Stanislawski Nils, Lange Ferdinand, Fahnemann Christian, Riggers Christoph, Wahalla Marc-Nils, Porr Marc, Cholewa Fabian, Jonczyk Rebecca, Thoms Stefanie, Witt Martin, Stahl Frank, Beutel Sascha, Winkel Andreas, Pott Philipp-Cornelius, Stiesch Meike, Paulsen Mira, Melk Anette, Lucas Henning, Heiden Stefanie, Blume Holger, Blume Cornelia
Institute of Microelectronic Systems Architectures and Systems Group Leibniz University Hannover Hannover Germany.
Lower Saxony Centre for Biomedical Engineering Implant Research and Development (NIFE) Hannover Germany.
Eng Life Sci. 2023 Jan 3;23(2):2200026. doi: 10.1002/elsc.202200026. eCollection 2023 Feb.
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has created a public crisis. Many medical and public institutions and businesses went into isolation in response to the pandemic. Because SARS-CoV-2 can spread irrespective of a patient's course of disease, these institutions' continued operation or reopening based on the assessment and control of virus spread can be supported by targeted population screening. For this purpose, virus testing in the form of polymerase chain reaction (PCR) analysis and antibody detection in blood can be central. Mobile SARS-CoV-2 screening facilities with a built-in biosafety level (BSL)-2 laboratory were set up to allow the testing offer to be brought close to the subject group's workplace. University staff members, their expertise, and already available equipment were used to implement and operate the screening facilities and a certified diagnostic laboratory. This operation also included specimen collection, transport, PCR and antibody analysis, and informing subjects as well as public health departments. Screening facilities were established at different locations such as educational institutions, nursing homes, and companies providing critical supply chains for health care. Less than 4 weeks after the first imposed lockdown in Germany, a first mobile testing station was established featuring a build-in laboratory with two similar stations commencing operation until June 2020. During the 15-month project period, approximately 33,000 PCR tests and close to 7000 antibody detection tests were collected and analyzed. The presented approach describes the required procedures that enabled the screening facilities and laboratories to collect and process several hundred specimens each day under difficult conditions. This report can assist others in establishing similar setups for pandemic scenarios.
严重急性呼吸综合征冠状病毒2(SARS-CoV-2)大流行引发了一场公共危机。许多医疗和公共机构以及企业为应对疫情而进入隔离状态。由于SARS-CoV-2可在患者病程的任何阶段传播,因此这些机构基于病毒传播评估和控制的持续运营或重新开放可通过有针对性的人群筛查来支持。为此,以聚合酶链反应(PCR)分析形式进行的病毒检测和血液中的抗体检测可能至关重要。配备内置生物安全二级(BSL-2)实验室的移动SARS-CoV-2筛查设施得以设立,以便将检测服务带到目标人群的工作场所附近。利用大学工作人员、他们的专业知识以及现有的设备来实施和运营筛查设施以及一家经过认证的诊断实验室。这项工作还包括样本采集、运输、PCR和抗体分析,以及通知受试者和公共卫生部门。在教育机构、养老院以及为医疗保健提供关键供应链的公司等不同地点设立了筛查设施。在德国首次实施封锁不到4周后,首个移动检测站建成,其内置实验室,另外两个类似的检测站也开始运营,直至2020年6月。在为期15个月的项目期间,共采集并分析了约33000份PCR检测样本和近7000份抗体检测样本。所介绍的方法描述了在困难条件下使筛查设施和实验室每天能够采集和处理数百份样本所需的程序。本报告可帮助其他机构为应对大流行情况建立类似的设施。