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COVID-19:临床表现和检测方法。

COVID-19: clinical presentation and detection methods.

机构信息

Department of Pharmacy, Rungta College of Pharmaceutical Sciences and Research, Bhilai, India.

Institute of Pharmaceutical Research,GLA University, Mathura, India.

出版信息

J Immunoassay Immunochem. 2022 Jan 2;43(1):1951291. doi: 10.1080/15321819.2021.1951291. Epub 2021 Aug 6.

DOI:10.1080/15321819.2021.1951291
PMID:34355645
Abstract

The unending outburst of COVID-19 has reinforced the necessity of SARS-CoV-2 identification approaches for the prevention of infection transmission and the proper care of severe and critical patients. As there is no cure, a prompt and reliable diagnosis of SARS-CoV2 is vital to counter the spread and to provide adequate care and treatment for the infection. Currently, RT-PCR is a gold standard detection method for the qualitative and quantitative detection of viral nucleic acids. Besides, enzyme-linked immunosorbent assay is also a primarily used method for qualitative estimation of viral load. However, almost all the detection methods have their pros and cons in terms of specificity, accuracy, sensitivity, cost, time consumption, the need for sophisticated laboratories, and the requirement of skilled technical experts to carry out the detection tests. Thus, it is suggested to integrate different techniques to enhance the detection efficiency and accurateness for SARS-CoV2. This review focuses on preliminary, pre-confirmatory, and confirmatory methods of detection such as imaging techniques (chest-X-ray and chest- computed tomography), nucleic acid detection methods, serological assay methods, and viral culture and identification methods that are currently being employed to detect the presence of SARS-CoV-2 infection along with recent detection method and applicability for COVID-19.

摘要

新冠疫情的持续爆发,凸显了对 SARS-CoV-2 鉴定方法的需求,以预防感染传播和为重症及危重症患者提供恰当的护理。由于目前尚无治愈方法,因此及时、可靠地诊断 SARS-CoV-2 对于控制疫情传播以及为感染提供适当的护理和治疗至关重要。目前,RT-PCR 是用于定性和定量检测病毒核酸的金标准检测方法。此外,酶联免疫吸附测定也是定性估计病毒载量的主要方法。然而,几乎所有的检测方法在特异性、准确性、灵敏度、成本、耗时、对复杂实验室的需求以及执行检测试验所需的熟练技术专家方面都有其优缺点。因此,建议整合不同的技术以提高 SARS-CoV-2 的检测效率和准确性。本综述重点介绍了目前用于检测 SARS-CoV-2 感染的初步、预确认和确认检测方法,如影像学技术(胸部 X 光和胸部计算机断层扫描)、核酸检测方法、血清学检测方法以及病毒培养和鉴定方法,以及最近用于 COVID-19 的检测方法和适用性。

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