首页|灭活型保存液对甲型流感病毒核酸检测结果的影响

灭活型保存液对甲型流感病毒核酸检测结果的影响

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目的 通过大样本甲型流感病毒感染阳性标本的检测,明确灭活型样本保存液在不同保存条件和保存时间对甲流病毒核酸检测结果的影响.方法 对2022年2月至2022年3月山西白求恩医院疑诊流行性感冒的2 377名患者同时采集两份口咽拭子标本,一个拭子放在含有灭活型保存液的采集管中,另外一个拭子放在含有非灭活型保存液的采集管中.标本在生物安全二级实验室中分装在 3 个EP管中,1管即刻(采集后4小时内)进行核酸检测,另外两管分别保存在冷藏条件(2~8℃)和冷冻条件(-20℃以下),48小时后进行核酸检测.采用实时荧光逆转录聚合酶链反应(qRT-PCR)方法对其进行病毒核酸检测.结果不一致时采用第二种核酸检测试剂进行比对.比较两种保存方法、保存条件和保存时间对病毒载量的检出差异.结果 即刻检测时两组甲型流感病毒的阳性检出率相同,均为74.5%(1 771/2 377),非灭活组平均循环阈值(Ct)值为(29.60±3.99),灭活组为(31.30±2.67),差异无统计学意义(t=0.35,P>0.05);2~8℃和-20℃以下分别保存48小时后两组甲型流感病毒的阳性检出率无变化:非灭活组的平均Ct值为(31.70±4.91)和(30.30±4.03),灭活组为(33.90±5.11)和(32.20±4.62),差异无统计学意义(t=0.67、0.54,P>0.05).结论 灭活型样本保存液不影响甲型流感病毒qPCR核酸检测的结果,在灭活型样本保存液中于2~8℃或-20℃条件下可至少稳定保存48小时.
Effect of inactivated preservation solution on influenza A virus nucleic acid detection results
Objective To determine the effect of inactivation solution on the detection of influen-za A virus nucleic acid under different storage conditions and time by detecting positive samples from large samples.Methods From February 2022 to March,a total of 2 377 patients with suspected influenza in Shanxi Bethune Hospital were recruited.Two oral swabs were taken from each patient.One of swabs was placed in a tube containing an inactivation solution,another swab is placed in a tube containing a non-inactivation fluid.Specimens were separated into 3 EP tubes.One tube was subjected to nucleic acid detection immediately(with-in 4 hours after collection),and the other two tubes were stored below 2~8℃and-20℃,respectively,and nu-cleic acid detection was performed 48 hours later.Real-time fluorescence reverse transcription polymerase chain reaction(qRT-PCR)was used to detect the viral RNA.When the results were inconsistent,the second nucleic acid detection reagent was used for comparison.The difference of viral load detection was compared be-tween two preservation methods,preservation conditions and preservation time.Result The positive detec-tion rates of influenza A virus in both groups were the same at immediate detection,both of which were 74.5%(1 771/2 377).The average circulating threshold(Ct)value in the non-inactivated group was(29.60±3.99),while in the inactivated group was(31.30±2.67),with no statistically significant difference(t=0.35,P>0.05).There was no significant difference between the two groups after 48 hours of preservation at 2~8℃and-20℃.The mean CT values of the non-inactivation group were(31.70±4.91)and(30.30±4.03),respec-tively,and the inactivated group was(33.90±5.11)and(32.20±4.62),the difference was not significant(t= 0.67,0.54,P>0.05).Conclusion The inactivation sample solution does not affect the results of influenza A virus qRT-PCR.Influenza A virus RNA can be stored for in the inactivated sample preservation solution at 2~8℃or-20℃for at least 48 hours.

Influenza A virusInactivationSample preservation solutionNucleic acid

张明霞、孟泽民、王卫芳、王瑜、罗晓旭

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山西白求恩医院检验科,山西,太原 030030

甲型流感病毒 灭活 样本保存液 核酸

山西省卫生健康委新冠肺炎科研项目

08

2024

分子诊断与治疗杂志
中山大学

分子诊断与治疗杂志

CSTPCD
影响因子:0.65
ISSN:1674-6929
年,卷(期):2024.16(1)
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