The number and range of enteroviruses isolated in the Regional Virus Labora
tory, Glasgow during 1977-1997 was determined. Over this period, 3,039 ente
rovirus isolations were reported. The echoviruses represented 67% of isolat
ions with echovirus 4 (due to an outbreak in 1990), echovirus 30 and echovi
rus 11 being the most frequently isolated types. The pattern of prevalence
of non-polio enteroviruses had changed from the previous 20-year period wit
h echovirus types isolated more often (77% vs. 55.4%) and coxsackieviruses
isolated less often (23% vs. 44.6%). The polymerase chain reaction (PCR) in
troduced into the routine diagnostic service in 1996 increased the detectio
n of enteroviruses from cerebrospinal fluid samples compared with tradition
al cell culture methods. Finally, the 5' nontranslated region (NTR, bases 6
3-475) and the VP4/VP2 region (bases 581-1199) of selected echovirus 30 and
coxsackie B3 isolates were sequenced. These represented endemic and epidem
ic types respectively and were shown to be closely related within their typ
e, but different from the published sequences. The current echovirus 30 str
ains differed from 1966 isolates by 16-20% in both the 5' NTR and VP4/VP2 r
egions. The coxsackie B3 isolates, predominant in 1997 after 5 years of abs
ence, were also dissimilar from previously isolated strains, causing a smal
l outbreak. (C) 1999 Wiley-Liss, Inc.