Department of Microbiology, College of Veterinary Medicine, King Faisal University, Al Ahsa, Saudi Arabia.
Department of Virology, Faculty of Veterinary Medicine, Kafrelsheikh University, Kafr Elsheikh, Egypt.
J Med Virol. 2021 Jul;93(7):4219-4241. doi: 10.1002/jmv.26926. Epub 2021 Mar 26.
The potential zoonotic coronaviruses (SARS-CoV, MERS-CoV, and SARS-CoV-2) are of global health concerns. Early diagnosis is the milestone in their mitigation, control, and eradication. Many diagnostic techniques are showing great success and have many advantages, such as the rapid turnover of the results, high accuracy, and high specificity and sensitivity. However, some of these techniques have several pitfalls if samples were not collected, processed, and transported in the standard ways and if these techniques were not practiced with extreme caution and precision. This may lead to false-negative/positive results. This may affect the downstream management of the affected cases. These techniques require regular fine-tuning, upgrading, and optimization. The continuous evolution of new strains and viruses belong to the coronaviruses is hampering the success of many classical techniques. There are urgent needs for next generations of coronaviruses diagnostic assays that overcome these pitfalls. This new generation of diagnostic tests should be able to do simultaneous, multiplex, and high-throughput detection of various coronavirus in one reaction. Furthermore, the development of novel assays and techniques that enable the in situ detection of the virus on the environmental samples, especially air, water, and surfaces, should be given considerable attention in the future. These approaches will have a substantial positive impact on the mitigation and eradication of coronaviruses, including the current SARS-CoV-2 pandemic.
潜在的人畜共患冠状病毒(SARS-CoV、MERS-CoV 和 SARS-CoV-2)引起了全球的健康关注。早期诊断是减轻、控制和消灭这些病毒的关键。许多诊断技术都取得了巨大的成功,具有许多优点,例如结果的快速周转、高准确性、高特异性和敏感性。然而,如果样本没有以标准的方式收集、处理和运输,如果这些技术没有经过极端谨慎和精确的实践,其中一些技术可能存在一些缺陷。这可能导致假阴性/阳性结果。这可能会影响受影响病例的下游管理。这些技术需要定期进行微调、升级和优化。新出现的冠状病毒株和病毒的不断进化,阻碍了许多经典技术的成功。迫切需要新一代的冠状病毒诊断检测方法来克服这些缺陷。新一代的诊断测试应该能够在一个反应中同时、多重和高通量地检测各种冠状病毒。此外,未来应相当重视开发新型检测方法和技术,使病毒能够在环境样本(特别是空气、水和表面)上原位检测。这些方法将对减轻和消灭冠状病毒产生实质性的积极影响,包括当前的 SARS-CoV-2 大流行。