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3 Classification of Viruses and Laboratory Diagnosis
3 Classification of Viruses and Laboratory Diagnosis
3 Classification of Viruses and Laboratory Diagnosis
○ Based on vectors
■ Arbovirus - informal name used to refer to
any viruses that are transmitted by
arthropod vectors.
● Dengue virus and Yellow Fever
virus – transmitted by Aedes
mosquitoes
● West Nile Virus and Japanese
Baltimore’s classification
Encephalitis virus – transmitted by |
Culex mosquitoes ● Classified viruses into 7 groups based on the type of
● Examples: genome and the way in which the genome is transcribed
○ Picornavirus – pico (small); rna (ribonucleic acid) and replicated
○ Togavirus – toga (Greek word for mantle/ cloak)– ● Suggested by David Baltimore, American Virologist
referring to the membrane envelope surrounding ○ Received a nobel prize in physiology and
the virus medicine
○ Retrovirus- retro (reverse) – refers to the virus’ ● Co-discovered reverse transcriptase
directed synthesis of DNA from RNA template by
RT Class I-Double Stranded DNA viruses
○ Poxviruses – named after the disease “smallpox” ● Enters the host’s nucleus before it begins to replicate.
caused by a member of the family (Variola virus) ● It makes use of the host’s polymerases to replicate its
○ Adenovirus- named after their site of infection- genome and is therefore highly dependent on the host cell
adenoids cycle.
○ Reovirus – named after their site of infection – ● mRNA transcription is the same way as with cellular (host)
respiratory, enteric, “orphan” virus (REO) DNA
■ Called as orphan since they are not
associated with known diseases
Specimens collected WITH Specimens that should be Stool or Pea-sized aliquot Place in 2 mL of VTM
viral transport collected WITHOUT viral transport rectal of feces vortex. Centrifuge at
swab 1000× g for 15 min and
Respiratory specimens Blood, bone marrow, CSF, use supernatant fluid for
Swabbed samples amniotic fluid, urine, Pericardial inoculum
Tissue fluid, and pleural fluid
Genital, Vesicle fluid or Emulsify in viral HDF
skin scraping transport medium
● Must be processed immediately (between 12-24 hours
after collection) Miscel- Swab, fluids Emulsify in viral PMK, HDF,
○ RSV difficult to recover after a few hours of laneous transport medium HEp-2
collection ➔ ASAP Fluid, inoculate directly
● If not immediately processed:
○ Stored at 4°C Respi Nasopharyngeal Dilute with viral
○ Should not be frozen unless a significant delay Tract secretions, transport medium
throat swab, RT
of >4 days of processing is anticipated
washings,
■ Frozen at -70°C sputum
○ Should never be stored at -20°C
■ facilitates formation of ice crystals that Tissue Tissue in sterile Mince with sterile
disrupts the hosts cells resulting in container scalpel and scissors
loss of viral viability and gently grind.
○ Repeated thawing and freezing must be avoided Prepare 20%
– may result in loss of viral viability suspension in VTM.
Centrifuge at 1000× g
● Specimens received in the laboratory should be
for 15 min and
accompanied with: use supernatant fluid for
○ Label (patient identification and demographics) inoculum
○ Request form having the following information:
■ Source of the specimen Urine Midstream Clear: Inoculate directly. HDF, HEp-2 (if
■ Clinical history of viruses suspected specimen Turbid: Centrifuge at adenovirus
■ Date and time of specimen collection 1000× g for 15 min and suspected)
use supernatant fluid for
inocula
Serologic assays
● Diagnosis of infections caused by non culturable agents
● Detects IgM or IgG antibodies
● Determination of immune status
● Monitoring of patients who are immunosuppressed
● Epidemiologic or prevalence studies