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解锁干血斑采样在 SARS-CoV-2 抗体检测中的潜力:实现高效大流行监测的途径。

Unlocking the potential of dried blood spot sampling for SARS-CoV-2 antibody detection: A pathway to efficient pandemic surveillance.

机构信息

Department of Clinical Laboratories Sciences, College of Applied Medical Sciences, Taif University, Taif 21944, Saudi Arabia.

出版信息

Diagn Microbiol Infect Dis. 2025 Jan;111(1):116581. doi: 10.1016/j.diagmicrobio.2024.116581. Epub 2024 Nov 4.

DOI:10.1016/j.diagmicrobio.2024.116581
PMID:39532030
Abstract

UNLABELLED

The current SARS-CoV-2 pandemic has exerted unprecedented pressure on global healthcare systems, with an urgent demand for widespread testing to monitor virus spread and contribute to disease control.

AIM

This study aimed to validate the use of Dried Blood Spot (DBS) sampling for analyzing the immune response to SARS-CoV-2 infection, employing an accessible enzyme-linked immunosorbent assay (ELISA) for detecting IgG antibodies.

METHODOLOGY

Traditional venous blood sampling presents several challenges, including discomfort to patients, risk of healthcare provider exposure, and the need for specialized equipment, which can limit mass testing capabilities. Our research involved the comparison of DBS and venous blood samples from 170 individuals, all of whom had PCR-confirmed SARS-CoV-2 infection, to assess the efficacy of DBS for seroprevalence studies and vaccine response evaluation.

RESULTS

Our results confirmed that DBS sampling could detect SARS-CoV-2 IgG antibodies with 100 % accuracy, showcasing perfect agreement (Cohen's k value of 1.00) between DBS and venous serum samples in detecting the viral antibodies. However, the analysis indicated no significant correlation between the antibody levels in the two sampling methods.

CONCLUSION

These results suggest that DBS is a viable, rapid alternative for serological studies, offering a solution to current testing limitations and enhancing our public health approach to combating future pandemics.

摘要

未加标签

当前的 SARS-CoV-2 大流行对全球医疗保健系统造成了前所未有的压力,迫切需要广泛的检测来监测病毒的传播并有助于控制疾病。

目的

本研究旨在验证使用干血斑(DBS)采样来分析对 SARS-CoV-2 感染的免疫反应,采用易于获得的酶联免疫吸附测定(ELISA)来检测 IgG 抗体。

方法

传统的静脉血采样存在一些挑战,包括患者不适、医护人员暴露风险以及对专用设备的需求,这些限制了大规模检测的能力。我们的研究涉及了 170 名个体的 DBS 和静脉血样本的比较,所有个体均经 PCR 确认患有 SARS-CoV-2 感染,以评估 DBS 在血清流行率研究和疫苗反应评估中的效果。

结果

我们的结果证实,DBS 采样可以 100%准确地检测到 SARS-CoV-2 IgG 抗体,DBS 和静脉血清样本在检测病毒抗体方面显示出完美的一致性(Cohen's k 值为 1.00)。然而,分析表明两种采样方法的抗体水平之间没有显著相关性。

结论

这些结果表明,DBS 是一种可行的、快速的血清学研究替代方法,为当前的检测限制提供了一种解决方案,并增强了我们应对未来大流行的公共卫生方法。

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