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Use of oral fluid samples for the investigation of outbreaks of human parvovirus B19 infection

The use of oral fluid (OF) samples for serological diagnosis of parvovirus B19 infection during outbreaks of erythema infectiosum had already been demonstrated, but the feasibility of using OF for the characterization of B19 genotypes circulating during outbreaks has not been described. The aim of t...

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Bibliographic Details
Published in:Brazilian journal of microbiology 2022-12, Vol.53 (4), p.1959-1967
Main Authors: Almada, Daiana Lima, Alves, Arthur Daniel Rocha, Leon, Luciane Almeida Amado, Macedo, Débora Familiar Rodrigues, de Oliveira, Solange Artimos, Siqueira, Marilda Mendonça, Brown, David, Cubel Garcia, Rita de Cássia Nasser
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Language:English
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Summary:The use of oral fluid (OF) samples for serological diagnosis of parvovirus B19 infection during outbreaks of erythema infectiosum had already been demonstrated, but the feasibility of using OF for the characterization of B19 genotypes circulating during outbreaks has not been described. The aim of this study was to assess the use of “in-house” PCR-based assays as a powerful tool for a rapid diagnosis and molecular characterization of B19 strains in OF samples during outbreaks. Paired serum and OF samples collected from anti-B19 IgM-positive patients, during two outbreaks of ertythema infectiosum (1999–2000 and 2004–2005), were tested by conventional (cPCR) and quantitative PCR (qPCR). qPCR was more sensitive than cPCR for detecting B19-DNA in both OF and serum. Overall, OF presented lower viral load (9.97 × 10 6 UI/mL) than serum (2.42 × 10 10 UI/mL) and this difference was statistically significant. All OF samples obtained from patients in the age group 
ISSN:1517-8382
1678-4405
DOI:10.1007/s42770-022-00828-9