Progress and Challenges towards Point-of-Care Diagnostic Development for Dengue

被引:41
作者
Pang, Junxiong [1 ,2 ]
Chia, Po Ying [1 ]
Lye, David C. [1 ,3 ,4 ]
Leo, Yee Sin [1 ,2 ,3 ,4 ]
机构
[1] Tan Tock Seng Hosp, Inst Infect Dis & Epidemiol, Singapore, Singapore
[2] Natl Univ Singapore, Saw Swee Hock Sch Publ Hlth, Singapore, Singapore
[3] Nanyang Technol Univ, Lee Kong Chian Sch Med, Singapore, Singapore
[4] Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore, Singapore
基金
英国医学研究理事会;
关键词
dengue fever; biotechnology; clinical diagnosis; diagnostics tools; flavivirus; neutralizing antibodies; point-of-care test; serology; viral clearance; REVERSE-TRANSCRIPTASE PCR; TIME RT-PCR; NS1; ANTIGEN; RAPID DETECTION; CHANGING EPIDEMIOLOGY; CHIKUNGUNYA-VIRUS; PAN-DENGUE; MULTIPLEX; ASSAY; INFECTION;
D O I
10.1128/JCM.00707-17
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Dengue detection strategies involve viral RNA, antigen, and/or antibody detection. Each strategy has its advantages and disadvantages. Optimal, user-friendly, rapid diagnostic tests based on immunochromatographic assays are pragmatic point-ofcare tests (POCTs) in regions where dengue is endemic where there are limited laboratory capabilities and optimal storage conditions. Increasingly, there is a greater public health significance for a multiplexing assay that differentiates dengue from Zika or pathogens with similar clinical presentations. Although there have been many assay/platform developments toward POCTs, independent validation and implementation remain very limited. This review highlights the current key progress and challenges toward the development of a dengue POCT.
引用
收藏
页码:3339 / 3349
页数:11
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