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Detection of hepatitis B virus DNA by real-time PCR using TaqMan-MGB probe technology 被引量:15
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作者 Jin-RongZhao Yu-JieBai +3 位作者 Qing-HuaZhang YanWan DingLi Xiao-JunYan 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第4期508-510,共3页
AIM: To develop a real-time PCR for detecting hepatitis B virus-(HBV) DNA based on TaqMan technology using a new MGB probe.METHODS: Plasmid containing the sequence of X gene (1414-1744 nt) was constructed as HBV-DNA s... AIM: To develop a real-time PCR for detecting hepatitis B virus-(HBV) DNA based on TaqMan technology using a new MGB probe.METHODS: Plasmid containing the sequence of X gene (1414-1744 nt) was constructed as HBV-DNA standard for quantitative analysis. A TaqMan-MGB probe between primers for amplification was designed to detect PCR products. The interested sequence contained in the plasmid and in clinical specimens was quantitatively measured.RESULTS: The detection limit of the assay for HBV DNA was 1 genome equivalent per reaction. A linear standard curve was obtained between 100 and 109 DNA copies/reaction (r>0.990). None of the negative control samples showed false-positive reactions in duplicate. HBV DNA was detected in 100% (50/50) of HBV patients with HbeAg, and in 72.0% (36/50) with HBsAg, HBeAb and HBcAb. The coefficient of variation for both intra- and inter-experimental variability demonstrated high reproducibility and accuracy.CONCLUSION: Real-time PCR based on TaqMan-MGB probe technology is an excellent method for detection of HBV DNA. 展开更多
关键词 Hepatitis B Virus DNA taqman-mgb probe real-time pcr
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Real-time RT-PCR Assay for the detection of Tahyna Virus 被引量:2
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作者 LI Hao CAO Yu Xi +6 位作者 HE Xiao Xia FU Shi Hong LYU Zhi HE Ying GAO Xiao Yan LIANG Guo Dong WANG Huan Yu 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2015年第5期374-377,共4页
A real-time RT-PCR (RT-qPCR) assay for the detection of Tahyna virus was developed to monitor Tahyna virus infection in field-collected vector mosquito samples. The targets selected for the assay were S segment sequ... A real-time RT-PCR (RT-qPCR) assay for the detection of Tahyna virus was developed to monitor Tahyna virus infection in field-collected vector mosquito samples. The targets selected for the assay were S segment sequences encoding the nucleocapsid protein from the Tahyna virus. Primers and probes were selected in conserved regions by aligning genetic sequences from various Tahyna virus strains available from GenBank. The sensitivity of the RT-qPCR approach was compared to that of a standard plaque assay in BHK cells. RT-qPCR assay can detect 4.8 PFU of titrated Tahyna virus. Assay specificities were determined by testing a battery of arboviruses, including representative strains of Tahyna virus and other arthropod-borne viruses from China. Seven strains of Tahyna virus were confirmed as positive; the other seven species of arboviruses could not be detected by RT-qPCR. Additionally, the assay was used to detect Tahyna viral RNA in pooled mosquito samples. The RT-qPCR assay detected Tahyna virus in a sensitive, specific, and rapid manner; these findings support the use of the assay in viral surveillance. 展开更多
关键词 pcr real-time RT-pcr assay for the detection of Tahyna Virus TIME RT
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Real-time RT-PCR Assay for the Detection of Culex flavivirus 被引量:2
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作者 CAO Yu Xi HE Xiao Xia +5 位作者 FU Shi Hong HE Ying LI Hao GAO Xiao Yan LIANG Guo Dong WANG Huan Yu 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2015年第12期917-919,共3页
Based on the Culex flavivirus (CxFV) E gene sequences in GenBank, CxFV-specific primers and probes were designed for real-time reverse transcription-polymerase chain reaction (RT-qPCR). The specificity test revealed t... Based on the Culex flavivirus (CxFV) E gene sequences in GenBank, CxFV-specific primers and probes were designed for real-time reverse transcription-polymerase chain reaction (RT-qPCR). The specificity test revealed that CxFV could be detected using RT-qPCR with the specific CxFV primers and probes; other species of arboviruses were not detected. The stability test demonstrated a coefficient of variation of <1.5%. A quantitative standard curve for CxFV RT-qPCR was established. Quantitative standard curve analysis revealed that the lower detection limit of the RT-qPCR system is 100 copies/mu L. Moreover, RT-qPCR was used to detect CxFV viral RNA in mosquito pool samples. In conclusion, we established a real-time RT-PCR assay for CxFV detection, and this assay is more sensitive and efficient than general RT-PCR. This technology may be used to monitor changes in the environmental virus levels. 展开更多
关键词 pcr real-time RT-pcr assay for the Detection of Culex flavivirus RT time
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Complete genome sequence of a Rodent Torque teno virus in Hainan Island, China and establishment of a real-time PCR for detecting Rodent Torque teno virus 3
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作者 Yue Wu Shan-Shan Wang +12 位作者 Wen-Qi Wang Huan-Huan Zhou Jin-Long Chen Yu-Fang Yi Tian-Ming Ma Xiu-Ji Cui Yi Huang Gao-Yu Wang Ruo-Yan Peng Xiao-Yuan Hu Chang-Hua He Gang Lu Fei-Fei Yin 《Journal of Hainan Medical University》 2019年第4期1-6,共6页
Objective:To perform whole-genome sequencing and phylogenetic analysis of the local endemic strain of Rodent Torque teno virus (RoTTV), RoTTV3-HMU1, found in Rattus norvegicus, Haikou City, Hainan Province, and establ... Objective:To perform whole-genome sequencing and phylogenetic analysis of the local endemic strain of Rodent Torque teno virus (RoTTV), RoTTV3-HMU1, found in Rattus norvegicus, Haikou City, Hainan Province, and establish a SYBR Green I based real-time PCR detection assay for RoTTV3.Methods: Based on the high-throughput genome sequencing analysis, specific primers were designed and the whole genome sequence was amplified by PCR and Sanger sequencing. Specific detection primers were designed based on the conserved sequences of RoTTV3. The recombinant plasmid contained the whole genome of RoTTV3-HMU1 was constructed as a standard control. The experimental conditions were optimized and the real-time PCR detection assay of RoTTV3 was established.Results: The genomic sequence of RoTTV carried by Rattus norvegicus in Haikou City was successfully sequenced. Phylogenetic analysis indicated that the virus belongs to the RoTTV3 genotype. In this experiment, the real-time PCR detection method of RoTTV3 was established. The standard curve generated had a wide dynamic range from 1×(102-108) copies/μL, with a linear correlation (R2=1.000). The melting curve analysis using SYBR Green showed only one specific melting peak and no primer-dimmers represented. The detection limit was 100 copies/reaction.Discussion: This study was the first report of the RoTTV in Hainan Islands, and its phylogenetic analysis was of great significance to the origin and evolution of RoTTV. The RoTTV3 real-time PCR detection method established in this experiment has a high sensitivity and good specificity, which lays a technical foundation for the epidemiological investigation of RoTTV3. 展开更多
关键词 RODENT TORQUE teno virus WHOLE-GENOME SEQUENCING real-time pcr detection assay
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检测牛感染犬新孢子虫的TaqMan-MGB Real-time PCR方法的建立
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作者 陈千林 刘梦丽 +4 位作者 许正茂 王振宝 吉尔格力 史亚明 巴音查汗 《中国农业大学学报》 CAS CSCD 北大核心 2016年第12期58-64,共7页
为建立牛感染犬新孢子虫的Real-time PCR检测方法,根据犬新孢子虫Nc2基因保守序列设计特异性检测引物和TaqMan-MGB探针,建立新孢子虫病TaqMan-MGB Real-time PCR检测方法。PCR扩增产物约为150bp,与预期片段大小相符;Real-time PCR扩增表... 为建立牛感染犬新孢子虫的Real-time PCR检测方法,根据犬新孢子虫Nc2基因保守序列设计特异性检测引物和TaqMan-MGB探针,建立新孢子虫病TaqMan-MGB Real-time PCR检测方法。PCR扩增产物约为150bp,与预期片段大小相符;Real-time PCR扩增表明,Ct值与梯度稀释的阳性质粒模板呈良好的线性关系;当检测牛源性弓形虫、牛环形泰勒和牛巴贝斯等虫种阳性DNA时均为阴性;经3D数字PCR判定,Real-time PCR方法的最低有效检测量为6.41拷贝/μL,灵敏性是常规PCR的1 000倍;重复性试验的组内平均变异系数为1.108%,组间为2.732%;本方法与《新孢子虫病检疫技术规范》(SN/T 3499-2013)的检测符合率为100%(46/46)。该Real-time PCR方法可用于早期诊断和日常监测家畜感染犬新孢子虫。 展开更多
关键词 新孢子虫病 real-time pcr 3D数字pcr taqman-mgb探针 Nc2基因
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Leishmania tropica: The comparison of two frequently-used methods of parasite load assay in vaccinated mice
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作者 Fatemeh Nemati Zargaran Mosayeb Rostamian +1 位作者 Alisha Akya Hamid MNiknam 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2020年第6期248-253,共6页
Objective:To compare limiting dilution assay and real-time PCR methods in Leishmania tropica parasite load measurement in vaccinated mice.Methods:BALB/c mice were vaccinated by Leishmania tropica soluble Leishmania an... Objective:To compare limiting dilution assay and real-time PCR methods in Leishmania tropica parasite load measurement in vaccinated mice.Methods:BALB/c mice were vaccinated by Leishmania tropica soluble Leishmania antigen or recombinant Leishmania tropica stressinducible protein-1 with/without adjuvant.After three vaccinations,mice were challenged by Leishmania tropica promastigotes.Two months after challenge,the draining lymph nodes of mice footpad were removed and parasite load was assayed by limiting dilution assay and real-time PCR methods.Limiting dilution assay was done by diluting tissue samples to extinction in a biphasic medium.For real-time PCR,DNA of the lymph nodes was extracted,equal dilutions of each sample were prepared and hot-start real-time PCR was done using appropriate primers.The data of the two methods were compared by appropriate statistical methods.Results:Both methods were able to measure different levels of parasite load in vaccinated/unvaccinated mice.In addition,wherever parasite load of a group was estimated high(or low)by one method,the estimated parasite load by another method was the same,although statistically significant differences were found between some groups.Conclusions:Both methods lead to approximately similar results in terms of differentiating parasite load of the experimental groups.However,due to the lower errors and faster process,the real-time PCR method is preferred. 展开更多
关键词 LEISHMANIA tropica Vaccinated MICE LIMITING DILUTION assay PARASITE load assay real-time pcr
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Establishment and evaluation based of a RIG-G gene detection system by TaqMan-MGB probe real-time PCR
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作者 庞丽 《China Medical Abstracts(Internal Medicine)》 2017年第1期54-,共1页
Objective To establish a Taq Man-MGB fluorescent probe characterized real-time polymerase chain reaction(q PCR)method for detecting retinoic acid induced genes G(RIG-G)in human acute promyelocytic leukemia(M3).Analyze... Objective To establish a Taq Man-MGB fluorescent probe characterized real-time polymerase chain reaction(q PCR)method for detecting retinoic acid induced genes G(RIG-G)in human acute promyelocytic leukemia(M3).Analyze RIG-G expression levels in peripheral blood of both normal persons and M3 patients and 展开更多
关键词 RIG MGB REAL Establishment and evaluation based of a RIG-G gene detection system by taqman-mgb probe real-time pcr time gene
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Identified Bacteria and Virus in the Cerebrospinal Fluid of under Five Years Hospitalized Children for Clinical Meningitis at Panzi Hospital in the Eastern Part of DRC
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作者 Jeannière Tumusifu Manegabe Muke Kitoga +2 位作者 Mambo Mwilo Jonhatan Yoyu Birindwa Muhandule Archippe 《Open Journal of Pediatrics》 2023年第5期676-688,共13页
Background: Meningitis remains a leading cause of death among children below 5 years of age in the Democratic Republic of the Congo (DR Congo). Distinguishing children with bacterial meningitis from those with viral m... Background: Meningitis remains a leading cause of death among children below 5 years of age in the Democratic Republic of the Congo (DR Congo). Distinguishing children with bacterial meningitis from those with viral meningitis in the emergency department is sometimes difficult. Here we identified bacteria and virus in the cerebral spinal fluid (CSF) of children with meningitis. Material and Methods: This is a prospective, analytical study carried out in the Pediatrics department of Panzi Hospital in the South-Kivu province of DR Congo. Between April 2021 and March 2022, 150 of 251 collected CSF from children aged from 1 to 59 months hospitalised due to clinical meningitis at Panzi referral university hospital, Bukavu, Eastern DR Congo were sent to the Lancet laboratory for bacteria identification by a multiplex real-time PCR assay for detection of the most different viruses and bacterial species causing meningitis. Result: The used multiplex real-time PCR assay allowed us to identify germs in 24.7% of cases (37/150). We isolated bacteria in 25/37 (67.5%) cases, and viruses in 9/37 (24.3%) while virus and bacteria co-infection was detected in 3/37 (8.1%). The most frequently identified bacteria were Streptococcus pneumoniae 14/37 (37.8%) followed by Haemophilus influenzae 6/37 (16.2%). The main virus was cytomegalovirus 5/37 (3.5%). Despite the age, the most found bacterial are common in children from rural areas and unvaccinated children. Bacterial and virus co-infection were identified in 66.7% of children aged between 25 - 60 months, mainly among male children, and in all children from rural areas (100%). The overall case fatality rate was 30% and was very high among cases with co-infection CMV-Pneumococcal (66.7%), followed by Streptococcus pneumoniae (50%). Conclusion: Meningitis remains frequent among children aged from one to 59 months among Bukavu Infants. We noticed that, Children with co-infection with bacteria and viruses might need higher attention when having meningitis symptoms, as this could lead to fatal outcomes. The introduction of molecular techniques, such as multiplex real-time PCR, has the potential to improve diagnosis and patient outcomes. 展开更多
关键词 Children MENINGITIS Multiplex real-time pcr Meningitis assay Bacteria VIRUS
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Effects of neuregulin-1 on autonomic nervous system remodeling post-myocardial infarction in a rat model 被引量:7
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作者 Xin Lai Liang Zhong +7 位作者 Hai-xia Fu Song Dang Xin Wang Ning Zhang Gao-ke Feng Zi-qiang Liu Xi Wang Long Wang 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第11期1905-1910,共6页
Sympathetic nerve and vagus nerve remodeling play an important part in cardiac function post-myocardial infarction (MI). Increasing evidence indicates that neuregulin-1 (NRG-1) improves cardiac function following ... Sympathetic nerve and vagus nerve remodeling play an important part in cardiac function post-myocardial infarction (MI). Increasing evidence indicates that neuregulin-1 (NRG-1) improves cardiac function following heart failure. Since its impact on cardiac function and neural remodeling post-MI is poorly understood, we aimed to investigate the role of NRG-1 in autonomic nervous system remodeling post-MI. Forty-five Sprague-Dawley rats were equally randomized into three groups: sham (with the left anterior descending coronary artery exposed but without ligation), MI (left anterior descending coronary artery ligation), and MI plus NRG-1 (left anterior descending coronary artery ligation followed by intraperitoneal injection of NRG-1 (10 lag/kg, once daily for 7 days)). At 4 weeks after MI, echocardi- ography was used to detect the rat cardiac function by measuring the left ventricular end-systolic inner diameter, left ventricular diastolic diameter, left ventricular end-systolic volume, left ventricular end-diastolic volume, left ventricular ejection fraction, and left ventricular fractional shortening, mRNA and protein expression levels of tyrosine hydroxylase, growth associated protein-43 (neuronal specific pro- tein), nerve growth factor, choline acetyltransferase (vagus nerve marker), and vesicular acetylcholine transporter (cardiac vagal nerve fiber marker) in ischemic myocardia were detected by real-time PCR and western blot assay to assess autonomous nervous remodeling. After MI, the rat cardiac function deteriorated significantly, and it was significantly improved after NRG-1 injection. Compared with the MI group, mRNA and protein levels of tyrosine hydroxylase and growth associated protein-43, as well as choline acetyltransferase mRNA level significantly decreased in the MI plus NRG-1 group, while mRNA and protein levels of nerve growth factor and vesicular acetylcholine transporters, as well as choline acetyltransferase protein level slightly decreased. Our results indicate that NRG- 1 can improve cardiac function and regulate sympathetic and vagus nerve remodeling post-MI, thus reaching a new balance of the autonomic nervous system to protect the heart from injury. 展开更多
关键词 nerve remodeling myocardial infarction NEUREGULIN-1 sympathetic nerve vagus nerve animal model real-time pcr westernblot assay cardiac function ECHOCARDIOGRAPHY
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Expression and Characterization of ArgR, An Arginine Regulatory Protein in Corynebacterium crenatum 被引量:2
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作者 CHEN Xue Lan ZHANG Bin +6 位作者 TANG Li JIAO Hai Tao XU Heng Yi XU Feng XU Hong WEI Hua XIONG Yong Hua 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2014年第6期436-443,共8页
Objective Corynebacterium crenatum MT, a mutant from C. crenatum AS 1.542 with a lethal argR gene, exhibits high arginine production. To confirm the effect of ArgR on arginine biosynthesis in C. crenatum, an intact ar... Objective Corynebacterium crenatum MT, a mutant from C. crenatum AS 1.542 with a lethal argR gene, exhibits high arginine production. To confirm the effect of ArgR on arginine biosynthesis in C. crenatum, an intact argR gene from wild-type AS 1.542 was introduced into C. crenatum MT, resulting in C. crenatum MT. sp, and the changes of transcriptional levels of the arginine biosynthetic genes and arginine production were compared between the mutant strain and the recombinant strain. Methods Quantitative real-time polymerase chain reaction was employed to analyze the changes of the related genes at the transcriptional level, electrophoretic mobility shift assays were used to determine ArgR binding with the argCJBDF, argGH, and carAB promoter regions, and arginine production was determined with an automated amino acid analyzer. Results Arginine production assays showed a 69.9% reduction in arginine from 9.01±0.22 mg/mL in C. crenatum MT to 2.71±0.13 mg/mL (P〈0.05) in C. crenatum MT. sp. The argC, argB, argD, argF, argJ, argG, and carA genes were down-regulated significantly in C. crenatum MT. sp compared with those in its parental C. crenatum MT strain. The electrophoretic mobility shift assays showed that the promoter regions were directly bound to the ArgR protein. Conclusion The arginine biosynthetic genes in C crenatum are clearly controlled by the regulator ArgR, and intact ArgR in C. crenatum MT results in a significant descrease in production. negative arginine production. 展开更多
关键词 Corynebacterium crenatum ArgR protein Arginine biosynthetic genes real-time pcr ElectrophoretJc mobility shift assay
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Identification of various cell culture models for the study of Zika virus 被引量:2
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作者 Kiyoshi Himmelsbach Eberhard Hildt 《World Journal of Virology》 2018年第1期10-20,共11页
AIM To identify cell culture models supportive for Zika virus(ZIKV) replication.METHODS Various human and non-human cell lines were infected with a defined amount of ZIKV Polynesia strain. Cells were analyzed 48 h pos... AIM To identify cell culture models supportive for Zika virus(ZIKV) replication.METHODS Various human and non-human cell lines were infected with a defined amount of ZIKV Polynesia strain. Cells were analyzed 48 h post infection for the amount of intracellular and extracellular viral genomes and infectious viral particles by quantitative real-time PCR and virus titration assay. The extent of replication was monitored by immunofluorescence and western blot analysis by using Env and NS1 specific antibodies. Innate immunity was assayed by luciferase reporter assay and immunofluorescence analysis.RESULTS All investigated cell lines except CHO cells supported infection, replication and release of ZIKV. While in infected A549 and Vero cells a pronounced cytopathic effect was observed COS7, 293 T and Huh7.5 cells were most resistant. Although the analyzed cell lines released comparable amounts of viral genomes to the supernatant significant differences were found for the number of infectious viral particles. The neuronal cell lines N29.1 and SH-SY5 Y released 100 times less infectious viral particles than Vero-, A549-or 293 T-cells. However there is no strict correlation between the amount of produced viral particles and the induction of an interferon response in the analyzed cell lines.CONCLUSION The investigated cell lines with their different tissue origins and diverging ZIKV susceptibility display a toolbox for ZIKV research. 展开更多
关键词 Zika VIRUS Cell LINES QUANTITATIVE real-time pcr PLAQUE assay INTERFERON
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实时荧光定量聚合酶链反应检测血清2型猪链球菌的研究
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作者 白雪梅 张少敏 +1 位作者 孙晖 叶长芸 《疾病监测》 CAS 2011年第3期176-178,共3页
目的基于TaqMan-MGB探针实时荧光定量聚合酶链反应(Real-time PCR)技术,建立针对血清2型猪链球菌的快速检测方法。方法针对血清2型猪链球菌的csp2 J基因序列,应用Beacon Designer 7.0,设计了引物和TaqMan-MGB探针,建立Real-time PCR检... 目的基于TaqMan-MGB探针实时荧光定量聚合酶链反应(Real-time PCR)技术,建立针对血清2型猪链球菌的快速检测方法。方法针对血清2型猪链球菌的csp2 J基因序列,应用Beacon Designer 7.0,设计了引物和TaqMan-MGB探针,建立Real-time PCR检测方法;把目的片段克隆到pMD18-T载体制作标准曲线;以常见致病菌及条件致病菌验证引物探针的特异性;制备血液模拟标本评价本方法在临床标本中的应用。结果由标准曲线可知该方法可以检测到100拷贝/反应体系的目的基因,特异性检测显示只有血清2型猪链球菌有荧光信号,其他常见致病菌及条件致病菌均无荧光信号,血液模拟标本中3.9×102cfu/m l的细菌含量可被检出。结论以csp2 J为目的基因建立的血清2型猪链球菌Real-time PCR检测方法灵敏度高、特异性好、快速,可用于临床感染患者标本的初步筛查。 展开更多
关键词 猪链球菌 real-time pcr taqman-mgb探针
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Effect of human rhinovirus infection in pediatric patients with influenza-like illness on the 2009 pandemic influenza A(H1N1) virus 被引量:1
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作者 Sun Yu Zhu Ru'nan +6 位作者 Zhao Linqing Deng Jie Wang Fang Ding Yaxin Yuan Yi Qu Dong Qian Yuan 《Chinese Medical Journal》 SCIE CAS CSCD 2014年第9期1656-1660,共5页
Background Some research groups have hypothesized that human rhinoviruses (HRVs) delayed the circulation of the 2009 pandemic influenza A(H1N1) virus (A(H1N1)pdm09) at the beginning of Autumn 2009 in France.Th... Background Some research groups have hypothesized that human rhinoviruses (HRVs) delayed the circulation of the 2009 pandemic influenza A(H1N1) virus (A(H1N1)pdm09) at the beginning of Autumn 2009 in France.This study aimed to evaluate the relationship between HRV and A(H1N1)pdm09 in pediatric patients with influenza-like illness in Beijing,China.Methods A systematic analysis to detect A(H1N1)pdm09 and seasonal influenza A virus (FLU A) was performed on 4 349 clinical samples from pediatric patients with influenza-like illness during the period June 1,2009 to February 28,2010,while a one-step real-time RT-PCR (rRT-PCR) assay was used to detect HRV in 1 146 clinical specimens selected from those 4 349 specimens.Results During the survey period,only one wave of A(H1N1)pdm09 was observed.The percentage of positive cases for A(H1N1)pdm09 increased sharply in September with a peak in November 2009 and then declined in February 2010.Data on the monthly distribution of HRVs indicated that more HRV-positive samples were detected in September (2.2%) and October (3.3%),revealing that the peak of HRV infection in 2009 was similar to that of other years.Among the 1 146 specimens examined for HRVs,21 (1.8%) were HRV-positive,which was significantly lower than that reported previously in Beijing (15.4% to 19.2%) (P <0.01).Overall,6 samples were positive for both A(H1N1)pdm09 and HRV,which represented a positive relative frequency of 1.60% and 2.08% HRV,considering the A(H1N1)pdm09-positive and-negative specimens,respectively.The odds ratio was 0.87 (95% CI 0.32; 2.44,P=0.80).Conclusions HRVs and A (H1N1)pdm09 co-circulated in this Chinese population during September and October 2009,and the HRV epidemic in 2009 did not affect A(H1N1)pdm09 infection rates in Beijing,China as suggested by other studies.However,the presence of A(H1N1)pdm09 might explain the unexpected reduction in the percentage of HRV positive cases during the period studied. 展开更多
关键词 real-time pcr assay human rhinovirus A(H1N1)pdm09 pediatric patients influenza-like illness
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