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J. Clin. Microbiol. doi:10.1128/JCM.00305-07
Copyright (c) 2007, American Society for Microbiology and/or the Listed Authors/Institutions. All Rights Reserved.

Dengue Viral Detection using Whole Blood for RT-PCR and Viral Isolation

Chonticha Klungthong, Robert V. Gibbons, Butsaya Thaisomboonsuk, Ananda Nisalak, Siripen Kalayanarooj, Vipa Thirawuth, Naowayubol Nutkamhang, Mammen P Mammen, and Richard G. Jarman*

Armed Forced Research Institute of Medical Sciences; Department of Virology, Bangkok, Thailand; Queen Sirikit National Institute of Child Health, Bangkok 10400, Thailand

* To whom correspondence should be addressed. Email: Richard.Jarman{at}afrims.org.


   Abstract

Dengue is one of the most important diseases in the tropical and subtropical world with an estimated 2.5 billion people at risk. Detection of dengue viral infections has great importance for clinical management of patients, surveillance, and clinical trial assessments. Traditionally blood samples are collected in serum separator tubes, processed for serum, and then taken to the lab for analysis. Using whole blood has the potential advantages of requiring less blood, providing quicker results, and perhaps better sensitivity during the acute phase of the disease. We compared RT-PCR results from blood drawn into EDTA tubes and serum separator tubes from 108 clinically suspected dengue infected individuals. We determined that RNA extraction from whole blood followed by RT-PCR resulted in a higher detection rate than using serum or plasma. Using a selection of these samples we also found that our ability to detect virus by direct C6/36 cell culture and mosquito inoculation was enhanced using whole blood, but not to the same extent that was seen in RT-PCR.




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