“…These studies and subsequent ones based on antigen detection were made possible by use of a monoclonal antibody ELISA able to detect all known human astrovirus serotypes (Herrmann, et al, 1988). This and other improvements in detection techniques, such as better cultivation techniques (Willcocks, et al, 1990) and the application of the reverse transcription polymerase chain reaction (RT-PCR) in numerous studies have been instrumental in defining the epidemiology of this illness worldwide (Cruz, et al, 1992;Dennehy, et al, 2001;Glass, et al, 1996;Glass, 2001;Kotloff, et al, 1992;Maldonado, et al, 1998;Mitchell et al, 1999;Unicomb, et al, 1998;Walter, et al, 2001). RT-PCR is the most sensitive detection method, and in a direct comparison of RT-PCR, ELISA, and EM to monitor an outbreak, it was found that many subclinical infections could only be detected by RT-PCR.…”