The West China College of Medicine, Sichuan University, Chengdu, China.
Eur Rev Med Pharmacol Sci. 2020 Apr;24(8):4548-4553. doi: 10.26355/eurrev_202004_21039.
To summarize the current practice and potential strategy in diagnosing coronavirus disease 2019 (COVID-19).
PubMed, Web of Science were systematically searched using terms including "COVID-19", "SARS-CoV-2" and "2019-nCoV". After removing duplicates, we then identified articles, letters and commentaries regarding diagnosing COVID-19.
Here we summarized relatively mature diagnostic methods like nuclear acid test and computed tomography. Besides, new aspects regarding these detection methods like suitable specimens for nuclear acid test, possible use of 18F-FDG PET/CT were also reported. Especially, we also presented several novel techniques for diagnosing COVID-19 like lung ultrasound.
Chinese Clinical Guidance for COVID-19 Pneumonia Diagnosis and Treatment (7th edition) by National Health Commission is recommended to follow as it provides detailed diagnostic procedures using currently available tools. We suggest clinicians further explore the saliva's utility as a specimen for nuclear acid test and the use of lung ultrasound.
总结目前诊断 2019 冠状病毒病（COVID-19）的实践和潜在策略。
系统地检索了 PubMed 和 Web of Science 数据库，使用了包括“COVID-19”、“SARS-CoV-2”和“2019-nCoV”在内的术语。去除重复项后，我们确定了与诊断 COVID-19 相关的文章、信件和评论。
在这里，我们总结了相对成熟的诊断方法，如核酸检测和计算机断层扫描。此外，还报道了这些检测方法的新方面，如核酸检测的合适标本，18F-FDG PET/CT 的可能用途。特别是，我们还提出了几种用于诊断 COVID-19 的新技术，如肺部超声。
建议遵循国家卫生健康委员会发布的《中国 7 版新型冠状病毒肺炎诊疗方案》，因为该方案提供了使用现有工具的详细诊断程序。我们建议临床医生进一步探索唾液作为核酸检测标本的用途和肺部超声的应用。
