Re-emergence of rabies virus maintained by canid populations in Paraguay.

Paraguay has registered no human cases of rabies since 2004, and the last case in dogs, reported in 2009, was due to a variant maintained in the common vampire bat "Desmodus rotundus". In 2014, a dog was diagnosed as positive for rabies with aggression towards a boy and all required measures of control were successfully adopted. Epidemiological investigation revealed that the dog was not vaccinated and had been attacked by a crab-eating fox, "zorro" (Cerdocyon thous). The sample was diagnosed by the Official Veterinary Service of the Country and sent to the Center on Rabies Research from the University of São Paulo, Brazil, for antigenic and genetic characterization. A second sample from a dog positive for rabies in the same region in 2015 and 11 samples from a rabies outbreak from Asuncion in 1996 were also characterized. The antigenic profile of the samples, AgV2, was compatible with one of the variants maintained by dogs in Latin America. In genetic characterization, the samples segregated in the canine (domestic and wild species)-related group in an independent subgroup that also included samples from Argentina. These results and the epidemiology of the case indicate that even with the control of rabies in domestic animals, the virus can still circulate in wildlife and may be transmitted to domestic animals and humans, demonstrating the importance of continuous and improved surveillance and control of rabies, including in wild species, to prevent outbreaks in controlled areas.

Re-emergence of rabies virus maintained by canid populations in Paraguay

Paraguay has registered no human cases of rabies since 2004, and the last case in dogs, reported in 2009, was due to a variant maintained in the common vampire bat "Desmodus rotundus". In 2014, a dog was diagnosed as positive for rabies with aggression towards a boy and all required measures of control were successfully adopted. Epidemiological investigation revealed that the dog was not vaccinated and had been attacked by a crab­eating fox, "zorro" (Cerdocyon thous). The sample was diagnosed by the Official Veterinary Service of the Country and sent to the Center on Rabies Research from the University of São Paulo, Brazil, for antigenic and genetic characterization. A second sample from a dog positive for rabies in the same region in 2015 and 11 samples from a rabies outbreak from Asuncion in 1996 were also characterized. The antigenic profile of the samples, AgV2, was compatible with one of the variants maintained by dogs in Latin America. In genetic characterization, the samples segregated in the canine (domestic and wild species)­related group in an independent subgroup that also included samples from Argentina. These results and the epidemiology of the case indicate that even with the control of rabies in domestic animals, the virus can still circulate in wildlife and may be transmitted to domestic animals and humans, demonstrating the importance of continuous and improved surveillance and control of rabies, including in wild species, to prevent outbreaks in controlled areas.(AU)

Investigation of Influenza A, West Nile and Newcastle Disease Viruses in Birds from the Pantanal Wetlands of Mato Grosso, Brazil

The Pantanal is the world's largest wetland biome with a seasonal flood pulse that attracts a great diversity of birds, many of which are migratory. Birds can be natural reservoirs Influenza A, West Nile and Newcastle Disease viruses. However, the occurrence of carriers for these viruses in the Pantanal was not verified yet. The present study evaluated the occurrence of natural infection by Influenza A, WN and ND virus of birds in the municipality of Poconé, a subregion of the Pantanal in the state of Mato Grosso, Brazil. A total of 76 birds belonging to 11 orders and 20 families were captured using mist nets. The most representative order was Passeriformes, followed by the other nine orders, which included Columbiformes, Psittaciformes, Charadriiformes and Anseriformes. The most representative family was Thamnophilidae, with 16 individuals (21.0%), followed by the family Tyrannidae with 10 individuals (7.6%) and the family Furnariidae, with eight individuals (10.5%). The bird species were identified, and cloacal and tracheal swab samples were collected. The samples were subjected to RNA extraction and tested for the presence of the three agents by real-time polymerase chain reaction (qRT-PCR). All the sampled birds were considered healthy, had no clinical sign of infection, and were tested negative for the three viruses. Based on our findings, we can conclude that Influenza, West Nile and Newcastle Disease viruses were absent from the samples in this region of the Pantanal wetlands during the period of this study.(AU)

Investigation of Influenza A, West Nile and Newcastle Disease Viruses in Birds from the Pantanal Wetlands of Mato Grosso, Brazil

The Pantanal is the world's largest wetland biome with a seasonal flood pulse that attracts a great diversity of birds, many of which are migratory. Birds can be natural reservoirs Influenza A, West Nile and Newcastle Disease viruses. However, the occurrence of carriers for these viruses in the Pantanal was not verified yet. The present study evaluated the occurrence of natural infection by Influenza A, WN and ND virus of birds in the municipality of Poconé, a subregion of the Pantanal in the state of Mato Grosso, Brazil. A total of 76 birds belonging to 11 orders and 20 families were captured using mist nets. The most representative order was Passeriformes, followed by the other nine orders, which included Columbiformes, Psittaciformes, Charadriiformes and Anseriformes. The most representative family was Thamnophilidae, with 16 individuals (21.0%), followed by the family Tyrannidae with 10 individuals (7.6%) and the family Furnariidae, with eight individuals (10.5%). The bird species were identified, and cloacal and tracheal swab samples were collected. The samples were subjected to RNA extraction and tested for the presence of the three agents by real-time polymerase chain reaction (qRT-PCR). All the sampled birds were considered healthy, had no clinical sign of infection, and were tested negative for the three viruses. Based on our findings, we can conclude that Influenza, West Nile and Newcastle Disease viruses were absent from the samples in this region of the Pantanal wetlands during the period of this study.

Presence of antibodies against H5, H7 and H9 influenza A virus in wild birds in the State of São Paulo, Brazil

Although the natural reservoirs of the avian influenza (AI) virus have been extensively studied in many countries, there is a clear lack of information on this subject in South America, particularly in Brazil. The objective of this study was to conduct a serological survey for H5, H7 and H9 antibodies to AI-subtype viruses in wild birds in the state of São Paulo , Brazil. Serum samples were tested using the hemagglutination-inhibition assay. Out of the 31 wild birds sampled between January and December of 2006, seven (22.58%), were seropositive for H5, H7 and H9; four (12.90%) were seropositive for H5 and H7; 13 (41.94%), were seropositive only for H7; three (9.7%), were seropositive only for H9; and four (12.90%) were negative for all three hemagglutinin subtypes. These results indicate that AI viruses belonging to H5, H7 and H9 subtypes circulate among wild birds in the state of São Paulo in the form of either concurrent or consecutive infections. This study contributes to the knowledge of AI epidemiology in Brazil, and stresses the need of further detailed and long-term epidemiological and ecological investigation to determine the current status of this virus.(AU)

Presence of antibodies against H5, H7 and H9 influenza A virus in wild birds in the State of São Paulo, Brazil

Although the natural reservoirs of the avian influenza (AI) virus have been extensively studied in many countries, there is a clear lack of information on this subject in South America, particularly in Brazil. The objective of this study was to conduct a serological survey for H5, H7 and H9 antibodies to AI-subtype viruses in wild birds in the state of São Paulo , Brazil. Serum samples were tested using the hemagglutination-inhibition assay. Out of the 31 wild birds sampled between January and December of 2006, seven (22.58%), were seropositive for H5, H7 and H9; four (12.90%) were seropositive for H5 and H7; 13 (41.94%), were seropositive only for H7; three (9.7%), were seropositive only for H9; and four (12.90%) were negative for all three hemagglutinin subtypes. These results indicate that AI viruses belonging to H5, H7 and H9 subtypes circulate among wild birds in the state of São Paulo in the form of either concurrent or consecutive infections. This study contributes to the knowledge of AI epidemiology in Brazil, and stresses the need of further detailed and long-term epidemiological and ecological investigation to determine the current status of this virus.

The emergence of wildlife species as a source of human rabies infection in Brazil.

Forty-five human rabies virus isolates from a wide geographical area of Brazil were characterized using an anti-nucleoprotein monoclonal antibody panel and by partial nucleotide sequencing analysis of the nucleoprotein gene. Three major antigenic groups related to the antigenic variants maintained in domestic dogs, vampire bats and marmosets were identified. Phylogenetic analyses revealed that the viruses from dog-related cases segregated into four sister clades: three associated with dog-endemic cycles in Brazil and one with the crab-eating fox cycle in the northeastern region of the country. The vampire bat- and marmoset-related viruses formed two independent groups. The topology of these clades was conserved when these samples were compared to virus representatives of the currently reported rabies endemic cycles in the Americas. These results indicated the presence of multiple endemic transmission cycles maintained in four different reservoirs, domestic dogs, crab-eating foxes, vampire bats and marmosets, which are being transmitted directly to humans and should be considered as a high-risk for rabies infection.

Epidemiological and molecular characterization of rubella virus isolated in São Paulo, Brazil during 1997-2004.

Rubella virus (RV) infection during the early stages of pregnancy can lead to serious birth defects, known as the congenital rubella syndrome (CRS). In 2003, the Pan American Health Organization (PAHO) adopted a resolution calling for the elimination of rubella and the congenital rubella syndrome (CRS) in the Americas by the year 2010. Brazil will have implemented the recommended PAHO strategy for elimination and interruption of endemic rubella virus transmission. The characterization of genotypes during the final stages of rubella elimination is important for determining whether new rubella isolates represent endemic transmission or importations. Samples (blood, urine, cerebrospinal fluid, and throat swabs) collected from patients with symptoms suggestive of rubella infection in 1997-2004 were isolated in cell culture and genotyped. Twenty-eight sequences were analyzed and two genotypes were identified: 1a and 1G. The information reported in this paper will contribute to understanding the molecular epidemiology of RV in São Paulo, Brazil.

Phylogenetic analysis of rubella virus strains during an outbreak in São Paulo, 2007-2008.

Rubella virus (RV) is an important human pathogen that causes rubella, an acute contagious disease. It also causes severe birth defects collectively known as congenital rubella syndrome when infection occurs during the first trimester of pregnancy. Here, we present the phylogenetic analysis of RV that circulated in São Paulo during the 2007-2008 outbreak. Samples collected from patients diagnosed with rubella were isolated in cell culture and sequenced. RV RNA was obtained from samples or RV-infected cell cultures and amplified by reverse transcriptase-polymerase chain reaction. Sequences were assigned to genotypes by phylogenetic analysis using RV reference sequences. Seventeen sequences were analyzed, and three genotypes were identified: 1a, 1G, and 2B. Genotypes 1a and 1G, which were isolated in 2007, were responsible for sporadic rubella cases in São Paulo. Thereafter, in late 2007, the epidemiological conditions changed, resulting in a large RV outbreak with the clear dominance of genotype 2B. The results of this study provide new approaches for monitoring the progress of elimination of rubella from São Paulo, Brazil.

Molecular surveillance of the Newcastle disease virus in domestic and wild birds on the North Eastern Coast and Amazon biome of Brazil

Brazil is one of the world's largest countries with a rich diversity of wildlife, including resident and migratory wild birds, which may be natural reservoirs of the Newcastle disease virus (NDV). Because Brazil is a major global exporter of chicken meat, the emergence of such a disease may have a huge negative impact not only on the economy due to trade restrictions and embargoes, but also on the quality of life of the population. Samples were collected from 1,022 asymptomatic domestic and wild birds from the Brazilian coast and the Amazon region using tracheal/cloacal swabs and tested by RT-qPCR. The results showed 7 (0.7%) birds were positive for NDV. The positive samples were then isolated in embryonated chicken eggs and their matrix protein genes were partially sequenced, revealing a low-pathogenicity NDV. This study confirms the maintenance of the velogenic-NDV free status of Brazil.(AU)

Detecção do vírus da artrite encefalite caprina no sêmen através das técnicas de PCR e nested-PCR / Caprine arthritis encephalitis virus detected by PCR and nested PCR in goat semen

A Artrite Encefalite Caprina é uma enfermidade de caráter multissistêmico afetando animais de qualquer idade e sexo; causado por um Lentivirus caprino pertencente ao grupo de Lentivirus de Pequenos Ruminantes. Os sintomas conhecidos são leucoencefalomielite, pneumonia intersticial crônica, artrite e mastite intersticial endurativa. Foi descrito que machos soropositivos apresentavam sêmen infectado pelo Lentivirus e processo inflamatório gradual do testículo. A detecção em amostras de sêmen pelas técnicas de PCR e nested-PCR são caracterizadas como métodos de altas especificidade e sensibilidade provendo resultados rápidos. O objetivo do estudo foi detectar, por meio da técnica molecular de PCR e nested-PCR, a presença de DNA pró-viral do Lentivirus caprino em amostras de sêmen de reprodutores criados no Estado de São Paulo. Das 17 amostras, cinco (29,4%) apresentaram a detecção do vírus provando que há a presença de partículas virais no sêmen dos caprinos reprodutores soropositivos a Atrite Encefalite Caprina estudados.

Caprine arthritis encephalitis is a multisystemic infectious disease caused by a lentivirus and may affect animals of any age or sex. The major symptoms are leukoencephalomyelitis, chronic interstitial pneumonia, arthritis and hardening interstitial mastitis. It has been reported that the testicles of infected animals present infected semen and a gradual inflammatory process. For the detection of the agent in semen samples, PCR and nested PCR techniques are characterized as methods with high specificity and sensibility that provide fast results. The objective of this study was to detect the presence of pro-lentiviral DNA in the semen of caprine males in São Paulo State, Brazil, by the PCR and nested PCR molecular techniques. Five (29.4%) of the 17 samples presented positivity for the detection of the virus, proving the presence of viral particles in the semen of male goats seropositive for caprine arthritis encephalitis in this study.

Detection of hantaviruses in Brazilian rodents by SYBR-Green-based real-time RT-PCR.

Current knowledge of the pathogenic hantavirus indicates that wild rodents are its primary natural reservoir. Specific primers to detect the presence of viral genomes were developed using an SYBR-Green-based real-time RT-PCR protocol. One hundred sixty-four rodents native to the Atlantic Forest biome were captured in São Paulo State, Brazil, and their tissues were tested. The presence of hantavirus RNA was detected in sixteen rodents: three specimens of Akodon montensis, three of Akodon cursor, two of Necromys lasiurus, one of Juliomys sp., one of Thaptomys nigrita, five of Oligoryzomys nigripes, and one of Oryzomys sp. This SYBR Green real-time RT-PCR method for detection of hantavirus may be useful for surveying hantaviruses in Brazil.

DETECÇÃO DO VÍRUS DA ARTRITE ENCEFALITE CAPRINA NO SÊMEN ATRAVÉS DAS TÉCNICAS DE PCR E NESTED-PCR

ABSTRACT Caprine arthritis encephalitis is a multisystemic infectious disease caused by a lentivirus and may affect animals of any age or sex. The major symptoms are leukoencephalomyelitis, chronic interstitial pneumonia, arthritis and hardening interstitial mastitis. It has been reported that the testicles of infected animals present infected semen and a gradual inflammatory process. For the detection of the agent in semen samples, PCR and nested PCR techniques are characterized as methods with high specificity and sensibility that provide fast results. The objective of this study was to detect the presence of pro-lentiviral DNA in the semen of caprine males in São Paulo State, Brazil, by the PCR and nested PCR molecular techniques. Five (29.4%) of the 17 samples presented positivity for the detection of the virus, proving the presence of viral particles in the semen of male goats seropositive for caprine arthritis encephalitis in this study.

RESUMO A Artrite Encefalite Caprina é uma enfermidade de caráter multissistêmico afetando animais de qualquer idade e sexo; causado por um Lentivirus caprino pertencente ao grupo de Lentivirus de Pequenos Ruminantes. Os sintomas conhecidos são leucoencefalomielite, pneumonia intersticial crônica, artrite e mastite intersticial endurativa. Foi descrito que machos soropositivos apresentavam sêmen infectado pelo Lentivirus e processo inflamatório gradual do testículo. A detecção em amostras de sêmen pelas técnicas de PCR e nested-PCR são caracterizadas como métodos de altas especificidade e sensibilidade provendo resultados rápidos. O objetivo do estudo foi detectar, por meio da técnica molecular de PCR e nested-PCR, a presença de DNA pró-viral do Lentivirus caprino em amostras de sêmen de reprodutores criados no Estado de São Paulo. Das 17 amostras, cinco (29,4%) apresentaram a detecção do vírus provando que há a presença de partículas virais no sêmen dos caprinos reprodutores soropositivos a Atrite Encefalite Caprina estudados.

Hospital-acquired human bocavirus in infants.

Human bocavirus (HBoV) is a respiratory pathogen that affects young children. We screened 511 nasopharyngeal aspirates for hospital-acquired HBoV from infants hospitalised with respiratory infection from January to December 2008. Among 55 children with HBoV infection, 10 cases were hospital-acquired. Compared with the community-acquired cases, coinfection with other respiratory viruses in these patients was uncommon. HBoV should be considered for inclusion in screening protocols for nosocomial childhood respiratory infections, especially in intensive care units.

CAPRINE ARTHRITIS ENCEPHALITIS VIRUS DETECTED BY PCR AND NESTED-PCR IN MILK / DETECÇÃO DO VIRUS DA ARTRITE ENCEFALITE CAPRINA EM LEITE POR PCR E NESTED-PCR

The caprine arthritis encephalitis is a multisystemic infectious disease caused by a Lentivirus may affect animals at all ages and sex. The major symptoms are leukoencephalomyelitis, cronical interstitial pneumonia, arthritis and hardening interstitial mastitis. It was described that mammary glands from infected animals had a gradual non inflammatory diffuse nodular hardening, and also decreased milk production and abnormal physical-chemical milk parameters. The detection on milk samples by PCR and nested-PCR techniques are characterized as methods with high specificity and sensibility that provides fast results. The techniques are able to identify nucleic acids on samples with no living virus. In this study, 72 milk samples from infected and seroreagent to IDAG test animals were evaluated. DNA generation with specifics primers, PCR and nested-PCR was conducted for individual amplification from a genomic fragment corresponding to the Pol gene. Fourteen samples (19, 4%) presented positive by PCR at 600 bp length bands and 16 samples (22, 2%) by nested-PCR at 278 bp length bands. Our results show the adequacy for detecting pro viral DNA on milk samples and may be used as a complementary means of Caprine Arthritis and Encephalitis diagnosis.

A artrite encefalite caprina (CAE) é uma doença infecciosa multissistêmica causada por um Lentivirus, que pode infectar animais de idade e sexo variados. Os principais sinais clínicos são leucoencefalomielite, pneumonia intersticial crônica, artrite e mastite indurativa intersticial. Foi descrito que cabras infectadas apresentavam endurecimento gradativo e difuso do parênquima glandular e com a presença de vários nódulos de consistência dura, além de apresentarem diminuição na produção leiteira e alterações físico-químicas no leite. O exame de amostras de leite pelas técnicas de PCR e nested-PCR para detecção da CAE é caracterizada como métodos com alta especificidade e sensibilidade, oferecendo resultados rápidos. A técnica possibilita identificar vírus em amostras com virus não viável. Nesse estudo, 72 amostras de leite de cabras sororreagentes ao teste de imunodifusão em ágar gel (IDGA) foram avaliadas. Utilizou-se para a produção de DNA primers específicos o gene Pol. As técnicas de PCR e nested-PCR foram conduzidas para amplificar fragmentos genômicos correspondentes ao gene Pol. Catorze amostras (19,4%) apresentaram formação de banda positiva na altura de 600 pb para PCR, e 16 amostras (22,2%) para nested-PCR na altura de 278 pb. Os resultados mostraram que a técnica foi adequada para detectar o DNA pró-viral em amostras de leite e pode ser utilizado como uma ferramenta c

Detecção do vírus da artrite encefalite caprina em amostras de leite de cabras pela reação em cadeia da polimerase (PCR) e nested-PCR / Caprine arthritis encephalitis virus detected by PCR and nested-PCR in milk

A artrite encefalite caprina (CAE) é uma doença infecciosa multissistêmica causada por um Lentivirus, que pode infectar animais de idade e sexo variados. Os principais sinais clínicos são leucoencefalomielite, pneumonia intersticial crônica, artrite e mastite indurativa intersticial. Foi descrito que cabras infectadas apresentavam endurecimento gradativo e difuso do parênquima glandular e com a presença de vários nódulos de consistência dura, além de apresentarem diminuição na produção leiteira e alterações físico-químicas no leite. O exame de amostras de leite pelas técnicas de PCR e nested-PCR para detecção da CAE é caracterizada como métodos com alta especificidade e sensibilidade, oferecendo resultados rápidos. A técnica possibilita identificar vírus em amostras com virus não viável. Nesse estudo, 72 amostras de leite de cabras sororreagentes ao teste de imunodifusão em ágar gel (IDGA) foram avaliadas. Utilizou-se para a produção de DNA primers específicos o gene Pol. As técnicas de PCR e nested-PCR foram conduzidas para amplificar fragmentos genômicos correspondentes ao gene Pol. Catorze amostras (19,4%) apresentaram formação de banda positiva na altura de 600 pb para PCR, e 16 amostras (22,2%) para nested-PCR na altura de 278 pb. Os resultados mostraram que a técnica foi adequada para detectar o DNA pró-viral em amostras de leite e pode ser utilizado como uma ferramenta complementar no estudo da transmissão natural do vírus pela ingestão do leite de cabras sororreagentes a CAE.

The caprine arthritis encephalitis is a multisystemic infectious disease caused by a Lentivirus may affect animals at all ages and sex. The major symptoms are leukoencephalomyelitis, cronical interstitial pneumonia, arthritis and hardening interstitial mastitis. It was described that mammary glands from infected goats had a gradual non inflammatory diffuse nodular hardening, and also decreased milk production and abnormal physical-chemical milk parameters. The detection on milk samples by PCR and nested-PCR techniques are characterized as methods with high specificity and sensibility that provides fast results. The techniques are able to identify nucleic acids on samples with no living virus. In this study, 72 milk samples from infected and seroreagent to IDAG test animals were evaluated. DNA generation with specifics primers Pol gene, PCR and nested-PCR was conducted for individual amplification from a genomic fragment corresponding to the Pol gene. Fourteen samples (19, 4%) presented positive by PCR at 600 bp length bands and 16 samples (22, 2%) by nested-PCR at 278 bp length bands. The results show that PCR and nested-PCR tecniques were able to detect pro-viral DNA in goat milk samples and may be used as a complementary means of Caprine Arthritis and Encephalitis diagnosis.

Performance of indirect immunofluorescence assay, immunochromatography assay and reverse transcription-polymerase chain reaction for detecting human respiratory syncytial virus in nasopharyngeal aspirate samples.

Comparison of the use of indirect immunofluorescence assay (IFA), immunochromatography assay (ICA-BD) and reverse transcription-polymerase chain reaction (RT-PCR) for detecting human respiratory syncytial virus (HRSV) in 306 nasopharyngeal aspirates samples (NPA) was performed in order to assess their analytical performance. By comparing the results obtained using ICA-BD with those using IFA, we found relative indices of 85.0% for sensitivity and 91.2% for specificity, and the positive (PPV) and negative (NPV) predictive values were 85.0% and 91.2%, respectively. The relative indices for sensitivity and specificity as well as the PPV and NPV for RT-PCR were 98.0%, 89.0%, 84.0% and 99.0%, respectively, when compared to the results of IFA. In addition, comparison of the results of ICA-BD and those of RT-PCR yielded relative indices of 79.5% for sensitivity and 95.4% for specificity, as well as PPV and NPV of 92.9% and 86.0%, respectively. Although RT-PCR has shown the best performance, the substantial agreement between the ICA-BD and IFA results suggests that ICA-BD, also in addition to being a rapid and facile assay, could be suitable as an alternative diagnostic screening for HRSV infection in children.

Isolation and genotype analysis of rubella virus from a case of Guillain-Barré syndrome.

Rubella virus (RV) infection has sporadically been linked to Guillain-Barré syndrome (GBS), but the association with RV has been based only on clinical and/or serological backgrounds. In the present case it was possible to isolate RV (genotype 1a) from cerebrospinal fluid and peripheral blood mononuclear cells of an 18-year-old woman diagnosed with GBS after clinical manifestations of rubella. This report contributes to confirm RV as one of the triggering pathogens of this peripheral nervous system disease.

Performance of indirect immunofluorescence assay, immunochromatography assay and reverse transcription-polymerase chain reaction for detecting human respiratory syncytial virus in nasopharyngeal aspirate samples

Comparison of the use of indirect immunofluorescence assay (IFA), immunochromatography assay (ICA-BD) and reverse transcription-polymerase chain reaction (RT-PCR) for detecting human respiratory syncytial virus (HRSV) in 306 nasopharyngeal aspirates samples (NPA) was performed in order to assess their analytical performance. By comparing the results obtained using ICA-BD with those using IFA, we found relative indices of 85.0 percent for sensitivity and 91.2 percent for specificity, and the positive (PPV) and negative (NPV) predictive values were 85.0 percent and 91.2 percent, respectively. The relative indices for sensitivity and specificity as well as the PPV and NPV for RT-PCR were 98.0 percent, 89.0 percent, 84.0 percent and 99.0 percent, respectively, when compared to the results of IFA. In addition, comparison of the results of ICA-BD and those of RT-PCR yielded relative indices of 79.5 percent for sensitivity and 95.4 percent for specificity, as well as PPV and NPV of 92.9 percent and 86.0 percent, respectively. Although RT-PCR has shown the best performance, the substantial agreement between the ICA-BD and IFA results suggests that ICA-BD, also in addition to being a rapid and facile assay, could be suitable as an alternative diagnostic screening for HRSV infection in children.