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      Recent advances in the detection of respiratory virus infection in humans

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          Abstract

          Respiratory tract viral infection caused by viruses or bacteria is one of the most common diseases in human worldwide, while those caused by emerging viruses, such as the novel coronavirus, 2019‐nCoV that caused the pneumonia outbreak in Wuhan, China most recently, have posed great threats to global public health. Identification of the causative viral pathogens of respiratory tract viral infections is important to select an appropriate treatment, save people's lives, stop the epidemics, and avoid unnecessary use of antibiotics. Conventional diagnostic tests, such as the assays for rapid detection of antiviral antibodies or viral antigens, are widely used in many clinical laboratories. With the development of modern technologies, new diagnostic strategies, including multiplex nucleic acid amplification and microarray‐based assays, are emerging. This review summarizes currently available and novel emerging diagnostic methods for the detection of common respiratory viruses, such as influenza virus, human respiratory syncytial virus, coronavirus, human adenovirus, and human rhinovirus. Multiplex assays for simultaneous detection of multiple respiratory viruses are also described. It is anticipated that such data will assist researchers and clinicians to develop appropriate diagnostic strategies for timely and effective detection of respiratory virus infections.

          Research Highlights

          • Respiratory tract viral infection including 2019‐nCoV poses great threats worldwide. Currently available and novel emerging diagnostic methods are summarized for several common respiratory viruses, including influenza virus, human respiratory syncytial virus, coronavirus, human adenovirus and human rhinovirus. Multiplex assays for simultaneous detection of multiple respiratory viruses are also described. This review is aimed to assist researchers and clinicians to develop timely and effective diagnostic strategies to detect respiratory virus infections.

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          Most cited references69

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          Isolation of a novel coronavirus from a man with pneumonia in Saudi Arabia.

          A previously unknown coronavirus was isolated from the sputum of a 60-year-old man who presented with acute pneumonia and subsequent renal failure with a fatal outcome in Saudi Arabia. The virus (called HCoV-EMC) replicated readily in cell culture, producing cytopathic effects of rounding, detachment, and syncytium formation. The virus represents a novel betacoronavirus species. The closest known relatives are bat coronaviruses HKU4 and HKU5. Here, the clinical data, virus isolation, and molecular identification are presented. The clinical picture was remarkably similar to that of the severe acute respiratory syndrome (SARS) outbreak in 2003 and reminds us that animal coronaviruses can cause severe disease in humans.
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            The economic burden of non-influenza-related viral respiratory tract infection in the United States.

            Viral respiratory tract infection (VRTI) is the most common illness in humans. Despite the high incidence, the economic impact of non-influenza-related VRTI has not been rigorously explored. Our objectives were to obtain an updated incidence of non-influenza-related VRTI in the United States and to quantify the health care resource use (direct costs) and productivity losses (indirect costs) associated with these infections. A nationwide telephone survey of US households (N = 4051) was conducted between November 3, 2000, and February 12, 2001 to obtain a representative estimate of the self-reported incidence of non-influenza-related VRTI and related treatment patterns. Direct treatment costs measured included outpatient clinician encounters, use of over-the-counter and prescription drugs, and associated infectious complications of non-influenza-related VRTI. Absenteeism estimates for infected individuals and parents of infected children were extrapolated from National Health Interview Survey data. Of survey respondents, 72% reported a non-influenza-related VRTI within the past year. Respondents who experienced a self-reported non-influenza-related VRTI averaged 2.5 episodes annually. When these rates are extrapolated to the entire US population, approximately 500 million non-influenza-related VRTI episodes occur per year. Similarly, if the treatment patterns reported by the respondents are extended to the population, the total economic impact of non-influenza-related VRTI approaches $40 billion annually (direct costs, $17 billion per year; and indirect costs, $22.5 billion per year). Largely because of the high attack rate, non-influenza-related VRTI imposes a greater economic burden than many other clinical conditions. The pending availability of effective antiviral therapies warrants increased attention be paid to this common and expensive illness.
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              Adenovirus infections in immunocompetent and immunocompromised patients.

              Human adenoviruses (HAdVs) are an important cause of infections in both immunocompetent and immunocompromised individuals, and they continue to provide clinical challenges pertaining to diagnostics and treatment. The growing number of HAdV types identified by genomic analysis, as well as the improved understanding of the sites of viral persistence and reactivation, requires continuous adaptions of diagnostic approaches to facilitate timely detection and monitoring of HAdV infections. In view of the clinical relevance of life-threatening HAdV diseases in the immunocompromised setting, there is an urgent need for highly effective treatment modalities lacking major side effects. The present review summarizes the recent progress in the understanding and management of HAdV infections.
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                Author and article information

                Contributors
                shmyf@hebau.edu.cn
                ldu@nybc.org
                shibojiang@fudan.edu.cn
                Journal
                J Med Virol
                J. Med. Virol
                10.1002/(ISSN)1096-9071
                JMV
                Journal of Medical Virology
                John Wiley and Sons Inc. (Hoboken )
                0146-6615
                1096-9071
                04 February 2020
                April 2020
                : 92
                : 4 , 2019 Novel Coronavirus Origin, Evolution, Disease, Biology and Epidemiology: Part‐I ( doiID: 10.1002/jmv.v92.4 )
                : 408-417
                Affiliations
                [ 1 ] Department of Clinical Medicine, School of Medicine Zhejiang University City College Hangzhou China
                [ 2 ] State Key Laboratory of North China Crop Improvement and Regulation, Research Center of Chinese Jujube Hebei Agricultural University Baoding China
                [ 3 ] State Key Laboratory of North China Crop Improvement and Regulation, College of Life and Science Hebei Agricultural University Baoding China
                [ 4 ] Lindsley F. Kimball Research Institute New York Blood Center New York New York
                [ 5 ] Key Laboratory of Medical Molecular Virology (MOE/NHC/CAMS), School of Basic Medical Sciences, Shanghai Medical College Fudan University Shanghai China
                Author notes
                [*] [* ] Correspondence Shibo Jiang and Lanying Du, Lindsley F. Kimball, Research Institute, New York Blood Center, New York 10065, NY.

                Email: shibojiang@ 123456fudan.edu.cn (SJ) and ldu@ 123456nybc.org (LD)

                Fei Yu, State Key Laboratory of North China Crop Improvement and Regulation, College of Life and Science, Hebei Agricultural University, Baoding 071001, China.

                Email: shmyf@ 123456hebau.edu.cn

                Naru Zhang, Lili Wang, and Xiaoqian Deng contributed equally to this work.

                Author information
                http://orcid.org/0000-0001-8283-7135
                Article
                JMV25674
                10.1002/jmv.25674
                7166954
                31944312
                8f9b37a8-4375-4765-8b25-78c097225a35
                © 2020 Wiley Periodicals, Inc.

                This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

                History
                : 23 December 2019
                : 12 January 2020
                Page count
                Figures: 0, Tables: 2, Pages: 10, Words: 8377
                Funding
                Funded by: Hebei Province's Program for Talents Returning from Studying Overseas
                Award ID: CN201707
                Funded by: National Natural Science Foundation of China , open-funder-registry 10.13039/501100001809;
                Award ID: 81974302
                Award ID: 81601761
                Funded by: starting grant from Hebei Agricultural University
                Award ID: ZD2016026
                Award ID: YJ201843
                Funded by: Program for Youth Talent of Higher Learning Institutions of Hebei Province
                Award ID: BJ2018045
                Categories
                Review
                Reviews
                Custom metadata
                2.0
                April 2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.8.0 mode:remove_FC converted:16.04.2020

                Microbiology & Virology
                adenovirus,coronavirus,diagnostic methods,influenza virus,respiratory syncytial virus,respiratory viral infection,rhinovirus

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