From the previous
post:
Some studies show that the virus is most readily isolated from specimens obtained from the lower respiratory tract,5,6 and
since the course of clinical disease is not yet well defined, diagnosis
may require repeated testing. It is also essential to determine the
prevalence of MERS-CoV seropositivity in human and animal populations in
Saudi Arabia and elsewhere in the Middle East to establish the
likelihood of an epidemic and also to prevent one from occurring. This
information is critical for an effective public health response. In
addition to requiring vigilance by health care workers and public health
authorities, obtaining these data is dependent on the generation of a
validated serologic assay, which is not currently available.
Here is an excerpt on Serologic assays for influenza surveillance, diagnosis and vaccine evaluation:
Abstract
Serological techniques play a critical
role in various aspects of influenza surveillance, vaccine development
and evaluation, and sometimes in diagnosis, particularly for novel
influenza virus infections of humans. Because individuals are repeatedly
exposed to antigenically and genetically diverse influenza viruses over
a lifetime, the gold standard for detection of a recent influenza virus
infection or response to current vaccination is the demonstration of a
seroconversion, a fourfold or greater rise in antibody titer relative to
a baseline sample, to a circulating influenza strain or vaccine
component. The hemagglutination-inhibition assay remains the most widely
used assay to detect strain-specific serum antibodies to influenza. The
hemagglutination-inhibition assay is also used to monitor antigenic
changes among influenza viruses which are constantly evolving; such
antigenic data is essential for consideration of changes in influenza
vaccine composition. The use of the hemagglutinin-specific
microneutralization assay has increased, in part, owing to its
sensitivity for detection of human antibodies to novel influenza viruses
of animal origin...continued
http://www.ncbi.nlm.nih.gov/pubmed/21692672
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