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10.1016/j.ebiom.2020.102903

http://scihub22266oqcxt.onion/10.1016/j.ebiom.2020.102903
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32718896!7380223!32718896
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suck abstract from ncbi


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pmid32718896      EBioMedicine 2020 ; 59 (ä): 102903
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  • SARS-CoV-2 detection in different respiratory sites: A systematic review and meta-analysis #MMPMID32718896
  • Mohammadi A; Esmaeilzadeh E; Li Y; Bosch RJ; Li JZ
  • EBioMedicine 2020[Sep]; 59 (ä): 102903 PMID32718896show ga
  • BACKGROUND: The accurate detection of SARS-CoV-2 through respiratory sampling is critical for the prevention of further transmission and the timely initiation of treatment for COVID-19. There is a diverse range of SARS-CoV-2 detection rates in reported studies, with uncertainty as to the optimal sampling strategy for COVID-19 diagnosis and monitoring. METHODS: We performed a systematic review and meta-analysis of studies comparing respiratory sampling strategies for the detection of SARS-CoV-2 RNA. The inclusion criteria were studies that assessed at least two respiratory sampling sites (oropharyngeal swab, nasopharyngeal swab, and sputum) in participants with COVID-19. The percentage positive tests were compared between sampling modalities by constructing a Z-test assuming independence and using the standard errors obtained from the random effects meta-analysis. FINDINGS: From 1039 total studies, we identified 11 studies that met our inclusion criteria, with SARS-CoV-2 testing results from a total of 3442 respiratory tract specimens. Compared to nasopharyngeal swab sampling, sputum testing resulted in significantly higher rates of SARS-CoV-2 RNA detection while oropharyngeal swab testing had lower rates of viral RNA detection. Earlier sampling after symptom onset was associated with improved detection rates, but the differences in SARS-CoV-2 RNA detection by sampling method was consistent regardless of the duration of symptoms. INTERPRETATION: The results support sputum sampling as a valuable method of COVID-19 diagnosis and monitoring, and highlight the importance of early testing after symptom onset to increase the rates of COVID-19 diagnosis. FUNDING: This study was funded in part by the NIH grants U01AI106701 and by the Harvard University for AIDS Research (NIAID 5P30AI060354).
  • |Betacoronavirus/genetics/*isolation & purification[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*diagnosis/virology[MESH]
  • |Databases, Factual[MESH]
  • |Humans[MESH]
  • |Nasopharynx/*virology[MESH]
  • |Oropharynx/*virology[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnosis/virology[MESH]
  • |RNA, Viral/metabolism[MESH]
  • |SARS-CoV-2[MESH]


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