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即时检验——抗击新冠疫情的关键

Point-of-Care Testing-The Key in the Battle against SARS-CoV-2 Pandemic.

作者信息

Iliescu Florina Silvia, Ionescu Ana Maria, Gogianu Larisa, Simion Monica, Dediu Violeta, Chifiriuc Mariana Carmen, Pircalabioru Gratiela Gradisteanu, Iliescu Ciprian

机构信息

National Institute for Research and Development in Microtechnologies, IMT-Bucharest, 077190 Bucharest, Romania.

Department of Biochemical Engineering, University College London, Bernard Katz Building, London WC1E 6BT, UK.

出版信息

Micromachines (Basel). 2021 Nov 27;12(12):1464. doi: 10.3390/mi12121464.

Abstract

The deleterious effects of the coronavirus disease 2019 (COVID-19) pandemic urged the development of diagnostic tools to manage the spread of disease. Currently, the "gold standard" involves the use of quantitative real-time polymerase chain reaction (qRT-PCR) for SARS-CoV-2 detection. Even though it is sensitive, specific and applicable for large batches of samples, qRT-PCR is labour-intensive, time-consuming, requires trained personnel and is not available in remote settings. This review summarizes and compares the available strategies for COVID-19: serological testing, Point-of-Care Testing, nanotechnology-based approaches and biosensors. Last but not least, we address the advantages and limitations of these methods as well as perspectives in COVID-19 diagnostics. The effort is constantly focused on understanding the quickly changing landscape of available diagnostic testing of COVID-19 at the clinical levels and introducing reliable and rapid screening point of care testing. The last approach is key to aid the clinical decision-making process for infection control, enhancing an appropriate treatment strategy and prompt isolation of asymptomatic/mild cases. As a viable alternative, Point-of-Care Testing (POCT) is typically low-cost and user-friendly, hence harbouring tremendous potential for rapid COVID-19 diagnosis.

摘要

2019年冠状病毒病(COVID-19)大流行的有害影响促使人们开发诊断工具以控制疾病传播。目前,“金标准”是使用定量实时聚合酶链反应(qRT-PCR)检测严重急性呼吸综合征冠状病毒2(SARS-CoV-2)。尽管qRT-PCR灵敏、特异且适用于大批量样本,但它劳动强度大、耗时、需要专业人员操作,且在偏远地区无法使用。本综述总结并比较了现有的COVID-19检测策略:血清学检测、即时检测、基于纳米技术的方法和生物传感器。最后但同样重要的是,我们阐述了这些方法的优缺点以及COVID-19诊断的前景。工作一直集中在了解临床层面COVID-19现有诊断检测快速变化的情况,并引入可靠、快速的即时检测筛查点。最后一种方法对于辅助感染控制的临床决策过程、加强适当的治疗策略以及及时隔离无症状/轻症病例至关重要。作为一种可行的替代方法,即时检测(POCT)通常成本低且用户友好,因此在快速诊断COVID-19方面具有巨大潜力。

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