Abstract
王鸣,高阳,周端华,吴新伟,陈小霜,狄飚,刘于飞,陈芳,杜琳,徐慧芳,顾菁,郑伯健,徐建国.四种试剂盒在SARS实验室早期诊断中的作用分析[J].Chinese journal of Epidemiology,2005,26(1):22-24
四种试剂盒在SARS实验室早期诊断中的作用分析
The eff ects of 4 laboratory test kits in early detecting of severe acute respiratory syndrome coronavirus
Received:September 16, 2004  
DOI:
KeyWord: 严重急性呼吸综合征冠状病毒  阳性率
English Key Word: Severe acute r espiratory syndrome coro navirus  Positiv e rates
FundProject:广东省科技厅资助项目(2003FD0204)
Author NameAffiliation
WANG Ming Guangzhou Centre of Disease Control and Prevention, Guangzhou 510080, China 
GAO Yang Guangzhou Centre of Disease Control and Prevention, Guangzhou 510080, China 
ZHOU Duan-hua Guangzhou Centre of Disease Control and Prevention, Guangzhou 510080, China 
WU Xin-wei Guangzhou Centre of Disease Control and Prevention, Guangzhou 510080, China 
CHEN Xiao-shuang Guangzhou Centre of Disease Control and Prevention, Guangzhou 510080, China 
DI Biao Guangzhou Centre of Disease Control and Prevention, Guangzhou 510080, China 
LIU Yu-fei Guangzhou Centre of Disease Control and Prevention, Guangzhou 510080, China 
CHEN Fang Guangzhou Centre of Disease Control and Prevention, Guangzhou 510080, China 
DU Lin Guangzhou Centre of Disease Control and Prevention, Guangzhou 510080, China 
XU Hui-fang Guangzhou Centre of Disease Control and Prevention, Guangzhou 510080, China 
GU Jing 香港大学微生物系 
ZHENG Bo-jian 中国疾病预防控制中心传染病预防控制所 
XU Jian-guo 中国疾病预防控制中心传染病预防控制所 
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Abstract:
      目的比较4种检测严重急性呼吸综合征冠状病毒(SARSCoV)基因、抗原和抗体的试剂盒在SARS患者早期实验室诊断的可能作用。方法用3种酶联免疫吸附试验(ELISA)分别检测SARSCoVIgG、SARSCoVIgM和SARSCoVN蛋白,用荧光定量聚合酶链反应(FPCR)检测SARSCoV核酸。结果根据162份血清的检测结果,发病1-5天,N抗原的阳性率可达90.2%(55/61);发病后的第15-18天IgG和IgM阳性率为92.8%(13/14);根据82份咽拭子的检测结果,FPCR法在发病后1-5天的阳性率可达56.3%(14/24),6-9天可达71.4%(10/14)。结论除了检测SARSCoV病毒基因的FPCR方法以外,对疑似患者血清标本进行N蛋白的检测,具有早期预报意义。
English Abstract:
      Objective .. To compare the 4 test kits on sever e acute r espiratory syndrome coronav irus ( SARS..CoV) gene, antig en and antibody for ear ly diagnose of SARS patients. Methods .. T hree enzyme linked immunosorbent assay ( ELISA) kits were used to detect SARS..CoV IgG, I gM and N pr otein and fluorescent polymerase chain reaction ( F..PCR) kit w as used to detect SARS..CoV RNA. Results .. In 162 serum samples, 90. 2%( 55/ 61) became N protein positive in 1..5 days and 92. 8%( 13/ 14) became posit ive IgM and IgG in 15..18 days after the onset of disease, r espectiv ely. On 82 gor gling samples, the posit ive r ates of F..PCR w ere 56. 3% ( 14/ 24) in 1..5 days and 71. 4% ( 10/ 14 ) in 6..9 days after the onset. Conclusion.. Other than F..PCR, N protein had good effect in the early detect ion on dubious patients which could lead to effective prevent ion and co ntrol o f the epidemic.
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