Preparation of Multiplex Real-time PCR for diagnosis of Influenza virus and Human respiratory syncytial viruses (RSV) spreading in Thailand
Main Article Content
Abstract
Background The preparation of the Multiplex Real-time RT PCR technique is crucial for the diagnosis of influenza virus and Respiratory Syncytial Virus (RSV), both of which play significant roles in respiratory disease outbreaks in Thailand. Objective This study aims to prepare the technique for diagnosing respiratory viral infections, allowing for the simultaneous detection of multiple targets. It enhances the diagnostic capabilities of AFRIMS to support outbreak investigations and prompt respiratory disease outbreaks in both military personnel and civilians in high-risk areas, ultimately reducing the loss of army personnel. Method The research process involved using RNA samples to detect the genetic material of influenza and RSV viruses, with results compared to those from the Gold Standard (Real-time RT PCR) method using 30 positive samples and 30 negative samples, totaling 60 samples. These were tested for respiratory pathogen genetic material using the FDTTM Respiratory Pathogens 21 reagent kit, alongside quality controls with Positive Control and Negative Control, with results compared to those from standard Real-time RT PCR testing. Result The results showed that the Multiplex Real-time RT PCR technique developed provided results consistent with those from the standard Real-time RT PCR for all 60 samples. Conclusion / Discussion This indicates that the developed Multiplex Real-time RT PCR technique at the Virology Laboratory of AFRIMS can accurately and reliably diagnose respiratory viral infections. This technique reduces the time required for investigating respiratory viral infections and prepares for handling disease outbreak incidents, thus improving the capability to control outbreaks and supporting future public health plans in Thailand.
Downloads
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles in this journal are copyrighted by the Royal Thai Army Medical Department and published under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license.
may be read and used for academic purposes, such as teaching, research, or citation, with proper credit given to the author and the journal.
Use or modification of the articles is prohibited without permission.
Statements expressed in the articles are solely the opinions of the authors.
Authors are fully responsible for the content and accuracy of their articles.
Any other republication of the articles requires permission from the journal.
References
Department of Disease Control. [Prevention of diseases and health hazards during the rainy season.] Nonthaburi: Ministry of Public Health; 2017. Thai.
Department of Disease Control. [Prevention of diseases and health hazards during the winter season in Thailand.] Nonthaburi: Ministry of Public Health; 2017. Thai.
Bureau of Epidemiology, Department of Disease Control. [Respiratory Syncytial Virus (RSV) infection]. Nonthaburi: Ministry of Public Health; 2023. Thai.
World Health Organization. WHO information for molecular diagnosis of influenza virus in humans update. Genewa: World Health Organization; 2011.
Palese P, Shaw ML. Orthomyxoviridae: the viruses and their replication. In: Knipe DM, eds. Field’s virology. Vol 2, DNA Viruses. Philadelphia: Lippincott William & Wilkins, 2007. P.1647-89.
Department of Disease Control (Thailand). Influenza A (Influenza) [Internet]. Nonthaburi: Ministry of Public Health; 2017 [cited 2025 Jun 5]. Available from: https://ddc.moph.go.th/disease_detail.php?d=20
Communicable Disease Epidemiology Group, Bureau of Epidemiology, Department of Disease Control. Influenza situation report in Thailand, 2023: Week 22 (May 28–June 3, 2023) [Internet]. Nonthaburi: Department of Disease Control; 2023 [cited 2025 Jun 10]. Available from: https://ddc.moph.go.th/uploads/ckeditor2//files/DOE_flu_22.2566.pdf
Pediatric Infectious Disease Society of Thailand. [Winter-related illnesses Part 1: Common cold and influenza]. [Internet]. 2023 [cited 2023 Jul 17]. Available from: https://www.pidst.or.th/A289.html
Jain H, Schweitzer JW, Justice NA. Respiratory Syncytial Virus Infection. [Updated 2023 Jun 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459215/
Ryu SW, Suh IB, Ryu SM, Shin KS, Kim HS, Kim J, et al. Comparison of three rapid influenza diagnostic tests with digital readout systems and one conventional rapid influenza diagnostic test. J Clin Lab Anal. 2018;32(2):e22234.
Cruz AT, Demmler-Harrison GJ, Caviness AC, Buffone GJ, Revell PA. Performance of a rapid influenza test in children during the H1N1 2009 influenza a outbreak. Pediatrics. 2010 ;125(3):e645-50.
Linares M, Pérez-Tanoira R, Carrero A, Romanyk J, Pérez-García F, Gómez-Herruz P, et al. Panbio antigen rapid test is reliable to diagnose SARS-CoV-2 infection in the first 7 days after the onset of symptoms. J Clin Virol. 2020;133:104659.
Brümmer LE, Katzenschlager S, Gaeddert M, Erdmann C, Schmitz S, Bota M, et al. Accuracy of novel antigen rapid diagnostics for SARS-CoV-2: A living systematic review and meta-analysis. PLoS Med. 2021;18(8):e1003735.
Geris JM, Spector LG, Roesler M, Hernandez-Alvarado N, Blackstad M, Nelson HH, et al. High prevalence of asymptomatic CMV shedding in healthy children attending the minnesota state fair. J Clin Virol. 2022;148:105102.
Scohy A, Anantharajah A, Bodéus M, Kabamba-Mukadi B, Verroken A, Rodriguez-Villalobos H. Low performance of rapid antigen detection test as frontline testing for COVID-19 diagnosis. J Clin Virol. 2020;129:104455.
Chartrand C, Tremblay N, Renaud C, Papenburg J. Diagnostic Accuracy of Rapid Antigen Detection Tests for Respiratory Syncytial Virus Infection: Systematic Review and Meta-analysis. J Clin Microbiol. 2015;53(12):3738-49.
Malhotra B, Swamy MA, Reddy PV, Kumar N, Tiwari JK. Evaluation of custom multiplex real - time RT - PCR in comparison to fast - track diagnostics respiratory 21 pathogens kit for detection of multiple respiratory viruses. Virol J. 2016;13:91.
Kenmoe S, Tcharnenwa C, Monamele GC, Kengne CN, Ripa MN, Whitaker B, et al. Comparison of FTD® respiratory pathogens 33 and a singleplex CDC assay for the detectionof respiratory viruses: A study from Cameroon. Diagn Microbiol Infect Dis. 2019;94(3):236-42.
Sakthivel SK, Whitaker B, Lu X, Oliveira DB, Stockman LJ, Kamili S, et al. Comparison of fast-track diagnostics respiratory pathogens multiplex real-time RT-PCR assay with in-house singleplex assays for comprehensive detection of human respiratory viruses. J Virol Methods. 2012;185(2):259-66.
Centers for Disease Control and Prevention (CDC). CDC 2019-Novel Coronavirus (2019-nCoV) Real-Time RT-PCR Diagnostic Panel Instructions for Use. Atlanta: U.S. Department of Health and Human Services; 2020.
Fast Track Diagnostics. FTD™ Respiratory Pathogens 21 – Instructions for Use. Rev. B. Esch-sur-Alzette: Fast Track Diagnostics Luxembourg S.à.r.l.; 2019.