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Enterovirus A71 (EV-A71) has recently become an important public health threat, especially in South-East Asia, where it has caused massive outbreaks of Hand, Foot and Mouth disease every year, resulting in significant mortality. Rapid detection of EV-A71 early in outbreaks would facilitate implementation of prevention and control measures to limit spread. Real-time RT-PCR is the technique of choice for the rapid diagnosis of EV-A71 infection and several systems have been developed to detect circulating strains. Although eight genogroups have been described globally, none of these PCR techniques detect all eight. We describe, for the first time, a SYBR Green real-time RT-PCR system validated to detect all 8 EV-A71 genogroups. This tool could permit the early detection and shift in genogroup circulation and the standardization of HFMD virological diagnosis, facilitating networking of laboratories working on EV-A71 in different regions.

Original publication

DOI

10.1371/journal.pone.0089963

Type

Journal article

Journal

PLoS One

Publication Date

2014

Volume

9

Keywords

DNA Primers, Enterovirus A, Human, Hand, Foot and Mouth Disease, Humans, Limit of Detection, Organic Chemicals, Phylogeny, Plasmids, Real-Time Polymerase Chain Reaction, Transition Temperature