DU Qiang, Shi Yi-Chao, Shao Yong, Wu Zhi-Gang, Xu Song, Shang Xue-Jun, Pan Bo-Chen
Center of Reproductive Medicine, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China.
Center of Reproductive Medicine, Changzhou Second People's Hospital Affiliated to Nanjing Medical University, Changzhou, Jiangsu 213003, China.
Zhonghua Nan Ke Xue. 2020 Mar;26(3):219-222.
The novel coronavirus disease 2019 (COVID-19) broke out in December 2019 and has been rapidly escalating throughout the world. Clinical findings show that the patients with either symptomatic or asymptomatic COVID-19 can be a potential source of infection. Although respiratory droplets and close contact are considered to be the main routes of transmission, there is the possibility of aerosol transmission in a relatively closed environment. The nucleic acid of the novel coronavirus can be detected in nasopharyngeal swabs, sputum and other lower respiratory tract secretions, blood, feces, urine and so on, but whether it exists in the semen has not been confirmed. It is reported that the novel coronavirus may affect the testis that highly expresses angiotensin-converting enzyme 2 (ACE2) and theoretically the semen is a possible carrier of the virus considering the fact that it is discharged from the same channel as the urine. Andrology laboratorians are exposed to most of the specimens above, including semen, and some open operations in the laboratory increase the risk of aerosol generation. Therefore, corresponding protective procedures are necessitated in andrology laboratories to reduce the risk of infection during the outbreak of COVID-19. Based on the knowledge and experience available as regards the pandemic and the characteristics of the work in the andrology laboratory, we summarize some biosafety points for andrology laboratorians to attend to during the outbreak of COVID-19.
2019年新型冠状病毒病(COVID-19)于2019年12月爆发,并在全球迅速蔓延。临床研究结果表明,有症状或无症状的COVID-19患者都可能是潜在的传染源。虽然呼吸道飞沫和密切接触被认为是主要传播途径,但在相对封闭的环境中存在气溶胶传播的可能性。新型冠状病毒的核酸可在鼻咽拭子、痰液及其他下呼吸道分泌物、血液、粪便、尿液等中检测到,但精液中是否存在尚未得到证实。据报道,新型冠状病毒可能会影响高表达血管紧张素转换酶2(ACE2)的睾丸,从理论上讲,考虑到精液与尿液通过同一通道排出,精液有可能是病毒的载体。男科实验室工作人员会接触到上述大多数标本,包括精液,并且实验室中的一些开放性操作会增加产生气溶胶的风险。因此,在COVID-19疫情爆发期间,男科实验室需要采取相应的防护措施,以降低感染风险。基于现有的关于该疫情的知识和经验以及男科实验室的工作特点,我们总结了一些COVID-19疫情爆发期间男科实验室工作人员需要注意的生物安全要点。