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10.1016/j.ijid.2020.11.155

http://scihub22266oqcxt.onion/10.1016/j.ijid.2020.11.155
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33220439!7674967!33220439
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suck abstract from ncbi


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pmid33220439      Int+J+Infect+Dis 2021 ; 103 (ä): 19-22
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  • Increasing SARS-CoV-2 RT-qPCR testing capacity by sample pooling #MMPMID33220439
  • Alcoba-Florez J; Gil-Campesino H; Garcia-Martinez de Artola D; Diez-Gil O; Valenzuela-Fernandez A; Gonzalez-Montelongo R; Ciuffreda L; Flores C
  • Int J Infect Dis 2021[Feb]; 103 (ä): 19-22 PMID33220439show ga
  • OBJECTIVES: Limited testing capacity has characterized the ongoing coronavirus disease 2019 (COVID-19) pandemic in Spain, hampering timely control of outbreaks and opportunities to reduce the escalation of community transmission. This study investigated the potential to use sample pooling, followed by one-step retrotranscription and real-time quantitative reverse transcription polymerase chain reaction (RT-qPCR) to increase testing capacity for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). METHODS: Various pool sizes (five, 10 and 15 samples) were evaluated prior to RNA extraction followed by standard RT-qPCR for the diagnosis of COVID-19. The pool size achieving reproducible results with individual sample testing was subsequently used to assess nasopharyngeal samples in a tertiary hospital in August 2020. RESULTS: A pool size of five samples had higher sensitivity compared with pool sizes of 10 and 15 samples, showing a mean cycle threshold (Ct) shift of 3.5 [standard deviation (SD) 2.2] between the pooled test and positive samples in the pool. Next, a pool size of five was used to test a total of 895 pools (4475 prospective samples) using two different RT-qPCR kits. The Real Accurate Quadruplex corona-plus PCR Kit (PathoFinder) reported the lowest mean Ct shift [2.2 (SD 2.4)] between the pool and individual samples. This strategy enables detection of individual positive samples in positive pools with Ct of 16.7-39.4. CONCLUSIONS: Grouping samples into pools of five for RT-qPCR resulted in an increase in SARS-CoV-2 testing capacity with minimal loss of sensitivity compared with testing each sample individually.
  • |*COVID-19 Testing[MESH]
  • |*SARS-CoV-2[MESH]
  • |COVID-19/*diagnosis[MESH]
  • |Humans[MESH]
  • |Nasopharynx/virology[MESH]
  • |Prospective Studies[MESH]
  • |Reagent Kits, Diagnostic[MESH]
  • |Real-Time Polymerase Chain Reaction/*methods[MESH]
  • |Reverse Transcriptase Polymerase Chain Reaction/*methods[MESH]


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