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Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Eur+J+Clin+Microbiol+Infect+Dis 2021 ; 40 (2): 269-277 Nephropedia Template TP
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Evaluation of three commercial assays for SARS-CoV-2 molecular detection in upper respiratory tract samples #MMPMID32885293
Liotti FM; Menchinelli G; Marchetti S; Morandotti GA; Sanguinetti M; Posteraro B; Cattani P
The increasing COVID-19 widespread has created the necessity to assess the diagnostic accuracy of newly introduced (RT-PCR based) assays for SARS-CoV-2 RNA detection in respiratory tract samples. We compared the results of the Allplex 2019-nCoV assay with those of the Simplexa COVID-19 Direct assay and the Quanty COVID-19 assay, respectively, all performed on 125 nasal/oropharyngeal swab samples of patients with COVID-19 suspicion. Fifty-four samples were positive, and 71 were negative with the Allplex assay, whereas 47 of 54 samples were also positive with the Simplexa assay. The Quanty assay detected 55 positive samples, including the 54 positive samples with the Allplex assay and 1 sample that was Allplex negative but Simplexa positive. Using a consensus result criterion as the reference standard allowed to resolve the eight samples with discordant results (one Allplex negative and seven Simplexa negative) as truly false negative. Interestingly, a Spearman's negative association was found between the viral RNA loads quantified by the Quanty assay and the C(T) values of RT PCRs performed with either the Allplex assay or the Simplexa assay. However, the strength of this association was higher for the Allplex assay (N gene, rho = - 0.92; RdRP gene, rho = - 0.91) than for the Simplexa assay (ORF1ab gene, rho = - 0.65; S gene, rho = - 0.80). The Allplex 2019-nCoV, the Simplexa COVID-19 Direct, and the Quanty COVID-19 assays yielded comparable results. However, the role these assays might play in future clinical practice warrants larger comparison studies.