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Journal of Clinical Microbiology, March 1999, p. 524-530, Vol. 37, No. 3
Research Laboratory for Infectious Diseases
(LIO), National Institute of Public Health and the Environment (RIVM),
Bilthoven, The Netherlands
Received 12 August 1998/Returned for modification 28 September
1998/Accepted 8 December 1998
This paper describes the development and evaluation of a new nested
reverse transcription (RT)-PCR for the detection of rhinovirus in
clinical samples. The nucleotide sequences of the 5' noncoding regions
of 39 rhinoviruses were determined in order to map the most conserved
subregions. We designed a set of rhinovirus-specific primers and probes
directed to these subregions and developed a new nested RT-PCR. The new
assay includes an optimal RNA extraction method and amplicon
identification with probe hybridization to discriminate between
rhinoviruses and the closely related enteroviruses. It proved to be
highly sensitive and specific. When tested on a dilution series of
cultured viruses, the new PCR protocol scored positive at 10- to
100-fold-higher dilutions than a previously used nested RT-PCR. When
tested on a collection of clinical samples obtained from 1,070 acute
respiratory disease patients who had consulted their general
practitioners, the new assay demonstrated a rhinovirus in 24% of the
specimens, including all culture-positive samples, whereas the
previously used PCR assay or virus culture detected a rhinovirus in
only 3.5 to 6% of the samples. This new assay should help determine
the disease burden associated with rhinovirus infections.
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Improved Detection of Rhinoviruses in Clinical Samples by Using a
Newly Developed Nested Reverse Transcription-PCR Assay

*
Corresponding author. Present address: Department of
Virology, Erasmus University Rotterdam, Dr. Molewaterplein 50, 3015 GE Rotterdam, The Netherlands. Phone: (31)10 408 80 66. Fax: (31)10 436 51 45. E-mail: andeweg{at}viro.fgg.eur.nl.
Present address: Department of Virology, Erasmus University
Rotterdam, Rotterdam, The Netherlands.
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