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新型冠状病毒肺炎的诊断:现状与展望。

Diagnosis for COVID-19: current status and future prospects.

机构信息

Florida Atlantic University, Boca Raton, FL, USA.

College of Engineering and Computer Science, Boca Raton, FL, USA.

出版信息

Expert Rev Mol Diagn. 2021 Mar;21(3):269-288. doi: 10.1080/14737159.2021.1894930. Epub 2021 Mar 7.

Abstract

Coronavirus disease 2019 (COVID-19), a respiratory illness caused by novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), had its first detection in December 2019 in Wuhan (China) and spread across the world. In March 2020, the World Health Organization (WHO) declared COVID-19 a pandemic disease. The utilization of prompt and accurate molecular diagnosis of SARS-CoV-2 virus, isolating the infected patients, and treating them are the keys to managing this unprecedented pandemic. International travel acted as a catalyst for the widespread transmission of the virus. This review discusses phenotype, structural, and molecular evolution of recognition elements and primers, its detection in the laboratory, and at point of care. Further, market analysis of commercial products and their performance are also evaluated, providing new ways to confront the ongoing global public health emergency. The outbreak for COVID-19 created mammoth chaos in the healthcare sector, and still, day by day, new epicenters for the outbreak are being reported. Emphasis should be placed on developing more effective, rapid, and early diagnostic devices. The testing laboratories should invest more in clinically relevant multiplexed and scalable detection tools to fight against a pandemic like this where massive demand for testing exists.

摘要

新型冠状病毒病(COVID-19)是一种由新型严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)引起的呼吸道疾病,于 2019 年 12 月在中国武汉首次发现,并在全球范围内传播。2020 年 3 月,世界卫生组织(WHO)宣布 COVID-19 为大流行病。及时、准确地对 SARS-CoV-2 病毒进行分子诊断、隔离感染患者并对其进行治疗是应对这一前所未有的大流行的关键。国际旅行是病毒广泛传播的催化剂。本文讨论了 SARS-CoV-2 病毒识别元件和引物的表型、结构和分子进化、在实验室和现场的检测,以及对商业产品的市场分析和性能评估,为应对当前的全球公共卫生紧急情况提供了新的思路。COVID-19 的爆发给医疗保健行业带来了巨大的混乱,而且每天仍有新的疫情中心报告。应重视开发更有效、快速和早期的诊断设备。检测实验室应加大投入,开发更具临床相关性的多重和可扩展检测工具,以应对这种需要大规模检测的大流行。

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