Polymerase chain reaction in the detection of an 'outbreak' of asymptomatic viral infections in a community birth cohort in south India

Epidemiol Infect. 2008 Mar;136(3):399-405. doi: 10.1017/S0950268807008709. Epub 2007 May 24.

Abstract

Asymptomatic enteric infections are important where sequelae or protection from subsequent illness is an outcome measure. The use of reverse transcription-polymerase chain reaction (RT-PCR) to identify asymptomatic enteric infections in a birth cohort followed for rotaviral infections in a south Indian urban slum is reported. Of 1191 non-diarrhoeal samples from 371 children collected in May-June 2003, 22 (1.9%) were positive by ELISA. A total of 147 (40.6%) of 362 samples tested by VP6 RT-PCR were positive. In those samples that could be typed, a high diversity of G types including G1, G2, G4, G8, G9 and G10, and a high proportion (34.4%) of mixed infections were detected. Noroviruses were identified in 6/28 (21.4%) samples tested. The identification of infections undetectable by conventional techniques indicates the importance of the use of sensitive diagnostic techniques in research studies. Asymptomatically infected children may also act as a source of infection for other susceptible hosts.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Viral / analysis
  • Cohort Studies
  • Communicable Disease Control
  • DNA, Viral / analysis
  • Disease Outbreaks*
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Humans
  • India / epidemiology
  • Infant
  • Male
  • Population Surveillance / methods
  • Poverty
  • Predictive Value of Tests
  • Reverse Transcriptase Polymerase Chain Reaction
  • Rotavirus / genetics
  • Rotavirus / immunology
  • Rotavirus / isolation & purification
  • Rotavirus Infections / epidemiology*
  • Rotavirus Infections / etiology
  • Rotavirus Infections / virology
  • Seasons
  • Sensitivity and Specificity
  • Social Class
  • Urban Population

Substances

  • Antibodies, Viral
  • DNA, Viral