Paediatric Laboratory Medicine, The Hospital for Sick Children, and Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada.
University Vita-Salute San Raffaele, Milan, Italy.
Clin Chem Lab Med. 2020 Oct 7;58(12):1993-2000. doi: 10.1515/cclm-2020-1412.
The diagnosis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection globally has relied extensively on molecular testing, contributing vitally to case identification, isolation, contact tracing, and rationalization of infection control measures during the coronavirus disease 2019 (COVID-19) pandemic. Clinical laboratories have thus needed to verify newly developed molecular tests and increase testing capacity at an unprecedented rate. As the COVID-19 pandemic continues to pose a global health threat, laboratories continue to encounter challenges in the selection, verification, and interpretation of these tests. This document by the International Federation for Clinical Chemistry and Laboratory Medicine (IFCC) Task Force on COVID-19 provides interim guidance on: (A) clinical indications and target populations, (B) assay selection, (C) assay verification, and (D) test interpretation and limitations for molecular testing of SARS-CoV-2 infection. These evidence-based recommendations will provide practical guidance to clinical laboratories worldwide and highlight the continued importance of laboratory medicine in our collective pandemic response.
全球严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)感染的诊断广泛依赖于分子检测,这对 2019 年冠状病毒病(COVID-19)大流行期间的病例识别、隔离、接触者追踪以及感染控制措施的合理化至关重要。因此,临床实验室需要验证新开发的分子检测并以前所未有的速度提高检测能力。随着 COVID-19 大流行继续构成全球健康威胁,实验室在这些检测的选择、验证和解释方面继续面临挑战。国际临床化学和实验室医学联合会(IFCC)COVID-19 工作组的这份文件提供了关于以下方面的临时指南:(A)临床指征和目标人群,(B)检测选择,(C)检测验证,以及(D)SARS-CoV-2 感染分子检测的解释和局限性。这些基于证据的建议将为全球临床实验室提供实用指导,并强调实验室医学在我们集体应对大流行中的持续重要性。