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10.1093/ofid/ofaa379

http://scihub22266oqcxt.onion/10.1093/ofid/ofaa379
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suck abstract from ncbi


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pmid33072810      Open+Forum+Infect+Dis 2020 ; 7 (10): ofaa379
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  • The Yield and Consistency of the Detection of SARS-CoV-2 in Multiple Respiratory Specimens #MMPMID33072810
  • Zhang H; Chen M; Zhang Y; Wen J; Wang Y; Wang L; Guo J; Liu C; Li D; Wang Y; Bai J; Gao G; Wang S; Yang D; Yu F; Yan L; Wan G; Zhang F
  • Open Forum Infect Dis 2020[Oct]; 7 (10): ofaa379 PMID33072810show ga
  • BACKGROUND: Few studies have compared the yield of reverse transcription polymerase chain reaction (RT-PCR) assays in nasopharyngeal swabs, oropharyngeal swabs, and sputum for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection. METHODS: We conducted an observational study in Beijing Ditan Hospital, China. Specimens including nasopharyngeal swabs, oropharyngeal swabs, and sputum from confirmed coronavirus 2019 patients were collected for RT-PCR testing. Disease duration was calculated from the date of symptom onset to the date of specimen collection and divided into 3 groups: 21 days. We compared positive rates across the 3 specimens collected. The kappa coefficient was used to evaluate the consistency of RT-PCR results between different specimens. RESULTS: A total of 291 specimens were collected and tested from 43 confirmed patients. Among specimens collected with a disease duration of 21 days. The consistency of testing results between nasopharyngeal swabs and oropharyngeal swabs was low with the disease durations of 21 days. The consistency between the sputum and oropharyngeal swabs and between the sputum and nasopharyngeal swabs was very low across all 3 disease durations, with statistical significance. CONCLUSIONS: Compared with nasopharyngeal swabs and oropharyngeal swabs, sputum had the highest yield of SARS-CoV-2 detection. Nasopharyngeal swabs and oropharyngeal swabs had a similar yield. If sputum is not feasible, a nasopharyngeal swab can be recommended for the detection of SARS-CoV-2, and early testing is needed.
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