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10.1016/j.cmi.2020.05.001

http://scihub22266oqcxt.onion/10.1016/j.cmi.2020.05.001
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suck abstract from ncbi


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pmid32422408      Clin+Microbiol+Infect 2021 ; 27 (2): 285.e1-285.e4
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  • Saliva sample as a non-invasive specimen for the diagnosis of coronavirus disease 2019: a cross-sectional study #MMPMID32422408
  • Pasomsub E; Watcharananan SP; Boonyawat K; Janchompoo P; Wongtabtim G; Suksuwan W; Sungkanuparph S; Phuphuakrat A
  • Clin Microbiol Infect 2021[Feb]; 27 (2): 285.e1-285.e4 PMID32422408show ga
  • OBJECTIVES: Amid the increasing number of pandemic coronavirus disease 2019 (COVID-19) cases, there is a need for a quick and easy method to obtain a non-invasive sample for the detection of this novel coronavirus (severe acute respiratory syndrome coronavirus 2; SARS-CoV-2). We aimed to investigate the potential use of saliva samples as a non-invasive tool for the diagnosis of COVID-19. METHODS: From 27 March to 4 April 2020, we prospectively collected saliva samples and a standard nasopharyngeal and throat swab in persons seeking care at an acute respiratory infection clinic in a university hospital during the outbreak of COVID-19. Real-time polymerase chain reaction (RT-PCR) was performed, and the results of the two specimens were compared. RESULTS: Two-hundred pairs of samples were collected. Sixty-nine (34.5%) individuals were male, and the median (interquartile) age was 36 (28-48) years. Using nasopharyngeal and throat swab RT-PCR as the reference standard, the prevalence of COVID-19 diagnosed by nasopharyngeal and throat swab RT-PCR was 9.5%. The sensitivity and specificity of the saliva sample RT-PCR were 84.2% (95% CI 60.4%-96.6%), and 98.9% (95% CI 96.1%-99.9%), respectively. An analysis of the agreement between the two specimens demonstrated 97.5% observed agreement (kappa coefficient 0.851, 95% CI 0.723-0.979; p < 0.001). CONCLUSIONS: Saliva might be an alternative specimen for the diagnosis of COVID-19. The collection is non-invasive, and non-aerosol generating. This method could facilitate the diagnosis of the disease, given the simplicity of specimen collection and good diagnostic performance.
  • |Adult[MESH]
  • |COVID-19 Testing/*methods[MESH]
  • |COVID-19/*diagnosis[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Nasopharynx/virology[MESH]
  • |Prospective Studies[MESH]
  • |RNA, Viral/analysis[MESH]
  • |Real-Time Polymerase Chain Reaction[MESH]
  • |SARS-CoV-2/*genetics[MESH]
  • |Saliva/*virology[MESH]
  • |Sensitivity and Specificity[MESH]
  • |Specimen Handling/methods[MESH]


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