中国寄生虫学与寄生虫病杂志 ›› 2020, Vol. 38 ›› Issue (4): 464-468.doi: 10.12140/j.issn.1000-7423.2020.04.011

• 专家视角 • 上一篇    下一篇

新型冠状病毒肺炎疫情防控期间疟疾患者血样检测的思考和建议

李美(), 夏志贵*(), 尹建海, 燕贺   

  1. 中国疾病预防控制中心寄生虫病预防控制所,国家热带病研究中心,世界卫生组织热带病合作中心,科技部国家级热带病国际联合中心,卫生部寄生虫病原与媒介生物学重点实验室,上海 200025
  • 收稿日期:2020-04-26 出版日期:2020-08-30 发布日期:2020-09-09
  • 通讯作者: 夏志贵
  • 作者简介:李美(1976-),女,博士,研究员,从事疟疾原虫学研究。E-mail:limei@nipd.chinacdc.cn

Consideration and recommendations for malaria blood testing during the COVID-19 pandemic

LI Mei(), XIA Zhi-gui*(), YIN Jian-hai, YAN He   

  1. Key Laboratory of Parasite and Vector Biology, Ministry of Public Health, Shanghai 200025, China
  • Received:2020-04-26 Online:2020-08-30 Published:2020-09-09
  • Contact: XIA Zhi-gui

摘要:

目前全球新型冠状病毒肺炎(COVID-19)疫情不断蔓延,自境外疟疾流行区入境人员存在疟原虫及新型冠状病毒(SARS-CoV-2)双重感染风险,为及时、准确、安全地开展疟疾检测,保障输入性疟疾的早发现、早诊断和早治疗,笔者提出在COVID-19疫情防控期间,疟疾患者血样检测工作中需提高生物安全防护级别、优先采用快速诊断检测(RDT)和核酸检测方法、至少两种检测方法结果一致作为虫种确认依据、实施血片特殊制备的方法等建议,供各临床和疾控实验室参考。

关键词: 新型冠状病毒肺炎, 疟疾, 显微镜检查, 核酸检测, 快速诊断检测

Abstract:

With the ongoing global spread of coronavirus disease 2019 (COVID-19) epidemic, there is a risk of co-occurrence of malaria and COVID-19 in people returning from malaria-endemic areas abroad. In order to conduct timely, accurate and safe detection of malaria cases, ensuring early finding, diagnosis and treatment of imported malaria, we propose that facing the current pandemic situation, higher level of biosafety protective practice is needed for handling malaria blood samples with potential risk, use of rapid diagnostic test and nuclear acid detection method is the first choice, confirmation of Plasmodium species should be made based on consistency between at least two detection methods, and blood smears should be prepared with special procedures when necessary.

Key words: COVID-19, Malaria, Microscopic examination, Nucleic acid amplification tests, Rapid diagnostic test

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