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Two main criteria for selection of specimen for viral cultures
site of viral pathology
site of viral shedding
Guidelines for specimen collection for virus isolation
Timing
Sterile sites and urine collected in sterile screw tops
Non-sterile sires collected in VTM
Which types for viral isolation should be collected in VTM vs screw tops
VTM = non-sterile
Screw tops = sterile and urine
3 main purposes/reasons of using viral transport medium for virus culture samples
Prevent drying
maintain viability
inhibit growth of contaminants
four main components of viral transport medium
Hanks balanced salt solution
keeps sample moist
Proteinaceous supplement
cushions viruses
Antimicrobials
inhibits growth
pH indicator
signals out of range pH
Primary cell line
fresh from tissue of origin
passed 1-2 times
indigenous contaminants
ex: rabbit/mouse kidney cells
Diploid cell line
derived from fetal tissue cells
fibroblast cells
limited passage ~50 times
ex: fetal lung/fibroblast cells
Heteroploid cell line
origin from carcinoma
passed indefinitely
ex: lung/epidermoid malignant cells
Location of the monolayer of living cells in a cell culture tube and a shell vial
Cell culture
on the side of tube
Shell vial
on the bottom
Rationale behind inoculation of more then one type of cell monolayer for most types of clinical specimens for viral culture
So you get multiple cells with the virus that can be tested and can determine the preferred cell line of that virus sample
Cell culture Incubation
Temp = 35-37C
Duration = 7-30 days
Position = slanted
Shell vial incubation
Temp = 35-37C
Duration = 24-72 hours
Position = upright
Cell culture media vs. viral transport media
Cell culture have the same as viral media but also
amino acids
glucose
vitamins
Cytopathogenic effect (CPE)
degenerative changes in cell monolayer morphology
Syncytia
large multinucleated cell
Factors of predicting identity of virus
appearance of CPE
Time of appearance
Cell line
Source of sample
How to confirm viral identity
Direct immunofluorescence
basic steps of shell vial cell culture system
Inoculation
Centrifugation
Incubation
Viral detection
critical step in shell viral leading to increase of infectivity of viruses
Centrifugation for 1 hr on slow
greatest advantage for shell vial system over cell culture
rapid detection
R-mix shell vial
respiratory viruses
E-mix shell vial
Enteric viruses
H and V mix shell vial
HSV,CMV,VZV viruses
Polio virus
disease:
poliomyelitis
replicates
in cells of intestines
pathology manifested
in CNS
Coxsakievirus A and B
Disease:
Symptoms:
Enterovirus
Disease:
Symptoms:
Polio virus
Disease:
Symptoms:
Rhinovirus
Disease:
Symptoms