We have developed a straightforward assay for the rapid typing of enteroviruses using oligonucleotide arrays in microtiter wells. The viral nucleic acids are concomitantly amplified and labeled during reverse transcription-PCR, and unpurified PCR products are used for hybridization. DNA strands are separated by alkaline denaturation, and hybridization is started by neutralization. The microarray hybridization reactions and the subsequent washes are performed in standard 96-well microtiter plates, which makes the method easily adaptable to high-throughput analysis. We describe here the assay principle and its potential in clinical laboratory use by correctly identifying 10 different enterovirus reference strains. Furthermore, we explore the detection of unknown sequence variants using serotype consensus oligonucleotide probes. With just two consensus probes for the coxsackievirus A9 (CVA9) serotype, we detected 23 out of 25 highly diverse CVA9 isolates. Overall, the assay involves several features aiming at ease of performance, robustness, and applicability to large-scale studies.Enteroviruses belong to the Picornaviridae family of small, nonenveloped RNA viruses. There are currently more than 100 recognized human enterovirus types, and the number is constantly increasing (24; N. J. Knowles, Picornavirus Home Page [http://www.picornaviridae.com/]). Clinical manifestations of enterovirus infections range from rash, respiratory symptoms, myocarditis, and severe illness in newborns to central nervous system (CNS) infections, such as acute flaccid paralysis, meningitis, and encephalitis (1, 2, 5, 13, 25; P. Huttunen et al., submitted for publication). Enteroviruses are the main cause of aseptic meningitis with known etiology; the proportion of cases ranges from 80 to 92% (21). Both respiratory and CNS infections caused by enteroviruses require medical consultation and hospitalization and are often treated with antibiotics because of lack of rapid and sensitive early detection of the pathogen. The prevalence and clinical significance of enteroviruses is further emphasized by multiple severe outbreaks in recent years, including massive epidemics of hand, foot, and mouth disease in Asia, mainly caused by enterovirus 71 (EV71) (6; CDC, outbreak notice, 2008). In light of the poliovirus eradication campaign and the chance of new outbreaks via enterovirus recombination (8), it is important to develop rapid means for the diagnosis and large-scale monitoring of enteroviruses and their serotypes circulating in the population. Moreover, antiviral drugs against enteroviruses are under development, and their availability will significantly increase the need for rapid, sensitive, and specific diagnostic tests.The diagnosis of enterovirus infections has classically been based on isolation of the virus followed by neutralization typing using an antiserum panel. The procedure is slow and laborious, since more than one cycle of cell culture propagation may be required. Therefore, the results are not available at the acute phase of th...