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严重急性呼吸综合征冠状病毒2感染与2019冠状病毒病大流行紧急情况:诊断方法的重要性

SARS-CoV-2 Infection and the COVID-19 Pandemic Emergency: The Importance of Diagnostic Methods.

作者信息

Ciotti Marco, Benedetti Francesca, Zella Davide, Angeletti Silvia, Ciccozzi Massimo, Bernardini Sergio

机构信息

Virology Unit, Laboratory of Clinical Microbiology and Virology, Polyclinic Tor Vergata Foundation, Rome, Italy,

Department of Biochemistry and Molecular Biology, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, Maryland, USA.

出版信息

Chemotherapy. 2021;66(1-2):17-23. doi: 10.1159/000515343. Epub 2021 Mar 19.

Abstract

BACKGROUND

Currently, a pandemic of coronavirus disease 2019 (COVID-19) caused by the novel coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is underway, resulting in high morbidity and mortality across the globe.

SUMMARY

A prompt and effective diagnosis is crucial to identify infected individuals, to monitor the infection, to perform contact tracing, and to limit the spread of the virus. Since the announcement of this public health emergency, several diagnostic methods have been developed including molecular and serological assays, and more recently biosensors. Here, we present the use of these assays as well as their main technical features, advantages, and limits. Key Messages: The development of reliable diagnostic assays is crucial not only for a correct diagnosis and containment of COVID-19 pandemic, but also for the decision-making process that is behind the clinical decisions, eventually contributing to the improvement of patient management. Furthermore, with the advent of vaccine and therapeutic monoclonal antibodies against SARS-CoV-2, serological assays will be instrumental for the validation of these new therapeutic options.

摘要

背景

目前,由新型冠状病毒严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的2019冠状病毒病(COVID-19)大流行正在发生,导致全球范围内的高发病率和高死亡率。

总结

及时有效的诊断对于识别感染者、监测感染情况、进行接触者追踪以及限制病毒传播至关重要。自宣布这一突发公共卫生事件以来,已经开发了几种诊断方法,包括分子和血清学检测,以及最近的生物传感器。在此,我们介绍这些检测方法的使用及其主要技术特点、优点和局限性。关键信息:可靠诊断检测方法的开发不仅对于正确诊断和控制COVID-19大流行至关重要,而且对于临床决策背后的决策过程也至关重要,最终有助于改善患者管理。此外,随着针对SARS-CoV-2的疫苗和治疗性单克隆抗体的出现,血清学检测将有助于验证这些新的治疗选择。

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