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Guidelines for Laboratory Diagnosis of Coronavirus Disease 2019 (COVID-19) in Korea
Ki Ho Hong1, Sang Won Lee2, Taek Soo Kim3
1Department of Laboratory Medicine, Seoul Medical Center, Seoul, Korea.
Insights
This study outlines diagnostic guidelines for coronavirus disease 2019 (COVID-19) in Korean clinical laboratories. It details methods for identifying severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) infections, ensuring accurate COVID-19 diagnosis.
Area of Science:
- Clinical Microbiology
- Infectious Diseases
- Public Health
Background:
- The coronavirus disease 2019 (COVID-19) pandemic, caused by SARS-CoV-2, presented a significant public health challenge globally and in Korea.
- As of March 25, 2020, Korea reported over 9,000 confirmed COVID-19 cases, necessitating standardized diagnostic protocols.
- Real-time reverse transcription-PCR (RT-PCR) is the established gold standard for detecting SARS-CoV-2.
Purpose of the Study:
- To establish comprehensive guidelines for the diagnosis of COVID-19 within Korean clinical laboratory settings.
- To provide a standardized framework for healthcare professionals involved in COVID-19 testing and diagnosis.
- To ensure accurate and reliable detection of SARS-CoV-2 infections.
Main Methods:
- Development of guidelines based on existing domestic and international protocols.
- Inclusion of expert opinions from the Korean Society for Laboratory Medicine and the Korea Centers for Disease Prevention and Control.
- Detailed recommendations covering test subject selection, specimen collection, diagnostic methodologies, result interpretation, and biosafety measures.
Main Results:
- The guidelines provide a structured approach to COVID-19 diagnosis in clinical laboratories.
- Standardized procedures are outlined for RT-PCR testing, specimen handling, and result interpretation.
- Emphasis is placed on critical biosafety practices for laboratory personnel handling SARS-CoV-2 samples.
Conclusions:
- The proposed guidelines aim to enhance the accuracy and efficiency of COVID-19 diagnostics in Korea.
- Adherence to these guidelines is expected to improve patient management and public health surveillance for SARS-CoV-2.
- These recommendations serve as a vital resource for clinical laboratories navigating the COVID-19 pandemic.
Abstract:
The outbreak of coronavirus disease 2019 (COVID-19), which began in December 2019, is still ongoing in Korea, with >9,000 confirmed cases as of March 25, 2020. COVID-19 is a severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) infection, and real-time reverse transcription-PCR is currently the most reliable diagnostic method for COVID-19 around the world. Korean Society for Laboratory Medicine and the Korea Centers for Disease Prevention and Control propose guidelines for diagnosing COVID-19 in clinical laboratories in Korea. These guidelines are based on other related domestic and international guidelines, as well as expert opinions and include the selection of test subjects, selection of specimens, diagnostic methods, interpretation of test results, and biosafety.

