在实验室环境中使用体外诊断Rt-Qpcr评估Sars-Cov-2 Rna的痕迹

Arbind Kumar, S. Kumar, S Kumar, L. Pal, Sahdev Choudhary
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摘要

SARS-CoV-2感染的全球发病率目前非常低。尽管在世界范围内开展了疫苗接种运动,但在一些国家报告了新的组粒变异的出现及其感染。现在需要确定与COVID-19疾病第三波疫情后果相关的潜在风险。在大流行阶段,卫生保健系统在确定早期风险和提供早期管理以减少感染方面承担着重大负担。在本次调查中,试图评估SARS-CoV-2污染的实验室风险。从检测中心的各个区域(包括表面、地板、诊断仪器、溶液和自来水)收集样本,然后分离RNA并进行体外诊断RT-qPCR。共收集了316份样本并分析了SARS-CoV-2 RNA的存在。我们的研究结果证实,只有4份样本(1.77%)存在ORF-1ab和E基因信号,这表明存在SARS-CoV-2 RNA。ORF1-ab基因的CT值分别为34.52 [IQR: 32.37 ~ 36.36]和35.02 [IQR:34.25 ~ 35.76]。所有四个都是从表面取下的,表明其他部分没有污染。很少有阳性污染表明实验室灭菌过程是完全有效的。这项研究最终提供了更多关于第三波COVID-19疾病后环境中SARS-CoV-2 RNA痕迹存在的信息,包括诊断实验室。
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Assessment Of Traces Of Sars-Cov-2 Rna In A Laboratory Setting Using In Vitro-Diagnostic Rt-Qpcr
The global incidence of SARS-CoV-2 infection is now very low. Despite the vaccination drive worldwide, the emergence of new omicron variants and their infection have been reported in a few countries. It is now required to identify potential risks associated with the COVID-19 disease aftermath’s 3rd disease wave. During pandemic stages, the healthcare system bears a significant burden in identifying early risk and providing early management to reduce infection. In this investigation, an attempt has been made to assess the laboratory risk of SARS-CoV-2 contamination. The samples were collected from the various blocks of the testing centre, including the surface, floor, diagnostic instruments, solutions, and tap water, and then RNA was isolated and in-vitro diagnostic RT-qPCR was performed. A total of 316 samples were collected and analysed for the presence of SARS-CoV-2 RNA. Our findings confirmed that only four samples (1.77%) had ORF-1ab and E gene signals, which indicated the presence of SARS-CoV-2 RNA. The CT values for the E gene were 34.52 [IQR: 32.37-36.36] and 35.02 [IQR:34.25-35.76] for the ORF1-ab gene, respectively. All four were taken from the surfaces, indicating that other parts were contamination-free. Very few positive contaminations demonstrated that laboratory sterilising processes are fully functional and effective. This study eventually provided more information about the presence of SARS-CoV-2 RNA traces in the environment aftermath of 3rd disease wave of COVID-19, including diagnostic laboratories.
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