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Diagnosis of West Nile Virus Human Infections: Overview and Proposal of Diagnostic Protocols Considering the Results of External Quality Assessment Studies

期刊

VIRUSES-BASEL
卷 5, 期 10, 页码 2329-2348

出版社

MDPI
DOI: 10.3390/v5102329

关键词

West Nile virus; state of the art laboratory diagnostic; external quality assurance

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资金

  1. Fondi Finalizzati Lab P3 from Regione Emilia Romagna
  2. Italian Ministry of Health
  3. Project PREDEMICS (7th Framework Programme) [278433]
  4. European Centre for Disease Prevention and Control (ECDC) [ECDC/2008/011]
  5. Natural Environment Research Council [ceh010010] Funding Source: researchfish

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West Nile virus, genus Flavivirus, is transmitted between birds and occasionally other animals by ornithophilic mosquitoes. This virus also infects humans causing asymptomatic infections in about 85% of cases and <1% of clinical cases progress to severe neuroinvasive disease. The virus also presents a threat since most infections remain unapparent. However, the virus contained in blood and organs from asymptomatically infected donors can be transmitted to recipients of these infectious tissues. This paper reviews the presently available methods to achieve the laboratory diagnosis of West Nile virus infections in humans, discussing the most prominent advantages and disadvantages of each in light of the results obtained during four different External Quality Assessment studies carried out by the European Network for Imported' Viral Diseases (ENIVD).

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