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Value of Routine Dengue Diagnostic Tests in Urine and Saliva Specimens
Authors:Anne-Claire Andries  Veasna Duong  Sowath Ly  Julien Cappelle  Kim Srorn Kim  Patrich Lorn Try  Sopheaktra Ros  Sivuth Ong  Rekol Huy  Paul Horwood  Marie Flamand  Anavaj Sakuntabhai  Arnaud Tarantola  Philippe Buchy
Abstract:BackgroundDengue laboratory diagnosis is essentially based on detection of the virus, its components or antibodies directed against the virus in blood samples. Blood, however, may be difficult to draw in some patients, especially in children, and sampling during outbreak investigations or epidemiological studies may face logistical challenges or limited compliance to invasive procedures from subjects. The aim of this study was to assess the possibility of using saliva and urine samples instead of blood for dengue diagnosis.ConclusionsAlthough the performances of the different diagnostic methods were not as good in saliva and urine as in plasma specimens, the results obtained by qRT-PCR and by anti-DENV antibody ELISA could well justify the use of these two body fluids to detect dengue infection in situations when the collection of blood specimens is not possible.
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