4例新型冠状病毒感染病例咽拭子与痰标本病毒核酸检测的比较

目的比较分析新型冠状病毒病例咽拭子与痰标本的病毒核酸检测效果。方法对4例新型冠状病毒确诊病例的咽拭子与痰标本分别进行人体细胞GAPDH管家基因、病毒ORF 1ab基因、N基因及S基因Real time RT-PCR核酸检测与比较。结果4例病例的咽拭子和痰标本中,人体细胞管家基因GAPDH均呈现明显典型的扩增信号曲线;病毒ORF 1ab基因、N基因及S基因核酸检测中,痰标本的扩增曲线信号均比咽拭子强,扩增曲线的CT值均低于咽拭子,在病例1和4表现更加明显,而病例4的咽拭子标本检测中,商品化试剂呈现阴性结果,而痰标本则呈现明显的阳性结果。结论在开展新型冠状病毒实验室核酸检测中,痰标本的病毒含量高于咽拭子标本,其检测效果优于咽拭子标本。

Comparison of throat swab and sputum specimens for viral nucleic acid detection in four cases of 2019-nCoV infection

To comparatively analyze the detection effect of viral nucleic acid in throat swab and sputum sample of 2019-nCoV cases. GAPDH housekeeping genes, viral ORF 1ab genes, N genes, and S genes were tested and compared by real-time RT-PCR in throat swabs and sputum specimens from 4 confirmed cases of 2019-nCoV. In the throat swabs and sputum samples of 4 cases, the human cell housekeeping gene GAPDH showed obvious and typical amplification signal curves. In the detection of viral ORF 1ab gene, N gene, and S gene, the amplification signal of sputum samples was stronger than that of throat swab, and the CT value of amplification curve was lower than that of throat swab, especially in case 1 and case 4, and the throat swab of case 4 showed negative results using commercial real-time RT-PCR kits, while the sputum specimens showed clear positive results. Therefore, in the viral nucleic acid testing of 2019-nCoV laboratory detection, the virus content in sputum specimens was higher than that in throat swab specimens, and the detection effect was better than that in throat swab specimens.