Considerations for diagnostic COVID-19 tests.

Considerations for diagnostic COVID-19 tests.
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DOI:
10.1038/s41579-020-00461-z
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发表时间:
2021-03
期刊:
Nature reviews. Microbiology
影响因子:
--
通讯作者:
Kozlakidis Z
Kozlakidis Z
中科院分区:
其他
文献类型:
--
作者:
Vandenberg O;Martiny D;Rochas O;van Belkum A;Kozlakidis Z

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在2019冠状病毒病(COVID-19)大流行的早期阶段,大量诊断测试制造商积极致力于诊断测试的设计、开发、验证、验证和实施。数以百计的分子检测和免疫测定迅速发展,尽管许多仍在等待临床验证和正式批准。在这篇综述中,我们总结了诊断测试在第一波全球COVID-19疫情中的关键作用。我们探讨了在大流行的早期阶段遇到的技术和实施问题,并试图确定未来的发展方向,以便在未来COVID-19可能在全球浪潮或区域爆发中重新出现时,逐步和更好地使用(综合征)诊断。在全球范围内不断改进诊断检测准备工作,对于在护理点更迅速地发现病人以及优化预防和治疗至关重要,无论是在工业化国家还是在资源匮乏的环境中。在这篇综述中,Vandenberg等人探讨了诊断测试在2019年冠状病毒病(COVID-19)第一次全球浪潮中的关键作用,以及在大流行早期遇到的技术和实施问题,并确定了在未来COVID-19可能在全球浪潮或区域爆发中死灰复燃期间逐步和更好地使用诊断的未来方向。
During the early phase of the coronavirus disease 2019 (COVID-19) pandemic, design, development, validation, verification and implementation of diagnostic tests were actively addressed by a large number of diagnostic test manufacturers. Hundreds of molecular tests and immunoassays were rapidly developed, albeit many still await clinical validation and formal approval. In this Review, we summarize the crucial role of diagnostic tests during the first global wave of COVID-19. We explore the technical and implementation problems encountered during this early phase in the pandemic, and try to define future directions for the progressive and better use of (syndromic) diagnostics during a possible resurgence of COVID-19 in future global waves or regional outbreaks. Continuous global improvement in diagnostic test preparedness is essential for more rapid detection of patients, possibly at the point of care, and for optimized prevention and treatment, in both industrialized countries and low-resource settings. In this Review, Vandenberg et al. explore the crucial role of diagnostic tests during the first global wave of coronavirus disease 2019 (COVID-19) and the technical and implementation problems encountered during the early phase of the pandemic, and they define future directions for the progressive and better use of diagnostics during a possible resurgence of COVID-19 in future global waves or regional outbreaks.
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