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新型冠状病毒肺炎感染的检测技术及研究进展。

Detection technologies and recent developments in the diagnosis of COVID-19 infection.

机构信息

Nitte (Deemed to be University), Division of Infectious Diseases, Nitte University Centre for Science Education and Research (NUCSER), Paneer Campus, Deralakatte, Mangaluru, Karnataka, 575018, India.

Nitte (Deemed to be University), University Enclave, Medical Sciences Complex, Deralakatte, Mangaluru, 575018, India.

出版信息

Appl Microbiol Biotechnol. 2021 Jan;105(2):441-455. doi: 10.1007/s00253-020-11061-5. Epub 2021 Jan 4.

Abstract

COVID-19 is a disease caused by SARS-CoV-2 capable of causing mild to severe infections in humans. Since its first appearance in China in December 2019, the pandemic has spread rapidly throughout the world. Despite considerable efforts made to contain the disease, the virus has continued its prevalence in many countries with varying degrees of clinical manifestations. To contain this pandemic, collaborative approach involving accurate diagnosis, epidemiology, surveillance, and prophylaxis is essential. However, proper diagnosis using rapid technologies plays a crucial role. With increasing incidence of COVID-19 cases, the accurate and early detection of the SARS-CoV-2 is need of the hour for effective prevention and management of COVID-19 cases as well as to curb its spread. RT-qPCR assay is considered to be the gold standard for the early detection of virus, but this protocol has limited application to use as bedside test because of its technical complexity. To address these challenges, several POC assays have been developed to facilitate the COVID-19 diagnosis outside the centralized testing laboratories as well to accelerate the clinical decision making with a least turnaround time. Hence, in this report, we review different nucleic acid-based and serological techniques available for the diagnosis and effective prevention of COVID-19. KEY POINTS : • Provides comprehensive information on the different diagnostic tools available for COVID-19 • Nucleic acid based tests or antigen detection tests are used for diagnostic purpose • Accurate diagnosis is essential for the efficient management of COVID-19.

摘要

新型冠状病毒肺炎(COVID-19)由严重急性呼吸综合征冠状病毒 2 型(SARS-CoV-2)引起,能够在人类中引起轻度至重度感染。自 2019 年 12 月在中国首次出现以来,该大流行已迅速在全球范围内蔓延。尽管为控制该疾病做出了相当大的努力,但该病毒仍在许多国家继续流行,临床表现程度不一。为控制该大流行,需要采取准确诊断、流行病学、监测和预防等协作方法。然而,使用快速技术进行正确诊断起着至关重要的作用。随着 COVID-19 病例的不断增加,准确和早期检测 SARS-CoV-2 是当前有效预防和管理 COVID-19 病例以及遏制其传播的迫切需要。实时聚合酶链反应(RT-qPCR)检测被认为是病毒早期检测的金标准,但由于其技术复杂性,该方案在床边检测中的应用有限。为了应对这些挑战,已经开发了几种即时检测(POC)检测方法,以便在集中式检测实验室之外进行 COVID-19 诊断,并以最短的周转时间加速临床决策。因此,在本报告中,我们回顾了用于 COVID-19 诊断和有效预防的不同基于核酸和血清学的技术。主要观点:• 提供了有关 COVID-19 可用不同诊断工具的全面信息• 核酸检测或抗原检测用于诊断目的• 准确诊断对于 COVID-19 的有效管理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/690e/7780074/b65d29d0ed91/253_2020_11061_Fig1_HTML.jpg

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