[评估在卫生保健机构从COVID-19患者获得的生物样本中检测活的SARS-CoV-2(冠状病毒科:β -冠状病毒:sarbecvirus)的动态,作为该病毒传染性的指标之一]。

Q3 Medicine Voprosy virusologii Pub Date : 2023-05-18 DOI:10.36233/0507-4088-160
N A Kuznetsova, D A Ogarkova, V A Gushchin, N А Antipyat, V V Bacalin, O A Burgasova, L A Vasilchenko, A A Samkov, Y V Simakova, E V Divisenko, A E Siniavin, A P Tkachuk, L V Kolobukhina, E V Shidlovskaya, I N Tyurin, I S Kruzhkova, V I Zlobin, M A Nikiforova, M A Odnoralov, A L Gintsburg
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引用次数: 0

摘要

前言:研究SARS-CoV-2病毒的传播机制是制定COVID-19大流行背景下的防疫措施策略的基础。了解患者在什么时间范围内可以传播SARS-CoV-2与了解传播机制本身同样重要。这些信息对于制定有效措施,通过打破病毒传播链来预防感染是必要的。这项工作的目的是在疾病过程中识别患者样本中的传染性SARS-CoV-2病毒,并确定不同严重程度的COVID-19患者的病毒脱落持续时间。材料和方法:在纳入研究的患者中,采用定量RT-PCR对生物材料(鼻咽拭子)进行分析,并对病毒传染性进行病毒学测定。结果:我们确定了重症和中度COVID-19住院患者维持病毒传染性的时间框架。基于本研究结果,我们分析了SARS-CoV-2 RNA检测量与COVID-19患者体外病毒感染性的关系。传染性病毒脱落的中位时间为8天。此外,还对不同的病毒RNA检测方案与传染性病毒鉴定的关系进行了比较分析。结论:获得的数据可以评估COVID-19患者中SARS-CoV-2的检测和病毒载量的动态,并指出这些参数对病毒的后续传播和组织预防措施的意义。
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[Evaluation of the dynamics of detection of viable SARS-CoV-2 (Coronaviridae: Betacoronavirus: Sarbecovirus) in biological samples obtained from patients with COVID-19 in a health care setting, as one of the indicators of the infectivity of the virus].

Introduction: The study of the mechanisms of transmission of the SARS-CoV-2 virus is the basis for building a strategy for anti-epidemic measures in the context of the COVID-19 pandemic. Understanding in what time frame a patient can spread SARS-CoV-2 is just as important as knowing the transmission mechanisms themselves. This information is necessary to develop effective measures to prevent infection by breaking the chains of transmission of the virus. The aim of the work is to identify the infectious SARS-CoV-2 virus in patient samples in the course of the disease and to determine the duration of virus shedding in patients with varying severity of COVID-19.

Materials and methods: In patients included in the study, biomaterial (nasopharyngeal swabs) was subjected to analysis by quantitative RT-PCR and virological determination of infectivity of the virus.

Results: We have determined the timeframe of maintaining the infectivity of the virus in patients hospitalized with severe and moderate COVID-19. Based on the results of the study, we made an analysis of the relationship between the amount of detected SARS-CoV-2 RNA and the infectivity of the virus in vitro in patients with COVID-19. The median time of the infectious virus shedding was 8 days. In addition, a comparative analysis of different protocols for the detection of the viral RNA in relation to the identification of the infectious virus was carried out.

Conclusion: The obtained data make it possible to assess the dynamics of SARS-CoV-2 detection and viral load in patients with COVID-19 and indicate the significance of these parameters for the subsequent spread of the virus and the organization of preventive measures.

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来源期刊
Voprosy virusologii
Voprosy virusologii Medicine-Infectious Diseases
CiteScore
2.00
自引率
0.00%
发文量
48
期刊介绍: The journal deals with advances in virology in Russia and abroad. It publishes papers dealing with investigations of viral diseases of man, animals and plants, the results of experimental research on different problems of general and special virology. The journal publishes materials are which promote introduction into practice of the achievements of the virological science in the eradication and incidence reduction of infectious diseases, as well as their diagnosis, treatment and prevention. The reader will find a description of new methods of investigation, new apparatus and devices.
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