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本文引用的文献

1
Serum SARS-COV-2 Nucleocapsid Protein: A Sensitivity and Specificity Early Diagnostic Marker for SARS-COV-2 Infection.血清 SARS-CoV-2 核衣壳蛋白:SARS-CoV-2 感染的早期诊断灵敏度和特异性标志物。
Front Cell Infect Microbiol. 2020 Sep 4;10:470. doi: 10.3389/fcimb.2020.00470. eCollection 2020.
2
Saliva or Nasopharyngeal Swab Specimens for Detection of SARS-CoV-2.用于检测严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的唾液或鼻咽拭子样本
N Engl J Med. 2020 Sep 24;383(13):1283-1286. doi: 10.1056/NEJMc2016359. Epub 2020 Aug 28.
3
Critical appraisal on salivary diagnostic for COVID-19.对新冠病毒病唾液诊断方法的批判性评价
Oral Oncol. 2020 Sep;108:104926. doi: 10.1016/j.oraloncology.2020.104926. Epub 2020 Jul 22.
4
Clinical Evaluation of Self-Collected Saliva by Quantitative Reverse Transcription-PCR (RT-qPCR), Direct RT-qPCR, Reverse Transcription-Loop-Mediated Isothermal Amplification, and a Rapid Antigen Test To Diagnose COVID-19.临床评价:定量逆转录实时聚合酶链反应(RT-qPCR)、直接 RT-qPCR、逆转录环介导等温扩增和快速抗原检测在诊断 COVID-19 中的应用。
J Clin Microbiol. 2020 Aug 24;58(9). doi: 10.1128/JCM.01438-20.
5
Deep throat saliva as an alternative diagnostic specimen type for the detection of SARS-CoV-2.深喉唾液作为 SARS-CoV-2 检测的替代诊断标本类型。
J Med Virol. 2021 Jan;93(1):533-536. doi: 10.1002/jmv.26258. Epub 2020 Jul 14.
6
Viral dynamics of SARS-CoV-2 in saliva from infected patients.感染患者唾液中新型冠状病毒的病毒动力学
J Infect. 2020 Sep;81(3):e48-e50. doi: 10.1016/j.jinf.2020.06.059. Epub 2020 Jun 25.
7
Sensitivity of Nasopharyngeal Swabs and Saliva for the Detection of Severe Acute Respiratory Syndrome Coronavirus 2.鼻咽拭子和唾液检测严重急性呼吸综合征冠状病毒 2 的敏感性。
Clin Infect Dis. 2021 Mar 15;72(6):1064-1066. doi: 10.1093/cid/ciaa848.
8
Rapid Salivary Test suitable for a mass screening program to detect SARS-CoV-2: A diagnostic accuracy study.适用于大规模筛查计划以检测新型冠状病毒2的快速唾液检测:一项诊断准确性研究。
J Infect. 2020 Sep;81(3):e75-e78. doi: 10.1016/j.jinf.2020.06.042. Epub 2020 Jun 21.
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Early-Morning vs Spot Posterior Oropharyngeal Saliva for Diagnosis of SARS-CoV-2 Infection: Implication of Timing of Specimen Collection for Community-Wide Screening.清晨口咽后部唾液与随机口咽后部唾液用于诊断SARS-CoV-2感染:社区广泛筛查中样本采集时间的意义
Open Forum Infect Dis. 2020 Jun 7;7(6):ofaa210. doi: 10.1093/ofid/ofaa210. eCollection 2020 Jun.
10
Posterior Oropharyngeal Saliva for the Detection of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2).用于检测严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的口咽后部唾液
Clin Infect Dis. 2020 Dec 31;71(11):2939-2946. doi: 10.1093/cid/ciaa797.

唾液诊断新型冠状病毒 SARS-CoV-2(COVID-19)。

Salivary diagnostics of the novel coronavirus SARS-CoV-2 (COVID-19).

机构信息

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.

出版信息

Oral Dis. 2022 Apr;28 Suppl 1(Suppl 1):867-877. doi: 10.1111/odi.13729. Epub 2020 Dec 4.

DOI:10.1111/odi.13729
PMID:33211392
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7753835/
Abstract

INTRODUCTION

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.

OBJECTIVE

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.

CONCLUSION

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.

摘要

简介

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。

目的

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。

结论

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。