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Liu Z, Tong Y, Wu J, Du L, Wei C, Cui W, Cao Y, Chen M, Cai Z, Chen W, Ding H, Guan M, Guo W, Gao C, Hao X, Hu C, Huang S, Jiang Y, Li J, Li P, Li Z, Ming L, Pan S, Shen Z, Su J, Sun Z, Wang H, Wang J, Xu B, Yu N, Zheng L, Zhang Y, Zhang X, Zhang Y, Duan Y, Wang C. Chinese Expert Consensus on the Nucleic Acid Detection of SARS-CoV-2. ANNALS OF TRANSLATIONAL MEDICINE 2020; 8:1631. [PMID: 33490143 PMCID: PMC7812184 DOI: 10.21037/atm-20-4060] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
The coronavirus disease 2019 (COVID-19) has already become a pandemic wherein the infection's timely diagnosis has proven beneficial to patient treatment and disease control. Nucleic acid detection has been the primary laboratory diagnostic method for the detection of SARS-CoV-2. To ensure laboratory staff safety and quality nucleic acid testing, the Chinese Society of Laboratory Medicine formulated this consensus, based on the Chinese National Recommendations and previous literature for nucleic acid detection. A working group comprises 34 hospital professionals experience with real-time polymerase chain reactions (PCR) testing for SARS-CoV-2 drafted guidance statements during online discussions. A modified Delphi methodology was used in forming a consensus among a wider group of hospital professionals with SARS-CoV-2 detection experience. Guidance statements were developed for four categories: (I) specimen type, priority, collecting, transportation and receiving; (II) nucleic acid isolation and amplification; (III) quality control; (IV) biosafety management and decontamination. The modified Delphi voting process included a total of 29 guidance statements and final agreement. Consensus was reached after two rounds of voting. Recommendations were established for the detection of SARS-CoV-2 using real time PCR testing based on evidence and group consensus. The manuscript was evaluated against The Appraisal of Guidelines for Research & Evaluation Instrument (AGREE II) and was developed to aid medical laboratory staff in the detection of the ribonucleic acid (RNA) of SARS-CoV-2.
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Affiliation(s)
- Zijie Liu
- Yunnan Key Laboratory of Laboratory Medicine, Kunming, China.,Department of Laboratory Medicine, First Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Yongqing Tong
- Laboratory Medicine Center, Renmin Hospital of Wuhan University, Wuhan, China
| | - Jun Wu
- Department of Clinical Laboratory, Shanghai General Hospital Jiading Branch, Shanghai, China
| | - Lutao Du
- Laboratory Medicine Center of The Second Hospital of Shandong University, Jinan, China
| | - Chaojun Wei
- The Institute of Clinical Research and Translational Medicine, Gansu Provincial Hospital, Lanzhou, China
| | - Wei Cui
- Department of Laboratory Medicine, Cancer Hospital Chinese Academy of Medical Sciences, Beijing, China
| | - Yongtong Cao
- Laboratory Department of China-Japan Friendship Hospital, Beijing, China
| | - Ming Chen
- Laboratory Department of Southwest Hospital, Chongqing, China
| | - Zhen Cai
- Department of Laboratory Medicine, Nanfang Hospital of Southern Medical University, Guangzhou, China
| | - Wei Chen
- Department of Laboratory Medicine, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China
| | - Haitao Ding
- Department of Laboratory Medicine, People's Hospital of Inner Mongolia Autonomous Region, Hohhot, China
| | - Ming Guan
- Department of Laboratory Medicine, Huashan Hospital, Fudan University, Shanghai, China
| | - Wei Guo
- Department of Laboratory Medicine, Zhongshan Hospital, Fudan University, Shanghai, China
| | - Chunfang Gao
- Department of Laboratory Medicine, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China
| | - Xiaoke Hao
- Department of Laboratory Medicine, Xijing Hospital, Air Force Military Medical University, Xi'an, China
| | - Chengjin Hu
- Department of Laboratory Diagnosis, 960th Hospital of Chinese PLA, Jinan, China
| | - Shan Huang
- Guizhou Province Center for Clinical Laboratory, Guiyang, China
| | - Yanfang Jiang
- Gene Diagnostic Center of the First Hospital of Jilin University, Changchun, China
| | - Jinming Li
- National Center for Clinical Laboratories, Beijing, China
| | - Ping Li
- Medical Laboratory and Pathology Center, the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine, Changsha, China
| | - Zhuo Li
- Department of Laboratory Medicine, the First Affiliated Hospital of Xi'an Medical College, Xian, China
| | - Liang Ming
- Department of Laboratory Medicine, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Shiyang Pan
- Department of Laboratory Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Zuojun Shen
- Scientific Research Department of the First Affiliated Hospital of University of Science and Technology of China, Hefei, China
| | - Jianrong Su
- Department of Laboratory Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing, China
| | - Ziyong Sun
- Department of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Hui Wang
- Department of Laboratory Medicine, Peking University People's Hospital, Beijing, China
| | - Junjun Wang
- Department of Laboratory Medicine, Eastern Theater General Hospital; Nanjing, China
| | - Bin Xu
- Provincial Clinical Inspection Center of Jiangsu Cancer Hospital, Nanjing, China
| | - Nong Yu
- Laboratory of Suzhou Branch of Xinhua Hospital Affiliated to Shanghai Jiaotong University, Suzhou, China
| | - Lei Zheng
- Department of Laboratory Medicine, Nanfang Hospital of Southern Medical University, Guangzhou, China
| | - Yi Zhang
- Department of Laboratory Medicine, Qilu Hospital of Shandong University, Jinan, China
| | - Xin Zhang
- Department of Laboratory Medicine of Xinjiang Production and Construction Corps Hospital, Urumqi, China
| | - Ying Zhang
- Department of Clinical Laboratory Medicine, the First Medical Center, Chinese PLA General Hospital, Beijing, China
| | - Yong Duan
- Yunnan Key Laboratory of Laboratory Medicine, Kunming, China.,Department of Laboratory Medicine, First Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Chengbin Wang
- Department of Clinical Laboratory Medicine, the First Medical Center, Chinese PLA General Hospital, Beijing, China
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Ora J, Puxeddu E, Cavalli F, Giorgino FM, Girolami A, Chiocchi M, Sergiacomi G, Federici M, Rogliani P. Does bronchoscopy help the diagnosis in COVID-19 infection? Eur Respir J 2020; 56:13993003.01619-2020. [PMID: 32527742 PMCID: PMC7288610 DOI: 10.1183/13993003.01619-2020] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Accepted: 06/03/2020] [Indexed: 01/08/2023]
Affiliation(s)
- Josuel Ora
- Division of Respiratory Medicine, University Hospital Tor Vergata, Rome, Italy
| | - Ermanno Puxeddu
- Division of Respiratory Medicine, University Hospital Tor Vergata, Rome, Italy.,Dept of Experimental Medicine, University of Rome Tor Vergata, Rome, Italy
| | - Francesco Cavalli
- Division of Respiratory Medicine, University Hospital Tor Vergata, Rome, Italy
| | | | - Andrea Girolami
- Division of Respiratory Medicine, University Hospital Tor Vergata, Rome, Italy
| | - Marcello Chiocchi
- Dept of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome Tor Vergata, Rome, Italy
| | - Giaunluigi Sergiacomi
- Dept of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome Tor Vergata, Rome, Italy
| | - Massimo Federici
- Dept of Systems Medicine, University of Rome Tor Vergata, Rome, Italy
| | - Paola Rogliani
- Division of Respiratory Medicine, University Hospital Tor Vergata, Rome, Italy .,Dept of Experimental Medicine, University of Rome Tor Vergata, Rome, Italy
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