Maximum Containment Facility, ICMR- National Institute of Virology, Pune, Maharashtra, India.
Entomology Division, ICMR- National Institute of Virology, Pune, Maharashtra, India.
Indian J Med Res. 2022 Jan;155(1):11-21. doi: 10.4103/ijmr.IJMR_808_18.
Antibody detection by serological methods gained a lot of interest in recent years and has become the backbone of virological diagnosis. Despite the detection of all five classes of immunoglobulins in urine, not much attention has been paid to the use of urine as a diagnostic sample to detect viral antibodies. Unlike venipuncture, this non-invasive mode of sample collection can help cover all age groups, especially paediatric and old age patients, where blood collection is difficult. Using urine as a sample is also economical and involves lesser risk in sample collection. The antibodies are found to be stable in urine at room temperature for a prolonged period, which makes the sample transport management easier as well. A few recent studies, have also shown that the detection limit of antibodies in urine is at par with serum or other clinical material. So, the ease in sample collection, availability of samples in large quantity and stability of immunoglobulins in urine for prolonged periods can make urine an ideal sample for viral diagnosis.
近年来,血清学方法的抗体检测受到了广泛关注,已成为病毒学诊断的核心。尽管尿液中可检测到所有五类免疫球蛋白,但人们对将尿液用作诊断样本以检测病毒抗体的关注甚少。与静脉穿刺术不同,这种非侵入性的样本采集方式可以帮助覆盖所有年龄段的人群,特别是在采集血液困难的儿科和老年患者中。使用尿液作为样本不仅经济实惠,而且在样本采集过程中风险更小。研究发现,抗体在室温下的尿液中可长时间保持稳定,这也使得样本运输管理更加容易。最近的一些研究还表明,尿液中抗体的检测限与血清或其他临床标本相当。因此,尿液样本采集简便、易于获取大量样本,且免疫球蛋白在尿液中可长时间保持稳定,这使得尿液成为病毒诊断的理想样本。