新型人类冠状病毒(SARS-CoV-2)感染的实验室诊断

Aswathy C Ashok, R. Harish
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引用次数: 0

摘要

COVID-19是由严重急性呼吸综合征冠状病毒-2 (SARS-CoV-2)引起的一种高传染性大流行传染病。世界卫生组织宣布目前的疫情为全球突发公共卫生事件。这种疾病迅速蔓延,影响了全世界数百万人。目前,SARS没有特定的临床体征或症状,可用于将其与社区或医院获得性病毒性肺炎的其他原因区分开来。通过识别、隔离和治疗患者,同时确定病原体的流行病学,准确诊断病例是管理任何大流行的关键。由于必须对越来越多的无症状个体进行COVID-19检测,因此需要一种安全有效的筛查系统。目前对疑似病例的诊断是通过使用呼吸道样本进行实时PCR的核酸检测来确认的。另一方面,血清学测试相对容易进行,但其实用性可能受到其易于执行和抗体在疾病过程中较晚出现的事实的限制。本综述旨在总结目前用于筛查和诊断COVID-19感染的不同方法的现有信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Laboratory Diagnosis of Novel Human Coronavirus (SARS-CoV-2) Infections-A Review
COVID-19 is a pandemic, highly contagious infectious disease caused by the Severe Acute Respiratory Syndrome Corona virus-2 (SARS-CoV-2). The World Health Organization has declared the ongoing outbreak a global public health emergency. This disease has spread rapidly and affected millions of people worldwide. Currently, there are no specific clinical signs or symptoms of SARS that can be used to differentiate it from other causes of community- or hospital-acquired viral pneumonia. Accurate diagnosis of cases holds the key to managing any pandemic through identification, isolation, and treatment of patients while defining the epidemiology of the pathogen. Because an increasing number of asymptomatic symptomatic individuals must be tested for COVID-19, a safe and efficient screening system is required. The diagnosis of suspected cases is presently confirmed by nucleic acid assays with real-time PCR using respiratory samples. On the other side, serological tests are comparatively easier to perform, but their utility may be limited by their ease of performance and the fact that antibodies appear later in the disease course. This review is aimed at summarizing the currently available information on different methods used for screening and diagnosing COVID-19 infections.
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