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通过临床应用中的敏感检测方法诊断流感病毒和严重急性呼吸综合征冠状病毒2(SARS-CoV-2)

Influenza viruses and SARS-CoV-2 diagnosis via sensitive testing methods in clinical application.

作者信息

Zhang Le, Li Chunwen, Shao ShaSha, Zhang Zhaowei, Chen Di

机构信息

Department of Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

School of Ecology and Environment, Tibet University, Lhasa 850000, China.

出版信息

Heliyon. 2024 Aug 21;10(18):e36410. doi: 10.1016/j.heliyon.2024.e36410. eCollection 2024 Sep 30.

Abstract

The identification of influenza viruses and SARS-CoV-2 has garnered increasing attention due of their longstanding global menace to human life and health. The point-of-care test is a potential approach for identifying influenza viruses and SARS-CoV-2 in clinical settings, leading to timely discovery, documentation, and treatment. The primary difficulties encountered with conventional detection techniques for influenza viruses and SARS-CoV-2 are the limited or inadequate ability to identify the presence of the viruses, the lack of speed, precision, accuracy, sensitivity, and specificity, often resulting in a failure to promptly notify disease control authorities. Recently, point-of-care test methods, along with nucleic acid amplification, optics, electrochemistry, lateral/vertical flow, and minimization, have been demonstrated the characteristics of reliability, sensitivity, specificity, stability, and portability. A point-of-care test offers promising findings in the early detection of influenza viruses and SARS-CoV-2 in both scientific research and practical use. In this review, we will go over the principles, advantages, limitations, and real-world applications of point-of-care diagnostics. The significance of constraints of detection, throughput, sensitivity, and specificity in the analysis of clinical samples in settings with restricted resources is underscored. This discussion concludes with their prospects and challenges.

摘要

由于流感病毒和严重急性呼吸综合征冠状病毒2(SARS-CoV-2)长期以来对人类生命和健康构成全球性威胁,对它们的识别已受到越来越多的关注。即时检测是在临床环境中识别流感病毒和SARS-CoV-2的一种潜在方法,有助于及时发现、记录和治疗。传统的流感病毒和SARS-CoV-2检测技术面临的主要困难在于识别病毒存在的能力有限或不足,缺乏速度、精度、准确性、灵敏度和特异性,常常导致无法及时通知疾病控制当局。最近,即时检测方法以及核酸扩增、光学、电化学、横向/纵向流动和小型化等技术已展现出可靠性、灵敏度、特异性、稳定性和便携性等特点。即时检测在流感病毒和SARS-CoV-2的早期检测方面,无论是在科学研究还是实际应用中都提供了有前景的结果。在本综述中,我们将探讨即时诊断的原理、优点、局限性和实际应用。强调了在资源有限的环境中分析临床样本时,检测、通量、灵敏度和特异性等限制因素的重要性。本次讨论最后阐述了它们的前景和挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44cd/11458974/c2b35cef42ec/gr1a.jpg

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