The validation and utility of a quantitative one-step multiplex RT real-time PCR targeting Rotavirus A and Norovirus

Tran Thi Ngoc Dung, Voong Vinh Phat, Tran Vu Thieu Nga, Phan Vu Tra My, Pham Thanh Duy, James I. Campbell, Cao Thu Thuy, Nguyen Van Minh Hoang, A/Prof Pham Quang Minh, Hoang Le Phuc, Pham Thi Ngoc Tuyet, Ha Vinh, Duong Thi Hue Kien, Huynh Le Anh Huy, Nguyen Thanh Vinh, Tran Thi Thu Nga, Nguyen Thi Thu Hau, Nguyen Tran Chinh, Tang Chi Thuong, Ha Manh TuanCameron Simmons, Jeremy Farrar, Stephen Baker

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31 Citations (Scopus)


Rotavirus (RoV) and Norovirus (NoV) are the main causes of viral gastroenteritis. Currently, there is no validated multiplex real-time PCR that can detect and quantify RoV and NoV simultaneously. The aim of the study was to develop, validate, and internally control a multiplex one-step RT real-time PCR to detect and quantify RoV and NoV in stool samples. PCR sensitivity was assessed by comparing amplification against the current gold standard, enzyme immunoassay (EIA), on stool samples from 94 individuals with diarrhea and 94 individuals without diarrhea. PCR detected 10% more RoV positive samples than EIA in stools samples from patients with diarrhea. PCR detected 23% more NoV genogroup II positive samples from individuals with diarrhea and 9% more from individuals without diarrhea than EIA, respectively. Genotyping of the PCR positive/EIA negative samples suggested the higher rate of PCR positivity, in comparison to EIA, was due to increased sensitivity, rather than nonspecific hybridization. Quantitation demonstrated that the viral loads of RoV and NoV in the stools of diarrheal patients were an order of magnitude greater than in individuals without diarrhea. This internally controlled real-time PCR method is robust, exhibits a high degree of reproducibility, and may have a greater utility and sensitivity than commercial EIA kits.

Original languageEnglish
Pages (from-to)138-143
Number of pages6
JournalJournal of Virological Methods
Issue number1
Publication statusPublished - Jan 2013
Externally publishedYes


  • Internally controlled
  • Norovirus
  • Quantitation
  • Real-time PCR
  • Rotavirus

Cite this

Dung, T. T. N., Phat, V. V., Nga, T. V. T., My, P. V. T., Duy, P. T., Campbell, J. I., Thuy, C. T., Hoang, N. V. M., Quang Minh, AP. P., Le Phuc, H., Tuyet, P. T. N., Vinh, H., Kien, D. T. H., Huy, H. L. A., Vinh, N. T., Nga, T. T. T., Hau, N. T. T., Chinh, N. T., Thuong, T. C., ... Baker, S. (2013). The validation and utility of a quantitative one-step multiplex RT real-time PCR targeting Rotavirus A and Norovirus. Journal of Virological Methods, 187(1), 138-143.