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10.1093/jalm/jfaa125

http://scihub22266oqcxt.onion/10.1093/jalm/jfaa125
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32717056!7454580!32717056
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suck abstract from ncbi


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pmid32717056      J+Appl+Lab+Med 2020 ; 5 (6): 1351-1357
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  • Head-to-Head Comparison of Two SARS-CoV-2 Serology Assays #MMPMID32717056
  • Merrill AE; Jackson JB; Ehlers A; Voss D; Krasowski MD
  • J Appl Lab Med 2020[Nov]; 5 (6): 1351-1357 PMID32717056show ga
  • BACKGROUND: While molecular techniques remain the gold standard for diagnosis of acute SARS-CoV-2 infection, serological tests have the unique potential to ascertain how much of the population has been exposed to the COVID-19 pathogen. There have been limited published studies to date documenting the performance of SARS-CoV-2 antibody assays. METHODS: We compared the DiaSorin Liaison SARS-CoV-2 S1/S2 IgG and Roche Diagnostics Elecsys Anti-SARS-CoV-2 assays using 228 samples spanning patients with positive PCR for SARS-CoV-2, patients with compatible symptoms but negative PCR, pre-COVID specimens, and potential cross-reactives. RESULTS: Both assays detected antibodies in 18/19 samples collected at least one week after a positive PCR result. Neither method consistently detected antibodies in specimens collected within one week of a positive PCR result (sensitivity < 50%), but antibodies were detected by only Roche in four samples in this time frame. Using 139 pre-COVID and 35 PCR-negative samples, the Roche and DiaSorin assays demonstrated specificities of 100.0% and 98.9%, respectively. Neither assay demonstrated cross-reactivity from other coronaviruses (229E, HKU1, NL63, OC43), respiratory pathogens (adenovirus, metapneumovirus, rhinovirus/enterovirus), or antibodies to other viruses (HIV, EBV, CMV, HBV, HCV, HAV). DISCUSSION: Overall, the qualitative interpretations afforded by the Roche and DiaSorin assays agreed for 97% of samples evaluated. Minor discrepancies in sensitivity and specificity were observed between methods, with the differences in specificity more clinically significant for our low-prevalence population. For the DiaSorin assay, all disagreements with the Roche assay occurred in samples with quantitative signals near the cut-off determining positivity.
  • |Antibodies, Viral/blood/immunology/*isolation & purification[MESH]
  • |Betacoronavirus/genetics/immunology/*isolation & purification[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Clinical Laboratory Techniques/*instrumentation/statistics & numerical data[MESH]
  • |Coronavirus Infections/blood/*diagnosis/immunology/virology[MESH]
  • |Cross Reactions[MESH]
  • |False Positive Reactions[MESH]
  • |Humans[MESH]
  • |Immunoglobulin G/blood/immunology/isolation & purification[MESH]
  • |Limit of Detection[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/blood/*diagnosis/immunology/virology[MESH]
  • |Polymerase Chain Reaction/statistics & numerical data[MESH]
  • |Predictive Value of Tests[MESH]
  • |RNA, Viral/isolation & purification[MESH]
  • |Reagent Kits, Diagnostic/statistics & numerical data[MESH]
  • |SARS-CoV-2[MESH]
  • |Serologic Tests/*instrumentation/statistics & numerical data[MESH]


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