Mu cyorezo cya COVID-19, gutanga ubuvuzi buhagije ku barwayi ni ngombwa kugira ngo impfu zigabanuke.Ibikoresho byubuvuzi, cyane cyane abakozi bashinzwe ubuvuzi bwihutirwa, bahagarariye umurongo wambere wo kurwanya COVID-19 [1].Ni mu bitaro byabanjirije ibitaro niho buri murwayi agomba gufatwa nk’indwara ishobora kwandura, kandi yerekanaga cyane cyane ibintu by’ubuvuzi bikora ku murongo wa mbere ku byago byo kwandura SARS-CoV-2 [2].Mu isubiramo rifatika, Bandyopadhyay n'abandi.suzuma amakuru yanduye 152,888 HCWs yerekana impfu kurwego rwa 0.9%.Ariko, barabara kandi bapfa-
ity kurwego rwa 37.2 bapfa kwandura 100 kuri HCW mumyaka 70.Rivett n'abandi.ubushakashatsi 3% byapimwe mumatsinda yo gusuzuma asimptomatic ya HCW byari SARS-CoV-2 nziza [4].Kwipimisha neza bituma abantu bamenyekana bakeneye ubuvuzi, cyangwa bakeneye kwigunga kugirango birinde kwandura.Kubijyanye nibi byavuzwe haruguru, gusuzuma ibintu byihutirwa byubuvuzi bifite ibimenyetso bike cyangwa nta bimenyetso ni inzira izaba ingirakamaro mu kurinda abarwayi
n'abakozi bose b'ubuvuzi.
Igishushanyo 1. Nigute wasoma ibisubizo byikizamini.
Kwiyongera kwa testi ya antigen ituma ikoreshwa muri hosti-tal, mbere yibitaro ndetse no murugo.Umwihariko wibizamini bya immunologiya byerekana antigene ya AG byerekana ko wanduye virusi ya SARS-CoV-2 [5].Kugeza ubu, ibizamini bya antigen byamenyekanye nka equiv-alent kubizamini bya geneti byakozwe na RT-qPCR.Ibizamini bimwe bisaba izuru rishobora gukusanywa hifashishijwe izuru ryimbere cyangwa izuru hagati ya turbinate swab, ibindi bisaba amacandwe.Intambwe ikurikiraho nyuma yo gukusanya ibinyabuzima ni ukuyivanga n'amazi ya buffer.Noneho, nyuma yo gukoresha ibitonyanga bike (ukurikije ikizamini manufac-turer) cyicyitegererezo cyabonetse mukizamini, conjugate ya zahabu-antibody hamwe na antigen ya COVID-19, niba ihari murugero, izakorana na antibodies zizahabu.Antigen-antibody-zahabu com-plex izimuka yerekeza mu idirishya ryikizamini kugera muri Zone y'Ikizamini, aho izafatwa na antibodies zidafite imbaraga, ikora umurongo wijimye wijimye (Assay Band) werekana igisubizo cyiza.Ibyiza byo kwipimisha byihuse bya antigen, bishingiye kumurongo wogukingira immunochromatografique nkuko bivugwa (LFIA), ni igihe gito cyo gutahura, mugihe ibibi byabo ari sensibilité nkeya ugereranije na RT-qPCR kandi birashoboka ko umuntu ashobora kwandura nega-tive kumuntu wanduye hamwe na SARS-CoV-2.Ubushakashatsi bwatangajwe mu ntangiriro y’icyorezo cya COVID-19 bwerekanye ko sensitiv-ity yo mu gisekuru cya mbere cy’ibizamini byihuse byerekana antigene ya SARS-CoV-2 mu cyitegererezo cyapimwe kuva kuri 34% kugeza kuri 80% [6].Turabikesha amahirwe yo kubona ibisubizo muminota mike cyangwa mike, gen-eration ya kabiri ya antigen yipimisha byihuse kandi bikwiye, kandi nonaha-iminsi imikorere yayo iri hejuru nka sensibilité ≥90% kandi yihariye ≥97% .Urugero rw'ikizamini nk'iki ni COVID-19 antigen yihuta (SG Diagnostics, Singapore), amabwiriza yo gusobanura ibisubizo yatanzwe ku gishushanyo 1.
Ibizamini bya antigen byamenyekanye kandi mugusuzuma abarwayi biteguye mbere yibitaro.Urugero rwo gukoresha ibizamini bya antigen ya COVID-19 murwego rwo kwita kubitaro mbere yubuvuzi birashobora kuba Serivise yubuvuzi bwihutirwa i Warsaw (Polonye), aho umurwayi wese ukekwaho kuba COVID-19 cyangwa guhura numurwayi ahita yanduza indwara akoresheje ikizamini, tubikesha inkeragutabara zizi niba zigomba kujyanwa mubitaro byeguriwe abarwayi ba COVID-19 cyangwa ibitaro bisanzwe [7].Ibizamini byihuse bya antigen bigomba gukoreshwa mugupima izuru SARS-CoV-2 kwandura cyane cyane kubarwayi bafite ibimenyetso muminsi 5-7 nyuma yikimenyetso.Abantu bafite ibimenyetso bafite ibisubizo byiza bya SARS-CoV-2 ibisubizo bya antigen bagomba gufatwa nkaho banduye.Ingaruka mbi ziki kizamini zisaba kugenzurwa niba ishusho yubuvuzi cyangwa ahantu hanini cyane epidemiologiya yerekana kwandura COVID-19, kubera ko ingaruka mbi zipimishije antigen ntizibuza kwandura virusi.
Muncamake, gusuzuma ibintu byubuvuzi bwihutirwa hamwe na EMS pa-tients ifite ibimenyetso bike cyangwa nta bimenyetso ni uburyo buzaba ingorabahizi mu kurinda abarwayi n’abakozi bose b’ubuvuzi.
Igihe cyo kohereza: Ugushyingo-27-2021