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10.1128/JCM.01369-20

http://scihub22266oqcxt.onion/10.1128/JCM.01369-20
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32611796!7448643!32611796
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suck abstract from ncbi


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pmid32611796      J+Clin+Microbiol 2020 ; 58 (9): ä
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  • Utility of Stool PCR for the Diagnosis of COVID-19: Comparison of Two Commercial Platforms #MMPMID32611796
  • Szymczak WA; Goldstein DY; Orner EP; Fecher RA; Yokoda RT; Skalina KA; Narlieva M; Gendlina I; Fox AS
  • J Clin Microbiol 2020[Aug]; 58 (9): ä PMID32611796show ga
  • The ability to detect SARS-CoV-2 in the upper respiratory tract ceases after 2 to 3 weeks post-symptom-onset in most patients. In contrast, SARS-CoV-2 can be detected in the stool of some patients for greater than 4 weeks, suggesting that stool may hold utility as an additional source for diagnosis. We validated the Cepheid Xpert Xpress SARS-CoV-2 and Hologic Panther Fusion real-time RT-PCR assays for detection of viral RNA in stool specimens and compared performance. We utilized remnant stool specimens (n = 79) from 77 patients with gastrointestinal symptoms. Forty-eight patients had PCR-confirmed COVID-19, and 29 either were nasopharyngeal/oropharyngeal PCR negative or presented for reasons unrelated to COVID-19 and were not tested. Positive percent agreement between the Cepheid and Hologic assays was 93% (95% confidence interval [CI]: 81.1% to 98.2%), and negative percent agreement was 96% (95% CI: 89% to 0.99%). Four discrepant specimens (Cepheid positive only, n = 2; Hologic positive only, n = 2) exhibited average cycle threshold (C(T) ) values of >37 for the targets detected. Of the 48 patients with PCR-confirmed COVID-19, 23 were positive by both assays (47.9%). For the negative patient group, 2/29 were positive by both assays (6.9%). The two stool PCR-positive, nasopharyngeal/oropharyngeal PCR-negative patients were SARS-CoV-2 IgG positive. Our results demonstrate acceptable agreement between two commercially available molecular assays and support the use of stool PCR to confirm diagnosis when SARS-CoV-2 is undetectable in the upper respiratory tract.
  • |*Clinical Laboratory Techniques/methods/standards/statistics & numerical data[MESH]
  • |*Polymerase Chain Reaction/methods/standards/statistics & numerical data[MESH]
  • |Betacoronavirus/*genetics[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |COVID-19 Vaccines[MESH]
  • |Coronavirus Infections/*diagnosis[MESH]
  • |Feces/*virology[MESH]
  • |Humans[MESH]
  • |Limit of Detection[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnosis[MESH]
  • |RNA, Viral/analysis/genetics[MESH]
  • |Reproducibility of Results[MESH]


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