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10.1093/clinchem/hvaa091

http://scihub22266oqcxt.onion/10.1093/clinchem/hvaa091
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32246822!7184485!32246822
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suck abstract from ncbi


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pmid32246822      Clin+Chem 2020 ; 66 (6): 794-801
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  • Potential False-Negative Nucleic Acid Testing Results for Severe Acute Respiratory Syndrome Coronavirus 2 from Thermal Inactivation of Samples with Low Viral Loads #MMPMID32246822
  • Pan Y; Long L; Zhang D; Yuan T; Cui S; Yang P; Wang Q; Ren S
  • Clin Chem 2020[Jun]; 66 (6): 794-801 PMID32246822show ga
  • BACKGROUND: Coronavirus disease-2019 (COVID-19) has spread widely throughout the world since the end of 2019. Nucleic acid testing (NAT) has played an important role in patient diagnosis and management of COVID-19. In some circumstances, thermal inactivation at 56 degrees C has been recommended to inactivate severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) before NAT. However, this procedure could theoretically disrupt nucleic acid integrity of this single-stranded RNA virus and cause false negatives in real-time polymerase chain reaction (RT-PCR) tests. METHODS: We investigated whether thermal inactivation could affect the results of viral NAT. We examined the effects of thermal inactivation on the quantitative RT-PCR results of SARS-CoV-2, particularly with regard to the rates of false-negative results for specimens carrying low viral loads. We additionally investigated the effects of different specimen types, sample preservation times, and a chemical inactivation approach on NAT. RESULTS: Our study showed increased Ct values in specimens from diagnosed COVID-19 patients in RT-PCR tests after thermal incubation. Moreover, about half of the weak-positive samples (7 of 15 samples, 46.7%) were RT-PCR negative after heat inactivation in at least one parallel testing. The use of guanidinium-based lysis for preservation of these specimens had a smaller impact on RT-PCR results with fewer false negatives (2 of 15 samples, 13.3%) and significantly less increase in Ct values than heat inactivation. CONCLUSION: Thermal inactivation adversely affected the efficiency of RT-PCR for SARS-CoV-2 detection. Given the limited applicability associated with chemical inactivators, other approaches to ensure the overall protection of laboratory personnel need consideration.
  • |*Hot Temperature[MESH]
  • |*Viral Load[MESH]
  • |Betacoronavirus/*chemistry[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |COVID-19 Vaccines[MESH]
  • |Clinical Laboratory Techniques/methods[MESH]
  • |Coronavirus Infections/*diagnosis[MESH]
  • |False Negative Reactions[MESH]
  • |Feces/virology[MESH]
  • |Guanidine/chemistry[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnosis[MESH]
  • |RNA, Viral/*analysis[MESH]
  • |Real-Time Polymerase Chain Reaction/methods/statistics & numerical data[MESH]
  • |SARS-CoV-2[MESH]
  • |Specimen Handling/methods[MESH]
  • |Sputum/virology[MESH]
  • |Time Factors[MESH]


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