Department of Oral Medicine and Maxillofacial Pathology, School of Dentistry, Aristotle University, Thessaloniki, Greece.
Laboratory of Biological Chemistry, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Oral Dis. 2022 Apr;28 Suppl 1(Suppl 1):867-877. doi: 10.1111/odi.13729. Epub 2020 Dec 4.
Laboratory testing for the SARS-CoV-2 virus and the consequent respiratory coronavirus disease 2019 (COVID-19) is categorized into methods that detect the viral presence and methods that detect antibodies produced in the host as a response to infection. Methods that detect viral presence into the host excretions measure current infection by SARS-CoV-2, whereas the detection of human antibodies exploited against SARS-CoV-2 evaluates the past exposure to the virus.
This review provides a comprehensive overview for the use of saliva as a specimen for the detection of SARS-CoV-2, the methods for the salivary diagnostics utilized till very recently, and the arisen considerations for the diagnosis of COVID-19 disease.
The major advantage of using saliva as a specimen for the detection of SARS-CoV-2 is that saliva collection is a non-invasive method which produces no discomfort to the patient and permits the patients to utilize home self-sampling techniques in order to protect health providers from the exposure to the pathogen. There is an urgent need to increase the active research for the detection of SARS-CoV-2 in the saliva because the non-invasive salivary diagnostics may provide a reliable and cost-effective method suitable for the fast and early detection of COVID-19 infection.
针对 SARS-CoV-2 病毒的实验室检测以及随之而来的 2019 年呼吸道冠状病毒疾病(COVID-19)被分为检测病毒存在的方法和检测宿主产生的针对感染的抗体的方法。检测宿主排泄物中病毒存在的方法可衡量当前的 SARS-CoV-2 感染,而针对 SARS-CoV-2 的人类抗体检测则评估了过去对该病毒的暴露情况。
本综述全面概述了唾液作为 SARS-CoV-2 检测标本的用途、直至最近才使用的唾液诊断方法,以及对 COVID-19 疾病诊断的出现的考虑因素。
使用唾液作为 SARS-CoV-2 检测标本的主要优势在于,唾液采集是非侵入性的,不会给患者带来不适,并允许患者使用家庭自我采样技术,以保护卫生保健提供者免受病原体的暴露。迫切需要增加对 SARS-CoV-2 在唾液中检测的积极研究,因为非侵入性唾液诊断方法可能提供一种可靠且具有成本效益的方法,适用于 COVID-19 感染的快速和早期检测。