Cytomegalovirus (CMV) was detected in 56 of 275 specimens (20%); 50 of 56 (89%) were detected by conventional culture, and 37 (66%) were detected by rapid assay at 72 h with a commercial monoclonal antibody and a pooled monoclonal antibody. Although the two antibodies were equally sensitive at 72 h, the pooled antibody gave a brighter, more easily detected signal. Other viruses were isolated from 9 specimens (3.3%) by conventional culture. Use of rapid assays alone fails to detect slow-growing CMV and non-CMV viral pathogens. Rapid, accurate tests for cytomegalovirus (CMV) are important for initiating appropriate antiviral therapy (3, 4, 9). Monoclonal antibody detection of an immediate early CMV protein in conjunction with centrifugation of the specimen onto permissive cells allows rapid identification of CMV (2, 5, 6, 10, 12). We have developed a spin-amplified rapid assay (SARA) using 48-well plates and indirect immunofluorescence with a pool of four mouse monoclonal antibodies against both early and late CMV proteins (UWMAb) (7). The performance of the UWMAb was compared with that of a commercial mouse monoclonal antibody to an immediate early CMV protein (IEMAb; Du Pont Co., Wilmington, Del.) in the SARA. These tests, in turn, were compared with conventional tube culture (CC) on all specimens except peripheral blood. CC. Specimens submitted to the University of Washington Diagnostic Virology Laboratory for CMV isolation and rapid assay (n = 135) or for CMV rapid assay and viral screen (n = 140) were pretreated as described previously (1) and then inoculated within 12 h of collection into three culture systems: CC with human diploid fibroblasts, SARA with IEMAb for CMV antigen detection, and SARA with UWMAb. Specimens for viral screening were also inoculated into two tubes each of primary monkey kidney cells and heteroploid cells (HL) and one tube of Buffalo green monkey cells. Tubes were incubated in Eagle minimal essential medium in 0.01 M Tricine buffer (EMEM) supplemented with 2% fetal bovine serum and antibiotics, with medium changes every 2 weeks. Tubes were observed daily for 5 weeks; CMV cytopathic effect was confirmed by indirect immunofluorescence (7). SARA. SARAs were performed in 48-well plates (Costar, Cambridge, Mass.) seeded 1 day before inoculation with 2 x 105 human diploid fibroblast cells in 0.5 ml of EMEM. Four