Title Exhaled breath condensate sampling is not a new method for detection of respiratory viruses.
Author Houspie, Lieselot; De Coster, Sarah; Keyaerts, Els; Narongsack, Phouthalack; De Roy, Rikka; Talboom, Ive; Sisk, Maura; Maes, Piet; Verbeeck, Jannick; Van Ranst, Marc
Journal Virol J Publication Year/Month 2011-Mar
PMID 21375748 PMCID PMC3059288
Affiliation 1.Laboratory of Clinical Virology, Rega Institute for Medical Research, Catholic University of Leuven, Minderbroedersstraat 10, B3000 Leuven, Belgium. lieselot.houspie@uzleuven.be.

BACKGROUND: Exhaled breath condensate (EBC) sampling has been considered an inventive and novel method for the isolation of respiratory viruses. METHODS: In our study, 102 volunteers experiencing upper airway infection were recruited over the winter and early spring of 2008/2009 and the first half of the winter of 2009/2010. Ninety-nine EBCs were successfully obtained and screened for 14 commonly circulating respiratory viruses. To investigate the efficiency of virus isolation from EBC, a nasal swab was taken in parallel from a subset of volunteers. The combined use of the ECoVent device with the RTube allowed the registration of the exhaled volume and breathing frequency during collection. In this way, the number of exhaled viral particles per liter air or per minute can theoretically be estimated. RESULTS: Viral screening resulted in the detection of 4 different viruses in EBC and/or nasal swabs: Rhinovirus, Human Respiratory Syncytial Virus B, Influenza A and Influenza B. Rhinovirus was detected in 6 EBCs and 1 EBC was Influenza B positive. We report a viral detection rate of 7% for the EBCs, which is much lower than the detection rate of 46.8% observed using nasal swabs. CONCLUSION: Although very promising, EBC collection using the RTube is not reliable for diagnosis of respiratory infections.

StrainID RV Species Serotype Length(nt) Country Year Strain Name
ANC07564 A None 371 Belgium 2009 NSKD95
ANC07569 A None 372 Belgium 2009 NSAR74
ANM07565 A None 369 Belgium 2009 NSAR89
ANM07570 A None 371 Belgium 2009 NSKC73
ANP07567 A None 374 Belgium 2009 NSKE76
ANP07572 A None 354 Belgium 2008 EBC2
ANS07563 A None 385 Belgium 2009 NSEW96
ANS07568 A None 375 Belgium 2009 NSPJ75
ANS07573 A None 354 Belgium 2008 EBC1
ANZ07566 A None 365 Belgium 2009 NSAK87
ANZ07571 A None 378 Belgium 2009 NSAVC72
UNS02882 Unclassified None 356 Belgium 2008 EBC3
UNS02883 Unclassified None 355 Belgium 2009 EBC6
UNS02884 Unclassified None 356 Belgium 2009 EBC48
UNS02885 Unclassified None 390 Belgium 2009 NSHM81
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