天津医药 ›› 2017, Vol. 45 ›› Issue (9): 1005-1008.doi: 10.11958/20170856

• 综述 • 上一篇    

多重PCR在儿童呼吸道感染诊断中的应用进展

郭永盛,邹映雪△   

  1. 天津市儿童医院
  • 收稿日期:2017-08-04 修回日期:2017-08-18 出版日期:2017-09-15 发布日期:2017-09-25
  • 通讯作者: 郭永盛 E-mail:gys001001@163.com

The applicational development of multiplex PCR testing for diagnosis of respiratory tract infections in children

GUO Yong-sheng, ZOU Ying-xue△   

  • Received:2017-08-04 Revised:2017-08-18 Published:2017-09-15 Online:2017-09-25

摘要: 疾病的早期快速、精准诊断对于预防疾病进展和临床合理制定最佳治疗方案具有重要意义。呼吸道感染是婴幼儿和学龄前儿童的常见病和多发病,由多种病原体引起,其中90%为病毒感染,且病原学十分复杂,很难区分病毒感染和细菌感染。多重PCR具有高度的灵敏性和特异性,是病毒鉴定的有效工具,广泛用于呼吸道感染性疾病的检测。常见的呼吸道病毒包括腺病毒(AdV)、冠状病毒(CoV)、人偏肺病毒(hMPV)、A型和B型流感病毒、1-3型副流感病毒(PIV1-3)、A型和B型呼吸道合胞体病毒(RSV A、RSV B)、鼻病毒、肠道病毒和博卡病毒。如果多重PCR的结果揭示有上述呼吸道病毒RNA的存在,则可以推断患者存在相应的病原体引起的急性感染,临床医师可以进一步有针对性地制定相应的治疗方案。本文对多重PCR在儿童呼吸道感染中典型和非典型病原体检测的应用进行综述,对病毒核酸的持久性和病毒临床诊断学的有效性进行讨论。

关键词: 多重PCR, 呼吸道, 感染, 病毒, RNA

Abstract: Abstract: Early, rapid and accurate diagnosis of disease is of great significance for the prevention of disease progression and the best clinical rational treatment program. Respiratory tract infections are the common and frequently occurring diseases in infants and preschool children, about 90 percent infections are of viral origin and etiology is very complex, but viral infection is often hard to distinguish from bacterial infection. Multiplex PCR has high sensitivity and specificity, and it is an effective tool for virus identification. It is widely used in the detection of respiratory infectious diseases. The common respiratory viruses causing respiratory infections include adenovirus (AdV), coronaviruses (CoV), human metapneumovirus (hMPV), influenza virus type A and B, parainfluenza virus type 1 (PIV 1), PIV 2, PIV 3, respiratory syncytial virus type A (RSV A), RSV B, rhinoviruses, enteroviruses and bocaviruses. If PCR reveals the presence of RNA derived from above respiratory virus, then an acute infection caused by the corresponding pathogen is probably present, and further treatment can be made accordingly by the clinician. In this paper, we reviewed the application of multiple PCR in the detection of typical and atypical pathogens in children's respiratory tract infection, and discussed the persistence of viral nucleic acid and effectiveness of virus clinical diagnostics.

Key words: multiplex PCR, respiratory tract, infections, virus, RNA