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10.4103/ijmr.IJMR_2304_20

http://scihub22266oqcxt.onion/10.4103/ijmr.IJMR_2304_20
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32893844!7853252!32893844
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suck abstract from ncbi


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pmid32893844      Indian+J+Med+Res 2020 ; 152 (1 & 2): 88-94
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  • Pooled testing for COVID-19 diagnosis by real-time RT-PCR: A multi-site comparative evaluation of 5- & 10-sample pooling #MMPMID32893844
  • Praharaj I; Jain A; Singh M; Balakrishnan A; Dhodapkar R; Borkakoty B; Ashok M; Das P; Biswas D; Kalawat U; Turuk J; Sugunan AP; Prakash S; Singh AK; Barathidasan R; Subhadra S; Sabat J; Manjunath MJ; Kanta P; Mudhigeti N; Hazarika R; Mishra H; Abhishek K; Santhalembi C; Dikhit MR; Vijay N; Narayan J; Kaur H; Giri S; Gupta N
  • Indian J Med Res 2020[Jul]; 152 (1 & 2): 88-94 PMID32893844show ga
  • BACKGROUND & OBJECTIVES: Public health and diagnostic laboratories are facing huge sample loads for COVID-19 diagnosis by real-time reverse transcription-polymerase chain reaction (RT-PCR). High sensitivity of optimized real-time RT-PCR assays makes pooled testing a potentially efficient strategy for resource utilization when positivity rates for particular regions or groups of individuals are low. We report here a comparative analysis of pooled testing for 5- and 10-sample pools by real-time RT-PCR across 10 COVID-19 testing laboratories in India. METHODS: Ten virus research and diagnostic laboratories (VRDLs) testing for COVID-19 by real-time RT-PCR participated in this evaluation. At each laboratory, 100 nasopharyngeal swab samples including 10 positive samples were used to create 5- and 10-sample pools with one positive sample in each pool. RNA extraction and real-time RT-PCR for SARS-CoV-2-specific E gene target were performed for individual positive samples as well as pooled samples. Concordance between individual sample testing and testing in the 5- or 10-sample pools was calculated, and the variation across sites and by sample cycle threshold (C(t)) values was analyzed. RESULTS: A total of 110 each of 5- and 10-sample pools were evaluated. Concordance between the 5-sample pool and individual sample testing was 100 per cent in the C(t) value /=90 per cent across all laboratories for the 5-sample pools. INTERPRETATION & CONCLUSIONS: Results from this multi-site assessment suggest that pooling five samples for SARS-CoV-2 detection by real-time RT-PCR may be an acceptable strategy without much loss of sensitivity even for low viral loads, while with 10-sample pools, there may be considerably higher numbers of false negatives. However, testing laboratories should perform validations with the specific RNA extraction and RT-PCR kits in use at their centres before initiating pooled testing.
  • |*Clinical Laboratory Techniques[MESH]
  • |Betacoronavirus/genetics/*isolation & purification/pathogenicity[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |COVID-19 Vaccines[MESH]
  • |Coronavirus Infections/*diagnosis/epidemiology/genetics/virology[MESH]
  • |Diagnostic Tests, Routine/methods[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |India/epidemiology[MESH]
  • |Male[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnosis/epidemiology/genetics/virology[MESH]
  • |RNA, Viral/genetics/*isolation & purification[MESH]
  • |Real-Time Polymerase Chain Reaction/methods[MESH]
  • |Reverse Transcriptase Polymerase Chain Reaction[MESH]
  • |SARS-CoV-2[MESH]
  • |Serologic Tests[MESH]
  • |Specimen Handling[MESH]


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