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严重急性呼吸综合征冠状病毒 2 在医疗机构应急单元中对无生命表面的 RNA 污染和病毒生存能力。

Severe acute respiratory syndrome coronavirus 2 RNA contamination of inanimate surfaces and virus viability in a health care emergency unit.

机构信息

Division of Infectious Diseases I, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

Molecular Virology Unit, Microbiology and Virology, University of Pavia, Pavia, Italy.

出版信息

Clin Microbiol Infect. 2020 Aug;26(8):1094.e1-1094.e5. doi: 10.1016/j.cmi.2020.05.009. Epub 2020 May 22.

Abstract

OBJECTIVES

To detect possible severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) RNA contamination of inanimate surfaces in areas at high risk of aerosol formation by patients with coronavirus disease 2019 (COVID-19).

METHODS

Sampling was performed in the emergency unit and the sub-intensive care ward. SARS-CoV-2 RNA was extracted from swabbed surfaces and objects and subjected to real-time RT-PCR targeting RNA-dependent RNA polymerase and E genes. Virus isolation from positive samples was attempted in vitro on Vero E6 cells.

RESULTS

Twenty-six samples were collected and only two were positive for low-level SARS-CoV-2 RNA, both collected on the external surface of continuous positive airway pressure helmets. All transport media were inoculated onto susceptible cells, but none induced a cytopathic effect on day 7 of culture.

CONCLUSIONS

Even though daily contact with inanimate surfaces and patient fomites in contaminated areas may be a medium of infection, our data obtained in real-life conditions suggest that it might be less extensive than hitherto recognized.

摘要

目的

检测 2019 冠状病毒病(COVID-19)患者所处高气溶胶形成风险区域内无生命表面可能存在严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)RNA 污染。

方法

在急诊室和亚重症监护病房进行采样。从拭子表面和物体中提取 SARS-CoV-2 RNA,并用针对 RNA 依赖性 RNA 聚合酶和 E 基因的实时 RT-PCR 进行检测。尝试从阳性样本中在体外通过 Vero E6 细胞进行病毒分离。

结果

共采集了 26 个样本,只有 2 个样本中检测到低水平的 SARS-CoV-2 RNA,均采集自持续气道正压通气面罩的外表面。所有的运输培养基均接种到易感细胞上,但在培养的第 7 天均未诱导细胞病变效应。

结论

尽管与污染区域内的无生命表面和患者污染物的日常接触可能是一种感染媒介,但我们在实际条件下获得的数据表明,其感染范围可能比以前认为的要小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5098/7243766/15cc8993f42e/gr1_lrg.jpg

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