使用干血斑检测 2019 年冠状病毒病 (COVID-19):系统综述。

IF 1.4 4区 医学 Q4 IMMUNOLOGY Indian Journal of Medical Microbiology Pub Date : 2024-08-13 DOI:10.1016/j.ijmmb.2024.100700
Jannie Nikolai M. Alquero , Patrizia Marie S. Estanislao , Svethlana Marie M. Hermino , Ranna Duben M. Manding , Joshua Euchie D. Robles , Christene Mae A. Canillo , Ourlad Alzeus G. Tantengco
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引用次数: 0

摘要

导言:COVID-19 疾病仍然是全球关注的健康问题。目前检测 SARS-CoV-2 的方案要求医护人员从患者身上抽血。最近的研究表明,干血斑(DBS)是一种有价值的采样方法,它可以采集少量血液,而不需要医护人员在场。本研究综述了使用干血斑作为采血工具诊断 COVID-19 疾病的现有文献:从开始到 2023 年 3 月,利用 OVID、CINAHL 和 Scopus 数据库进行了全面检索。五位审稿人收集、提取并整理了研究数据:本系统性综述共纳入 57 篇文章。DBS 通常采用手指刺穿法进行准备。大多数研究表明,在较低的储存温度条件下,DBS 的效果更佳,样本稳定性更长(超过 1080 天)。DBS 样本大多用于 COVID-19 疾病的血清学检测。ELISA 是使用最多的检测方法(43.66%)。使用 DBS 样本进行 COVID-19 实验室检测的诊断性能显示,免疫测定的灵敏度高达 100%,凝集、PCR 和 DELFIA 检测的特异性也达到 100%:结论:DBS 抽样与血清学检测相结合,可作为采集血液和检测 COVID-19 疾病的替代方法。这些使用 DBS 样本进行的检测在不同的地理位置和人口统计中都显示出了卓越的诊断性能。
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Use of dried blood spots in the detection of coronavirus disease 2019 (COVID-19): A systematic review

Introduction

COVID-19 disease continues to be a global health concern. The current protocol for detecting SARS-CoV-2 requires healthcare professionals to draw blood from patients. Recent studies showed that dried blood spot (DBS) is a valuable sampling procedure that can collect a low blood volume without the need for the presence of medical practitioners. This study synthesized the available literature on using DBS as a blood collection tool to diagnose COVID-19 disease.

Materials and methods

A comprehensive search utilizing OVID, CINAHL, and Scopus databases was done from inception to March 2023. Five reviewers collected, extracted and organized the study data.

Results

This systematic review included 57 articles. DBS was commonly prepared by finger pricking. Most studies showed more favorable results and longer sample stability (more than 1080 days) with lower storage temperature conditions for the DBS. DBS samples were mostly used for serological assays for COVID-19 disease detection. ELISA was the most used detection method (43.66 %). Diagnostic performance of laboratory tests for COVID-19 using DBS sample showed high sensitivity of up to 100 % for immunoassay tests and 100 % specificity in agglutination, PCR, and DELFIA assays.

Conclusion

DBS sampling coupled with serological testing can be an alternative method for collecting blood and detecting COVID-19 disease. These tests using DBS samples showed excellent diagnostic performance across various geographic locations and demographics.

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来源期刊
CiteScore
2.20
自引率
0.00%
发文量
154
审稿时长
73 days
期刊介绍: Manuscripts of high standard in the form of original research, multicentric studies, meta analysis, are accepted. Current reports can be submitted as brief communications. Case reports must include review of current literature, clinical details, outcome and follow up. Letters to the editor must be a comment on or pertain to a manuscript already published in the IJMM or in relation to preliminary communication of a larger study. Review articles, Special Articles or Guest Editorials are accepted on invitation.
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