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COVID-19 和 SARS-CoV-2 的 RT-qPCR 诊断检测:事实与谬误。

COVID-19 and Diagnostic Testing for SARS-CoV-2 by RT-qPCR-Facts and Fallacies.

机构信息

Medical Technology Research Centre, Anglia Ruskin University, Chelmsford CM1 1SQ, UK.

RM Consulting, San Diego, CA 92037, USA.

出版信息

Int J Mol Sci. 2021 Feb 28;22(5):2459. doi: 10.3390/ijms22052459.

DOI:10.3390/ijms22052459
PMID:33671091
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7957603/
Abstract

Although molecular testing, and RT-qPCR in particular, has been an indispensable component in the scientific armoury targeting SARS-CoV-2, there are numerous falsehoods, misconceptions, assumptions and exaggerated expectations with regards to capability, performance and usefulness of the technology. It is essential that the true strengths and limitations, although publicised for at least twenty years, are restated in the context of the current COVID-19 epidemic. The main objective of this commentary is to address and help stop the unfounded and debilitating speculation surrounding its use.

摘要

尽管分子检测,尤其是 RT-qPCR,已成为针对 SARS-CoV-2 的科学武器库中不可或缺的组成部分,但该技术的能力、性能和实用性方面存在着众多的虚假、误解、假设和夸大的期望。重要的是,尽管该技术的真正优势和局限性已经宣传了至少二十年,但在当前 COVID-19 疫情的背景下需要重申这些内容。本评论的主要目的是解决并帮助阻止围绕其使用的毫无根据和削弱信心的猜测。

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Open Forum Infect Dis. 2021 May 12;8(6):ofab235. doi: 10.1093/ofid/ofab235. eCollection 2021 Jun.
2
Variability of cycle threshold values in an external quality assessment scheme for detection of the SARS-CoV-2 virus genome by RT-PCR.实时 RT-PCR 检测 SARS-CoV-2 病毒基因组的外部质量评估方案中循环阈值的可变性。
Clin Chem Lab Med. 2020 Dec 16;59(5):987-994. doi: 10.1515/cclm-2020-1602. Print 2021 Apr 27.
3
SARS-CoV-2 PCR cycle threshold at hospital admission associated with patient mortality.入院时 SARS-CoV-2 PCR 循环阈值与患者死亡率相关。
PLoS One. 2020 Dec 31;15(12):e0244777. doi: 10.1371/journal.pone.0244777. eCollection 2020.
4
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Sci Rep. 2020 Dec 17;10(1):22214. doi: 10.1038/s41598-020-79233-x.
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Euro Surveill. 2020 Dec;25(50). doi: 10.2807/1560-7917.ES.2020.25.50.2000568.
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