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近年来莱姆病诊断的进展。

Recent advances in the diagnosis of leptospirosis.

机构信息

Shoolini University, Solan- 173229, India.

Amity University, Haryana-122413, India.

出版信息

Front Biosci (Landmark Ed). 2020 Mar 1;25(9):1655-1681. doi: 10.2741/4872.

Abstract

Leptospirosis can be found in virtually all tropical and temperate areas of the world and is presumed to be the widely spread zoonotic infection in the world. Because of the variety of clinical symptoms seen in the symptomatic cases, leptospirosis at its onset is often misdiagnosed as aseptic meningitis, influenza, hepatic disease or fever (pyrexia) of unknown origin. The disease has been widely spread, ranging from subclinical infection to a severe syndrome of multiorgan infection with high mortality. It is an occupational hazard for people who work outdoors or with animals, such as rice and sugar-cane field workers, farmers, sewer workers, veterinarians, dairy workers, and military personnel. Various diagnostic methods have been developed for the diagnosis of leptospirosis that includes direct examination; serology and molecular based techniques, but have various shortcomings, so there is a need to develop an effective surveillance system to monitor the trends of disease to control this life-threatening zoonosis. Now a day's biosensor based technology becomes an excellent platform in the field of diagnostics due to their better sensitivity and specificity. So different types of biosensors such as enzyme-based, tissue-based, immunosensor, DNA biosensors, thermal and piezoelectric biosensors have been discussed here to highlight their indispensable applications in different fields. In this review, we will examine the current utilization of functionalized detection methods with other synthetic mixes for the development of biosensor prompting to the location of particular analytes with low discovery cut-off and quick reaction.

摘要

钩端螺旋体病几乎存在于世界上所有的热带和温带地区,据推测是世界上广泛传播的人畜共患病感染。由于症状性病例中出现的各种临床症状,钩端螺旋体病在发病初期常被误诊为无菌性脑膜炎、流感、肝病或不明原因发热(发热)。这种疾病已经广泛传播,从亚临床感染到多器官感染的严重综合征,死亡率很高。它是从事户外工作或与动物(如水稻和甘蔗田工人、农民、污水工人、兽医、乳制品工人和军人)接触的人的职业危害。已经开发了各种诊断方法来诊断钩端螺旋体病,包括直接检查;血清学和基于分子的技术,但都有各种缺点,因此需要开发一个有效的监测系统来监测疾病趋势,以控制这种危及生命的人畜共患病。如今,基于生物传感器的技术因其更好的灵敏度和特异性而成为诊断领域的优秀平台。因此,这里讨论了不同类型的生物传感器,如基于酶的、基于组织的、免疫传感器、DNA 生物传感器、热和压电生物传感器,以强调它们在不同领域的不可或缺的应用。在这篇综述中,我们将研究功能化检测方法与其他合成混合物的当前利用情况,以开发生物传感器,提示特定分析物的位置,具有低发现截止值和快速反应。

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