不同人群新型冠状病毒核酸检测的临床价值
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宋银森

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R440;R511

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河南省医学科技攻关计划联合共建项目(2018020824)


Clinical value of SARS-CoV-2 nucleic acid test in different populations
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    摘要:

    目的 探讨新型冠状病毒(SARS-CoV-2)核酸检测在发热门诊、隔离病房、易感人群以及大规模筛查等不同人群中的应用价值,为SARS-CoV-2实验室检测提供参考依据。方法 采集2020年2月1日-3月22日郑州人民医院不同人群的咽拭子,包括发热门诊、隔离病房患者,一线疫情防控医护人员,以及无新型冠状病毒肺炎(COVID-19)症状的住院患者、陪护家属和复工人员。采用逆转录聚合酶链反应(RT-PCR)方法,使用A、B两种国产检测试剂盒对发热门诊、隔离病房的患者进行SARS-CoV-2核酸检测。结果 共检测15 497份咽拭子标本,SARS-CoV-2核酸阳性24份,核酸阳性病例均来自发热门诊和隔离病房。24例咽拭子SARS-CoV-2核酸阳性患者同时送检的血标本核酸结果均呈阴性。A、B两种试剂首次咽拭子核酸检测结果一致,2例确诊COVID-19患者治疗后复查咽拭子标本,A组试剂检测为阳性,B组试剂检测为阴性。该院疫情防控一线医护人员、未出现COVID-19症状的住院患者、陪护家属和复工体检人员核酸检测均为阴性。结论 复工人员、住院患者、陪护家属和一线疫情防控人员SARS-CoV-2核酸筛查均未发现阳性,咽拭子标本SARS-CoV-2核酸检测阳性率高于血标本,不同核酸检测试剂检测阳性率稍有差异。

    Abstract:

    Objective To explore the application value of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2) nucleic acid test in different population, including persons in fever clinic and isolation wards, susceptible persons as well as persons in large-scale screening, provide reference for laboratory nucleic acid test of SARS-CoV-2. Methods Laryngeal swabs from different population in People's Hospital of Zhengzhou between February 1, 2020 and March 22, 2020 were collected, including patients in fever clinic and isolation wards, anti-epidemic front-line health care workers(HCWs), hospitalized patients without symptoms of coronavirus disease 2019 (COVID-19), accompanying family members, and persons returning to work. Real-time reverse transcriptase-polymerase chain reaction(RT-PCR) and two domestic detection kits A and B were used to test SARS-CoV-2 nucleic acid in patients in fever clinic and isolation wards. Results A total of 15 497 laryngeal swabs were detected, 24 of which were positive for SARS-CoV-2 nucleic acid test, nucleic acid test positive cases were all from fever clinic and isolation wards. 24 cases of SARS-CoV-2 nucleic acid test positive laryngeal swabs were all negative for blood specimens tested at the same time. The first laryngeal swab test results of kits A and B were identical, re-test of 2 confirmed cases after treatment were positive in kit A group and negative in kit B group. Nucleic acid test results were all negative in front-line HCWs, hospitalized patients without COVID-19 symptoms, accompanying family members and physical examination persons returning to work. Conclusion No positive results are found in the screening among the returning workers, hospitalized patients, accompanying family members and front-line epidemic prevention and control professionals, positive rate of SARS-CoV-2 nucleic acid of laryngeal swab specimens is higher than that of blood specimens, positive rates of different nucleic acid test reagents are slightly different.

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胡亚会, 郑阳, 李莹莹,等.不同人群新型冠状病毒核酸检测的临床价值[J]. 中国感染控制杂志,2020,19(9):806-811. DOI:10.12138/j. issn.1671-9638.20206836.
HU Ya-hui, ZHENG Yang, LI Ying-ying, et al. Clinical value of SARS-CoV-2 nucleic acid test in different populations[J]. Chin J Infect Control, 2020,19(9):806-811. DOI:10.12138/j. issn.1671-9638.20206836.

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  • 收稿日期:2020-03-23
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  • 在线发布日期: 2020-09-28
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