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新型冠状病毒肺炎的诊断方法:一项系统综述

Diagnosis Methods for COVID-19: A Systematic Review.

作者信息

Maia Renata, Carvalho Violeta, Faria Bernardo, Miranda Inês, Catarino Susana, Teixeira Senhorinha, Lima Rui, Minas Graça, Ribeiro João

机构信息

Microelectromechanical Systems Research Unit (CMEMS-UMinho), School of Engineering, Campus de Azurém, University of Minho, Guimarães, Portugal.

LABBELS-Associate Laboratory, Braga/Guimarães, Portugal.

出版信息

Micromachines (Basel). 2022 Aug 19;13(8):1349. doi: 10.3390/mi13081349.

Abstract

At the end of 2019, the coronavirus appeared and spread extremely rapidly, causing millions of infections and deaths worldwide, and becoming a global pandemic. For this reason, it became urgent and essential to find adequate tests for an accurate and fast diagnosis of this disease. In the present study, a systematic review was performed in order to provide an overview of the COVID-19 diagnosis methods and tests already available, as well as their evolution in recent months. For this purpose, the Science Direct, PubMed, and Scopus databases were used to collect the data and three authors independently screened the references, extracted the main information, and assessed the quality of the included studies. After the analysis of the collected data, 34 studies reporting new methods to diagnose COVID-19 were selected. Although RT-PCR is the gold-standard method for COVID-19 diagnosis, it cannot fulfill all the requirements of this pandemic, being limited by the need for highly specialized equipment and personnel to perform the assays, as well as the long time to get the test results. To fulfill the limitations of this method, other alternatives, including biological and imaging analysis methods, also became commonly reported. The comparison of the different diagnosis tests allowed to understand the importance and potential of combining different techniques, not only to improve diagnosis but also for a further understanding of the virus, the disease, and their implications in humans.

摘要

2019年末,新冠病毒出现并迅速传播,在全球范围内造成数百万例感染和死亡,成为全球大流行疾病。因此,找到足够的检测方法以准确快速诊断该疾病变得紧迫且至关重要。在本研究中,进行了一项系统综述,以概述已有的新冠病毒诊断方法和检测手段,以及它们在最近几个月的发展情况。为此,使用了科学Direct、PubMed和Scopus数据库来收集数据,三位作者独立筛选参考文献、提取主要信息并评估纳入研究的质量。在对收集到的数据进行分析后,选择了34项报告新冠病毒诊断新方法的研究。虽然逆转录聚合酶链反应(RT-PCR)是新冠病毒诊断的金标准方法,但它无法满足这场大流行的所有需求,受到进行检测需要高度专业的设备和人员以及获取检测结果时间长的限制。为了克服该方法的局限性,其他替代方法,包括生物学和影像学分析方法,也经常被报道。对不同诊断检测方法的比较有助于理解结合不同技术的重要性和潜力,这不仅有助于改善诊断,还能进一步了解病毒、疾病及其对人类的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/480d/9415914/68501f60d70b/micromachines-13-01349-g001.jpg

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