2022
DOI: 10.3390/v14010159
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Development and Evaluation of a Molecular Hepatitis A Virus Assay for Serum and Stool Specimens

Abstract: Hepatitis A virus (HAV) is an emerging public health concern and there is an urgent need for ways to rapidly identify cases so that outbreaks can be managed effectively. Conventional testing for HAV relies on anti-HAV IgM seropositivity. However, studies estimate that 10–30% of patients may not be diagnosed by serology. Molecular assays that can directly detect viral nucleic acids have the potential to improve diagnosis, which is key to prevent the spread of infections. In this study, we developed a real-time … Show more

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Cited by 12 publications
(8 citation statements)
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“…agricultural irrigation. According to the current research, which is in line with other studies, these waters serve as the primary irrigation supply for agriculture and, in the event of contamination, serve as a source of infection for the public[26] [16].Other studies[27] [28] [16][29] have noted the significance of the HAV IgM positive rate in relation to the source of drinking water. Individual water systems that used wells with untreated ground water were most frequently connected to reported cases of hepatitis A infection related with drinking water.…”
supporting
confidence: 87%
“…agricultural irrigation. According to the current research, which is in line with other studies, these waters serve as the primary irrigation supply for agriculture and, in the event of contamination, serve as a source of infection for the public[26] [16].Other studies[27] [28] [16][29] have noted the significance of the HAV IgM positive rate in relation to the source of drinking water. Individual water systems that used wells with untreated ground water were most frequently connected to reported cases of hepatitis A infection related with drinking water.…”
supporting
confidence: 87%
“…HAV is an emerging public health concern and is responsible for over 1.5 million annual cases in humans globally [ 58 ]. Concerning the host range of HAV, it is limited to humans and several species of NHPs [ 59 , 60 ].…”
Section: Discussionmentioning
confidence: 99%
“…However, studies estimate that 10-30% of patients may not be diagnosed by serology. Molecular assays that can directly detect viral nucleic acids have the potential to improve diagnosis (such as real-time PCR), which is key to preventing the spread of infections [81][82][83][84][85][86][87] (Figure 3). Antibodies are the body's natural protection against infection, and their level of HAV in the blood is used to detect whether a patient has an ongoing or prior infection.…”
Section: Hav Diagnosismentioning
confidence: 99%
“…The high sensitivity of RT-qPCR, its low cost, and the increased specificity achieved by using fluorescent probes have made it the gold standard for HAV detection in food. RT-qPCR, in particular, allows for quantitative viral detection for threat risk assessment analysis and is applied to enhance preventative measures and food-related laws [ 86 , 88 ]. While developing a robust cell culture method for assessing HAV infectivity in food might be a huge step, RT-qPCR is a quick and low-cost technique that offers a more precise indication of the risk related to infected food and water [ 88 ].…”
Section: Hav Ratementioning
confidence: 99%