[THE COMPARATIVE CHARACTERISTIC OF SETS OF REAGENTS FOR IDENTIFICATION OF ANTIGENS OF ROTAVIRUSES USED ON THE TERRITORY OF RUSSIA].

The study was carried out to evaluate and compare analytical characteristics of reagents kits for identification of antigens of rotaviruses SD BIOLINE Rotavirus (Standard Diagnostics, Korea), RIDA Quick Rotavirus (R-biopharm AG, Germany), RotaStick One-Step Test (Novamed Ltd., Israel), QuickStripe Rotavirus (Savyon doagnostics Ltd., Israel), Rotavirus-antigen-IFA-BEST (Vector-Best, the Russian Federation), Rota-antigen (NPP AKVAPAST, the Russian Federation). The panel included 84 positive and 43 negative samples of rotaviruses group A according their content. The reagents kit "Amplisense OKI screen-FL" with confirming [P]G typing of positive samples was used for comparison. The comparison of analytical sensitivity of reagents kits was implemented on panel characterized by using technique of droplet digital polymerase chain-reaction. The indicators of diagnostic sensitivity and specificity of reagents kits amounted to 84.52% and 100%for SD BIOLINE Rotavirus and RIDA Quick Rotavirus, 71.43% and 100% for RotaStick One-Step Test, 75.00% and 100%for QuickStripe Rotavirus, 83.33% and 100% for Rotavirus-antigen-FA-BEST, 83.33% and 100%for Rota-antigen. The analytical sensitivity of immunochromatographic and immunoenzyme kits amounted to 5 x 106 GE/ml for [P]8G4 genotype of rotaviruses of group A. The reagents kits SD BIOLINE Rotavirus, RIDA Quick Rotavirus and Rotavirus-antigen-IFA-BESTdemonstrated matched high indicators of diagnostic sensitivity and specificity sufficient for etiological diagnostic of rotavirus infection at acute stage of disease. The analytical sensitivity of compared kits does not allow recommending them to apply in analysis of samples characterized by lower concentrations of rotaviruses (asymptomatic agents, objects of environment).

[THE INTERPRETATION OF RESULTS OF DETECTION OF AGENTS OF VIRAL DIARRHEA IN REAL-TIME MODE].

The study was carried out to establish values of parameters characterizing concentrations of pathogens (threshold cycle - Ct) correlating with acute phase of viral gastroenteritis. The groups of patients with sporadic and group morbidity of acute intestinal infections were examined. The reagents kits Amplience (The central research institute of epidemiology, Russia), in real-time format polymerase chain reaction were applied to detect Rotavirus grA, Norovirus GII, Astrovirus, Adenovirus grF, Shigella spp, EIEC, Salmonella spp, Campylobacter spp (thermophilic group).The analysis was applied to distribution of Ct depending on isolated and combined detection ofpathogens in clinical samples. The evaluation was implemented concerning effect on Ct values of both inhibitors of polymerase chain reaction contained in feces and application of various amplifiers such as Rotor-Gene Q (QIAGEN, Germany), CFX96 (Bio-Rad, USA), "DT-96" (DNA technology, Russia). The risks of cross contamination during carrying out of investigations are evaluated. The asymmetric or bi-modal character of distribution of Ct values related to cases of combined detection of several pathogens is established. The following indicators are established common for patients with mono-infections (Ct mean ± SD): Rotavirus grA (Ct 20.63 ± 6.35; n = 978), Norovirus GII Astrovirus (Ct 21.06 ± 6.54; n = 54), Adenovirus grF (Ct 8.42 ± 2.4; n = 42). The corresponding values for victims of infective episodes amounted to Norovirus GII (24.19 ± 5.29; n = 447) and Rotavirus grA (18.65 ± 4.16; n = 50). The recommendations are presented concerning practical interpretation of results of real-time polymerase chain reaction. The indirect characteristic of content of pathogens in samples of clinical material derived from real-time polymerase chain reaction provides important information about association of pathogen with acute phase of disease. The high informativeness of given type of investigations support possibility of its effective implementation not only doing etiologic diagnostic but also in case of isolation of pathogen in clinically healthy individuals and examination of objects of environment.

[Evaluation of the efficiency of diagnostic regimens for enterohemorrhagic escherichiasis. Etiological verification of hemolytic uremic syndrome in the Russian Federation].

AIM: To evaluate the practical efficiency of the diagnostic algorithms for enterohemorrhagic escherichiasis, which are laid down by the current normative documents of the Russian Federation. SUBJECTS AND METHODS: The investigators estimated the prevalence of enterohemorrhagic Escherichia coli (EHEC) infection in children with the symptoms of acute enteric infections (AEI) (archival samples) and in those aged less than 5 years with fatal evolution and a history of diarrhea and hemolytic uremic syndrome (HUS), evaluated the efficiency of bacteriological tests in HUS patients with acute EHEC infection, and comparatively analyzed the documents regulating EHEC surveillance in the Russian Federation and other countries. RESULTS: Nucleic acid amplification assay showed that the prevalence of EHEC among the hospitalized children was 1.2% (27/1269), the anamnestic registration rate for HUS among the children with fatal outcomes in AEI was 20% (5/25). The efficiency of the bacteriological diagnosis of enterohemorrhagic escherichiasis in the archival samples corresponding to the early stages of the disease in the presence of diarrhea and at the HUS development stage was 48.1% (13/27) and 6.1% (2/33), respectively. There was a potential to enhance the efficiency of the normative documents regulating the etiological diagnosis of EHEC infection in the Russian Federation. CONCLUSION: The given data substantiate the necessity of including the etiological diagnosis of EHEC infection in the list of mandatory screening studies in children with sporadic cases of hemocolitis at the early stages of the disease.