15例COVID-19患者治疗后痰、粪便标本新型冠状病毒核酸检测结果比较
作者:
作者单位:

作者简介:

刘靳波

通讯作者:

中图分类号:

R183

基金项目:

四川省卫健委项目(16PJ570)


Comparison of 2019-nCoV test results of sputum and fecal specimens of 15 patients with COVID-19 after treatment
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 文章评论
    摘要:

    目的 探讨粪便样本作为疑似或确诊新型冠状病毒肺炎(COVID-19)患者筛查的可行性。方法 利用Real Time RT-PCR技术,对15 例COVID-19患者治疗后痰、粪便标本中新型冠状病毒的ORF1ab、N基因以及人体细胞管家基因核糖核酸酶P(ribonuclease P,RNase P)进行检测,比较痰、粪便标本检测阳性情况。结果 15例患者痰、粪便标本,人体细胞管家基因 RNase P均呈现典型的明显的扩增信号曲线。新型冠状病毒核酸检测,2例患者痰、粪便标本同时为阳性,4例患者痰、粪便标本分别为阳性;6例患者痰阳性标本中有2例同时扩增出ORF 1ab基因与N基因,6例患者粪便阳性标本中有4例同时扩增出ORF 1ab基因与N基因。结论 以呼吸道标本新型冠状病毒核酸检测阴性作为排除COVID-19及治愈标准在实施过程中需谨慎,可以尝试将粪便标本新型冠状病毒核酸检测阴性也纳入其中。

    Abstract:

    Objective To evaluate the feasibility of fecal specimens for screening coronavirus disease 2019 (COVID- 19) suspected or confirmed patients. Methods Novel coronavirus (2019-nCoV, SARS-CoV-2) ORF1ab, N gene and human cell housekeeping gene ribonuclease P (RNase P) in sputum and faecal specimens of 15 patients with COVID-19 after treatment were detected by real time RT-PCR, positive rates of sputum and faecal specimens were compared. Results Among sputum and faecal specimens of 15 patients, human cell housekeeper gene RNase P all showed typical and obvious amplification signal curve. Two patients were both positive for 2019-nCoV nucleic acid test of sputum and faecal specimens, while 4 patients were only sputum or fecal specimens positive respectively; among sputum positive specimens of 6 patients, only 2 were amplified ORF 1ab gene and N gene simultaneously, among fecal positive specimens of 6 patients, only 4 were all amplified ORF 1ab gene and N gene simultaneously. Conclusion Negative detection result of 2019-nCoV nucleic acid test of respiratory tract specimens as criterion for excluding and curing COVID-19 should be prudent, negative detection result of 2019-nCoV nucleic acid test for fecal specimens can be considered.

    参考文献
    相似文献
引用本文

李宝林, 李芹, 吴刚,等.15例COVID-19患者治疗后痰、粪便标本新型冠状病毒核酸检测结果比较[J]. 中国感染控制杂志,2020,19(3):239-244. DOI:10.12138/j. issn.1671-9638.20206327.
LI Bao-lin, LI Qin, WU Gang, et al. Comparison of 2019-nCoV test results of sputum and fecal specimens of 15 patients with COVID-19 after treatment[J]. Chin J Infect Control, 2020,19(3):239-244. DOI:10.12138/j. issn.1671-9638.20206327.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2020-02-17
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2020-03-28
  • 出版日期: