Stackelberg Otto, Esmaeilzadeh Mouna, Olsen Björn, Lundkvist Åke
med dr, affilierad forskare, ST-läkare i kärlkirurgi, Södersjukhuset; Karolinska institutet, Stockholm.
med dr, affilierad forskare, leg läkare, Uppsala universitet.
Lakartidningen. 2020 May 27;117:20078.
Increasing evidence indicates immunity against severe acute respiratory syndrome coronavirus 2 (sars-cov-2) after covid-19, but it remains unclear for how long the protection remains. Serology testing seems to have a higher sensitivity than molecular diagnostics from 8 days after onset of symtoms, and should be part of risk assessment and epidemiological studies of COVID-19. The performance of commercial serological point-of-care (POC) lateral flow tests are highly manufacturer-dependant. Low sensitivity increases the risk of false negative results and could result in unnecessary quarantine of test persons with developed antibodies. Low specificity increases the risk of false positive results and could lead to false assumptions of immunity. Carefully selected serological POC tests for sars-cov-2 can be used in large scale testing but should only be used by licensed medical staff able to understand their limitations and interpret the results.
越来越多的证据表明,感染2019冠状病毒病(COVID-19)后对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)具有免疫力,但这种保护能持续多久仍不清楚。症状出现8天后,血清学检测的灵敏度似乎高于分子诊断,应成为COVID-19风险评估和流行病学研究的一部分。商用即时检测(POC)侧向流动血清学检测的性能高度依赖制造商。灵敏度低会增加假阴性结果的风险,并可能导致已产生抗体的受检者被不必要地隔离。特异性低会增加假阳性结果的风险,并可能导致对免疫力的错误假设。经过精心挑选的针对SARS-CoV-2的血清学POC检测可用于大规模检测,但仅应由能够理解其局限性并解读结果的持牌医务人员使用。