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10.1371/journal.pone.0236311

http://scihub22266oqcxt.onion/10.1371/journal.pone.0236311
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32898153!7478621!32898153
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suck abstract from ncbi


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pmid32898153      PLoS+One 2020 ; 15 (9): e0236311
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  • Detection and quantification of SARS-CoV-2 by droplet digital PCR in real-time PCR negative nasopharyngeal swabs from suspected COVID-19 patients #MMPMID32898153
  • Alteri C; Cento V; Antonello M; Colagrossi L; Merli M; Ughi N; Renica S; Matarazzo E; Di Ruscio F; Tartaglione L; Colombo J; Grimaldi C; Carta S; Nava A; Costabile V; Baiguera C; Campisi D; Fanti D; Vismara C; Fumagalli R; Scaglione F; Epis OM; Puoti M; Perno CF
  • PLoS One 2020[]; 15 (9): e0236311 PMID32898153show ga
  • Since SARS-CoV-2-based disease (COVID-19) spreads as a pandemic, the necessity of a highly sensitive molecular diagnosis that can drastically reduce false negatives reverse transcription PCR (rtPCR) results, raises as a major clinical need. Here we evaluated the performance of a ddPCR-based assay to quantify SARS-CoV-2 titer in 55 suspected COVID-19 cases with negative rtPCR results thanks to in-house ddPCR assay (targeting RdRp and host RNaseP). Samples were collected at ASST-GOM Niguarda between February and May 2020 at hospital admission. Clinical and imaging data were obtained for clinical staging and definition of disease severity. Patients were mainly female (45.5%) with a median age of 73 (57-84) years. ddPCR-based assay detected SARS-CoV-2 genome in nasopharyngeal samples of 19 (34.5%) patients (median viral-load: 128 copies/mL, IQR: 72-345). In 15 of them (78.9%), chest CT showed a classical COVID-19 bilateral interstitial pneumonia; 14 patients (73.7%) showed severe COVID-19 manifestations. ddPCR did not identify any trace of SARS-CoV-2 genome in the respiratory samples of the remaining 36 patients. The serological assay performed in a subgroup of 34 patients at the later stage of illness (from 3 days to 90 days after) confirmed the presence of SARS-CoV-2 antibodies in all patients tested positive for SARS-CoV-2 in ddPCR (100%). Contrariwise, negative tests were observed in 95.0% ddPCR negative patients (P<0.001). Thanks to a ddPCR-based assay, we achieved a rapid and accurate SARS-CoV-2 diagnosis in rtPCR-negative respiratory samples of individuals with COVID-19 suspect, allowing the rapid taking care and correct management of these patients.
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Betacoronavirus/*genetics/isolation & purification[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*diagnosis/pathology/virology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Limit of Detection[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Nasopharynx/*virology[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnosis/pathology/virology[MESH]
  • |RNA, Viral/*analysis/metabolism[MESH]
  • |Real-Time Polymerase Chain Reaction/*methods[MESH]
  • |SARS-CoV-2[MESH]
  • |Severity of Illness Index[MESH]


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