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10.1016/j.jcv.2020.104567

http://scihub22266oqcxt.onion/10.1016/j.jcv.2020.104567
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suck abstract from ncbi


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pmid32750665      J+Clin+Virol 2020 ; 130 (ä): 104567
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  • Challenges in use of saliva for detection of SARS CoV-2 RNA in symptomatic outpatients #MMPMID32750665
  • Landry ML; Criscuolo J; Peaper DR
  • J Clin Virol 2020[Sep]; 130 (ä): 104567 PMID32750665show ga
  • BACKGROUND: A major expansion in SARS CoV-2 testing is urgently needed. Saliva is an attractive option as an alternative for nasopharyngeal swabs (NPS), since saliva can be self-collected, is non-invasive, and sample quality is not dependent on the expertise of the collector. OBJECTIVE: To compare SARS CoV-2 positivity on paired NPS and saliva samples. STUDY DESIGN: NPS and paired saliva samples were prospectively collected from symptomatic outpatients suspected of having COVID-19 and were tested by real-time RT-PCR. RESULTS: In total, 35/124 (26.6 %) samples were RT-PCR positive, with 33/35 positive by NPS (sensitivity?=?94.3 % (95 % CI 81.4%-99.0%)) and 30/35 by pure saliva (sensitivity?=?85.7 % (95 % CI 70.6%-93.7%)), for an overall agreement of 117/124 (94.4 %). The median cycle threshold value was significantly lower for NPS than for saliva (p?=?0.0331). A third or more of pure saliva samples from symptomatic patients were thick, stringy, and difficult to pipet. CONCLUSIONS: Real-time RT-PCR of pure saliva had an overall sensitivity for SARS CoV-2 RNA detection of 85.7 % when compared to simultaneously collected NPS. Our study highlighted the need to optimize collection and processing before saliva can be used for high volume testing.
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |COVID-19 Vaccines[MESH]
  • |Clinical Laboratory Techniques[MESH]
  • |Coronavirus Infections/*diagnosis[MESH]
  • |Humans[MESH]
  • |Molecular Diagnostic Techniques/*standards[MESH]
  • |Nasopharynx/virology[MESH]
  • |Outpatients[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnosis[MESH]
  • |Prospective Studies[MESH]
  • |RNA, Viral/*analysis[MESH]
  • |Real-Time Polymerase Chain Reaction[MESH]
  • |SARS-CoV-2[MESH]
  • |Saliva/*virology[MESH]


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