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Suppl 1: Introduction of an Automated System for the Diagnosis and Quantification of Hepatitis B and Hepatitis C Viruses

机译:增刊1:介绍了一种自动系统用于诊断和定量乙型肝炎和丙型肝炎病毒

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摘要

Hepatitis B virus (HBV) and Hepatitis C virus (HCV) infections pose major public health problems because of their prevalence worldwide. Consequently, screening for these infections is an important part of routine laboratory activity. Serological and molecular markers are key elements in diagnosis, prognosis and treatment monitoring for HBV and HCV infections. Today, automated chemiluminescence immunoassay (CLIA) analyzers are widely used for virological diagnosis, particularly in high-volume clinical laboratories. Molecular biology techniques are routinely used to detect and quantify viral genomes as well as to analyze their sequence; in order to determine their genotype and detect resistance to antiviral drugs. Real-time PCR, which provides high sensitivity and a broad dynamic range, has gradually replaced other signal and target amplification technologies for the quantification and detection of nucleic acid. The next-generation DNA sequencing techniques are still restricted to research laboratories.The serological and molecular marker methods available for HBV and HCV are discussed in this article, along with their utility and limitations for use in Chronic Hepatitis B (CHB) diagnosis and monitoring.
机译:乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV)感染由于在世界范围内流行而构成主要的公共卫生问题。因此,筛查这些感染是常规实验室活动的重要组成部分。血清学和分子标志物是诊断,预后和治疗监测HBV和HCV感染的关键要素。如今,自动化学发光免疫分析(CLIA)分析仪已广泛用于病毒学诊断,尤其是在大量临床实验室中。分子生物学技术通常用于检测和定量病毒基因组以及分析其序列。为了确定其基因型并检测对抗病毒药物的耐药性。提供高灵敏度和宽动态范围的实时PCR逐渐取代了其他信号和靶扩增技术,用于核酸的定量和检测。下一代DNA测序技术仍然仅限于研究实验室。本文讨论了可用于HBV和HCV的血清学和分子标记方法,以及它们在慢性乙型肝炎(CHB)诊断和监测中的用途和局限性。

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