Smart Healthcare & Device Research Center, Samsung Medical Center, Seoul, South Korea.
Center for Infection Prevention and Control, Samsung Medical Center, Seoul, South Korea and Asia Pacific Foundation for Infectious Diseases (APFID), Seoul, South Korea and Division of Infectious Diseases, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Analyst. 2019 Apr 8;144(8):2460-2466. doi: 10.1039/c8an02295j.
Infectious diseases are transmissible or communicable illnesses and can spread quickly in some areas and become epidemics. It is critical to quickly diagnose initial infections and prevent further spread through in vitro diagnosis. However, current detection strategies have exhibited a lack of balance with regard to accuracy, time consumption, and portability until recently (e.g. serology, culturing, molecular tests, etc.). Alternatively, many studies have focused on point-of-care testing (POCT), which combines simple, rapid, and exact on-site diagnostic platforms. Moreover, multiplex detectability is necessary for emergency treatment depending on the stage of the disease or interactional infections. The lateral flow assay (LFA) is the most popular diagnostic tool that meets the required standards for colorimetric assays. Here, we review lateral flow assays based on the immune reactions for the simultaneous diagnosis of infectious diseases as the POC test. The assays employed various forms and approaches in terms of the multiplexing level system for improving the sensitivity and specificity. We briefly describe the state-of-the-art infection diagnostic methods and published performances that have been classified into three categories based on the application forms of the lateral flow immunoassay. Also, we discuss further uses of LFA and other technologies for more effective infectious disease POCT.
传染病是可传染或可传播的疾病,在某些地区传播速度很快,可能会引发流行病。快速诊断初始感染并通过体外诊断防止进一步传播至关重要。然而,直到最近,现有的检测策略在准确性、耗时和便携性方面一直缺乏平衡(例如血清学、培养、分子检测等)。另一方面,许多研究都集中在即时检测(POCT)上,它结合了简单、快速和精确的现场诊断平台。此外,根据疾病的阶段或相互感染,需要多重检测能力进行紧急治疗。侧向流动分析(LFA)是最受欢迎的诊断工具,符合比色分析的要求标准。在这里,我们回顾了基于免疫反应的侧向流动分析,作为 POCT 用于同时诊断传染病。该分析采用了各种形式和方法来实现多重检测系统,以提高灵敏度和特异性。我们简要描述了最新的感染诊断方法和已发表的性能,这些方法根据侧向流动免疫分析的应用形式分为三类。此外,我们还讨论了 LFA 和其他技术的进一步用途,以实现更有效的传染病 POCT。