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Advanced Techniques in Diagnostic Microbiology

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494 J. Han<br />

TABLE 27.14. List of pathogens amplified and detected by<br />

the Encephalitis I system.<br />

Pathogen Targeted gene Target symbol<br />

Dengue type 1 envelope Den1<br />

Dengue type 2 envelope Den2<br />

Dengue type 3 envelope Den3<br />

Dengue type 4 envelope Den4<br />

Coxsackie viruses & echovirus 5 ′ UTR CVEV<br />

Rh<strong>in</strong>oviruses 5 ′ UTR RhV<br />

Herpes simplex virus 1 UL5 HSV1<br />

Herpes simplex virus 2 UL5 HSV2<br />

Japanese encephalitis virus NS JE<br />

West Nile virus NS WN<br />

Tables 27.16 and 27.17 display the pathogen list and some sample data. DNA<br />

samples were extracted from ATCC stra<strong>in</strong>s.<br />

Molecular Differential <strong>Diagnostic</strong> System for TB<br />

Drug-Resistance Mutations<br />

Accord<strong>in</strong>g to the World Health Organization (WHO), tuberculosis affects 7.5 million<br />

people and kills as many as 2.5 million people each year, mak<strong>in</strong>g TB the<br />

lead<strong>in</strong>g cause of death by an <strong>in</strong>fectious disease. TB is extremely prevalent among<br />

people with AIDS. Accord<strong>in</strong>g to the WHO, Mycobacterium tuberculosis <strong>in</strong>fects<br />

33% of the entire human population. Approximately 10% of newly identified cases<br />

have resistance to at least one anti-tuberculosis drug. The statistics for previously<br />

treated cases <strong>in</strong>dicate that the average occurrence of resistance toward at least one<br />

drug is 18%, with some areas, such as Kazakhstan, present<strong>in</strong>g drug resistance <strong>in</strong><br />

as many as 82% of its cases. Quick diagnosis of TB <strong>in</strong>fection and identification of<br />

drug resistance is essential for disease control and treatment.<br />

TABLE 27.15. Detection results of the Encephalitis I system.<br />

No. Sample Den1 Den2 Den3 Den4 CVEV RhV HSV1 HSV2 JE WN<br />

1 Dengue 1 674 18 32 19 23 29 13 20 21 27<br />

2 Dengue 2 23 1048 22 20 19 28 30 13 17 25<br />

3 Dengue 3 9 26 687 30 25 11 13 18 16 36<br />

4 Dengue 4 27 18 35 907 27 22 33 27 23 27<br />

5 Echovirus 30 24 17 37 20 3125 23 24 23 12 54<br />

6 Rh<strong>in</strong>ovirus 11 4 27 16 12 1766 8 21 15 36<br />

7 HSV1 31 35 33 29 30 27 958 49 23 31<br />

8 HSV2 21 30 23 19 41 26 33 970 19 28<br />

9 JE 32 20 33 32 26 31 30 26 605 41<br />

10 RT-PCR blank 18 9 27 27 16 20 16 28 29 33<br />

Cutoff 250 250 250 250 250 250 250 250 250 250

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