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10.1016/j.cmi.2020.05.023

http://scihub22266oqcxt.onion/10.1016/j.cmi.2020.05.023
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suck abstract from ncbi


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pmid32473953      Clin+Microbiol+Infect 2020 ; 26 (8): 1082-1087
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  • Diagnostic performance of seven rapid IgG/IgM antibody tests and the Euroimmun IgA/IgG ELISA in COVID-19 patients #MMPMID32473953
  • Van Elslande J; Houben E; Depypere M; Brackenier A; Desmet S; Andre E; Van Ranst M; Lagrou K; Vermeersch P
  • Clin Microbiol Infect 2020[Aug]; 26 (8): 1082-1087 PMID32473953show ga
  • OBJECTIVES: To evaluate the diagnostic performance of seven rapid IgG/IgM tests and the Euroimmun IgA/IgG ELISA for antibodies against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in COVID-19 patients. METHODS: Specificity was evaluated in 103 samples collected before January 2020. Sensitivity and time to seropositivity was evaluated in 167 samples from 94 patients with COVID-19 confirmed with RT-PCR on nasopharyngeal swab. RESULTS: Specificity (confidence interval) of lateral flow assays (LFAs) was >/=91.3% (84.0-95.5) for IgM, >/=90.3% (82.9-94.8) for IgG, and >/=85.4% (77.2-91.1) for the combination IgM OR IgG. Specificity of the ELISA was 96.1% (90.1-98.8) for IgG and only 73.8% (64.5-81.4) for IgA. Sensitivity 14-25 days after the onset of symptoms was between >/=92.1% (78.5-98.0) and 100% (95.7-100) for IgG LFA compared to 89.5% (75.3-96.4) for IgG ELISA. Positivity of IgM OR IgG for LFA resulted in a decrease in specificity compared to IgG alone without a gain in diagnostic performance, except for VivaDiag. The results for IgM varied significantly between the LFAs with an average overall agreement of only 70% compared to 89% for IgG. The average dynamic trend to seropositivity for IgM was not shorter than for IgG. At the time of hospital admission the sensitivity of LFA was <60%. CONCLUSIONS: Sensitivity for the detection of IgG antibodies 14-25 days after the onset of symptoms was >/=92.1% for all seven LFAs compared to 89.5% for the IgG ELISA. The results for IgM varied significantly, and including IgM antibodies in addition to IgG for the interpretation of LFAs did not improve the diagnostic performance.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Antibodies, Viral/*analysis[MESH]
  • |Antigens, Viral/*immunology[MESH]
  • |Betacoronavirus/*immunology[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*diagnosis/immunology[MESH]
  • |Diagnostic Tests, Routine[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunoglobulin A/metabolism[MESH]
  • |Immunoglobulin G/metabolism[MESH]
  • |Immunoglobulin M/metabolism[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnosis/immunology[MESH]
  • |SARS-CoV-2[MESH]
  • |Sensitivity and Specificity[MESH]
  • |Time Factors[MESH]


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