Title
Minimally invasive saliva testing to monitor norovirus infection in community settings
Date Issued
08 April 2019
Access level
open access
Resource Type
journal article
Author(s)
Pisanic N.
Colquechagua F.D.
François R.
Exum N.
Yori P.P.
Schwab K.J.
Granger D.A.
Detrick B.
Heaney C.D.
Vinjé J.
Johns Hopkins Bloomberg School of Public Health
Johns Hopkins Bloomberg School of Public Health
Johns Hopkins Bloomberg School of Public Health
Publisher(s)
Oxford University Press
Abstract
Background. Norovirus is a leading cause of acute gastroenteritis worldwide. Routine norovirus diagnosis requires stool collection. Te goal of this study was to develop and validate a noninvasive method to diagnose norovirus to complement stool diagnostics and to facilitate studies on transmission. Methods. A multiplex immunoassay to measure salivary immunoglobulin G (IgG) responses to 5 common norovirus genotypes (GI.1, GII.2, GII.4, GII.6, and GII.17) was developed. Te assay was validated using acute and convalescent saliva samples collected from Peruvian children <5 years of age with polymerase chain reaction (PCR)-diagnosed norovirus infections (n = 175) and controls (n = 32). Te assay sensitivity and specifcity were calculated to determine infection status based on fold rise of salivary norovirus genotype-specifc IgG using norovirus genotype from stool as reference. Results. Te salivary assay detected recent norovirus infections and correctly assigned the infecting genotype. Sensitivity was 71% and specifcity was 96% across the evaluated genotypes compared to PCR-diagnosed norovirus infection. Conclusions. Tis saliva-based assay will be a useful tool to monitor norovirus transmission in high-risk settings such as daycare centers or hospitals. Cross-reactivity is limited between the tested genotypes, which represent the most commonly circulating genotypes.
Start page
1234
End page
1242
Volume
219
Issue
8
Language
English
OCDE Knowledge area
Virología
Inmunología
Subjects
Scopus EID
2-s2.0-85064512479
PubMed ID
Source
Journal of Infectious Diseases
ISSN of the container
00221899
Sponsor(s)
Financialsupport. This work was supported by the Sherrilyn and Ken Fisher Center for Environmental Infectious Diseases, Division of Infectious Diseases of the Johns Hopkins University School of Medicine. Additional funding was obtained from the Bill & Melinda Gates Foundation (grant number 113805); the Foundation for the National Institutes of Health; and the National Institutes of Health Fogarty International Center through joint support of MAL-ED and the Asprey Foundation in Maryland (to K. S.).
National Institute of Allergy and Infectious Diseases R01AI108695
Sources of information:
Directorio de Producción Científica
Scopus