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10.1016/j.jcv.2020.104652

http://scihub22266oqcxt.onion/10.1016/j.jcv.2020.104652
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suck abstract from ncbi


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pmid33053493      J+Clin+Virol 2020 ; 132 (ä): 104652
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  • Saliva specimens for detection of severe acute respiratory syndrome coronavirus 2 in Kuwait: A cross-sectional study #MMPMID33053493
  • Altawalah H; AlHuraish F; Alkandari WA; Ezzikouri S
  • J Clin Virol 2020[Nov]; 132 (ä): 104652 PMID33053493show ga
  • Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) and represents a global pandemic affecting more than 26 million people and has claimed >870,000 lives worldwide. Diagnostic tests for SARS-COV-2 infection commonly use nasopharyngeal swabs (NPS). As an alternative specimen, we investigated the potential use of the real-time reverse transcriptase PCR (RT-PCR) detection of SARS-COV-2 in saliva samples in large suspected-COVID-19 patients in Kuwait. NPS and saliva samples pairs were prospectively collected from 891 COVID-19 suspected patients in Kuwait and analyzed using TaqPath COVID-19 multiplex RT-PCR. Of the 891 patients, 38.61 % (344/891) were positive for SARS-CoV-2, 4.83 % (43/891) were equivocal, and 56.56 % (504/891) were negative with NPS by RT-PCR. For saliva, 34.23 % (305/891) were positive for SARS-CoV-2, 3.14 (28/891) were equivocal, and 62.63 % (558/891) were negative. From 344 confirmed cases for SARS-CoV-2 with NPS samples, 287 (83.43 %) (95 % CI, 79.14-86.99) were positive with saliva specimens. Moreover, the diagnostic sensitivity and specificity of RT-PCR for the diagnosis of COVID-19 in saliva were 83.43 % (95 % CI: 79.07-87.20) and 96.71 % (95 % CI: 94.85-98.04 %), respectively. An analysis of the agreement between the NPS and saliva specimens demonstrated 91.25 % observed agreement (kappa coefficient = 0.814, 95 % CI, 0.775-0.854). This study demonstrates that saliva can be a noninvasive specimen for detection of SARS-CoV-2 by RT-PCR.
  • |*COVID-19 Testing/methods/standards[MESH]
  • |COVID-19/*diagnosis[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Kuwait[MESH]
  • |Male[MESH]
  • |Nasopharynx/virology[MESH]
  • |Real-Time Polymerase Chain Reaction/methods/standards[MESH]
  • |Reproducibility of Results[MESH]
  • |SARS-CoV-2/*genetics[MESH]
  • |Saliva/*virology[MESH]


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