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回顾 COVID-19 检测方法:RT-PCR、嗅探犬和电子鼻。

Recapitulating COVID-19 detection methods: RT-PCR, sniffer dogs and electronic nose.

机构信息

Department of Immunology and Inflammation, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.

Politecnico di Milano, Department of Chemistry, Materials and Chemical Engineering "Giulio Natta", Milan, Italy.

出版信息

Diagn Microbiol Infect Dis. 2024 Sep;110(1):116430. doi: 10.1016/j.diagmicrobio.2024.116430. Epub 2024 Jul 13.

DOI:10.1016/j.diagmicrobio.2024.116430
PMID:38996774
Abstract

In December 2019, a number of subjects presenting with an unexplained pneumonia-like illness were suspected to have a link to a seafood market in Wuhan, China. Subsequently, this illness was identified as the 2019-novel coronavirus (2019-nCoV) or severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by the World Committee on Virus Classification. Since its initial identification, the virus has rapidly sperad across the globe, posing an extraordinary challenge for the medical community. Currently, the Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) is considered the most reliable method for diagnosing SARS-CoV-2. This procedure involves collecting oro-pharyngeal or nasopharyngeal swabs from individuals. Nevertheless, for the early detection of low viral loads, a more sensitive technique, such as droplet digital PCR (ddPCR), has been suggested. Despite the high effectiveness of RT-PCR, there is increasing interest in utilizing highly trained dogs and electronic noses (eNoses) as alternative methods for screening asymptomatic individuals for SARS-CoV-2. These dogs and eNoses have demonstrated high sensitivity and can detect volatile organic compounds (VOCs), enabling them to distinguish between COVID-19 positive and negative individuals. This manuscript recapitulates the potential, advantages, and limitations of employing trained dogs and eNoses for the screening and control of SARS-CoV-2.

摘要

2019 年 12 月,一些出现不明原因肺炎样疾病的患者被怀疑与中国武汉的一个海鲜市场有关。随后,世界病毒分类委员会将这种疾病鉴定为 2019 年新型冠状病毒(2019-nCoV)或严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)。自最初发现以来,该病毒迅速在全球范围内传播,给医学界带来了巨大挑战。目前,逆转录聚合酶链反应(RT-PCR)被认为是诊断 SARS-CoV-2 最可靠的方法。该程序包括从个体中采集口咽或鼻咽拭子。然而,为了早期检测低病毒载量,已经提出了更敏感的技术,如液滴数字 PCR(ddPCR)。尽管 RT-PCR 非常有效,但人们越来越感兴趣地将经过高度训练的狗和电子鼻(eNose)作为筛查无症状个体 SARS-CoV-2 的替代方法。这些狗和 eNose 具有很高的灵敏度,可以检测挥发性有机化合物(VOCs),使它们能够区分 COVID-19 阳性和阴性个体。本文综述了使用经过训练的狗和 eNose 筛查和控制 SARS-CoV-2 的潜力、优势和局限性。

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