adenoviridae
Cause of Death
Child
Diagnosis
Diarrhea
Gastroenteritis
Genotype
Humans
Mortality
Multiplex Polymerase Chain Reaction
Norovirus
Real-Time Polymerase Chain Reaction*
Rotavirus
Sapovirus

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