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10.1016/j.talanta.2020.121726

http://scihub22266oqcxt.onion/10.1016/j.talanta.2020.121726
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suck abstract from ncbi


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pmid33379001      Talanta 2021 ; 224 (ä): 121726
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  • Highly accurate and sensitive diagnostic detection of SARS-CoV-2 by digital PCR #MMPMID33379001
  • Dong L; Zhou J; Niu C; Wang Q; Pan Y; Sheng S; Wang X; Zhang Y; Yang J; Liu M; Zhao Y; Zhang X; Zhu T; Peng T; Xie J; Gao Y; Wang D; Dai X; Fang X
  • Talanta 2021[Mar]; 224 (ä): 121726 PMID33379001show ga
  • The outbreak of COVID-19 caused by a novel Coronavirus (termed SARS-CoV-2) has spread to over 210 countries around the world. Currently, reverse transcription quantitative qPCR (RT-qPCR) is used as the gold standard for diagnosis of SARS-CoV-2. However, the sensitivity of RT-qPCR assays of pharyngeal swab samples are reported to vary from 30% to 60%. More accurate and sensitive methods are urgently needed to support the quality assurance of the RT-qPCR or as an alternative diagnostic approach. A reverse transcription digital PCR (RT-dPCR) method was established and evaluated. To explore the feasibility of RT-dPCR in diagnostic of SARS-CoV-2, a total of 196 clinical pharyngeal swab samples from 103 suspected patients, 77 close contacts and 16 supposed convalescents were analyzed by RT-qPCR and then measured by the proposed RT-dPCR. For the 103 fever suspected patients, 19 (19/25) negative and 42 (42/49) equivocal tested by RT-qPCR were positive according to RT-dPCR. The sensitivity of SARS-CoV-2 detection was significantly improved from 28.2% by RT-qPCR to 87.4% by RT-dPCR. For 29 close contacts (confirmed by additional sample and clinical follow up), 16 (16/17) equivocal and 1 negative tested by RT-qPCR were positive according to RT-dPCR, which is implying that the RT-qPCR is missing a lot of asymptomatic patients. The overall sensitivity, specificity and diagnostic accuracy of RT-dPCR were 91%, 100% and 93%, respectively. RT-dPCR is highly accurate method and suitable for detection of pharyngeal swab samples from COVID-19 suspected patients and patients under isolation and observation who may not be exhibiting clinical symptoms.
  • |COVID-19 Nucleic Acid Testing/*methods[MESH]
  • |COVID-19/*diagnosis[MESH]
  • |Coronavirus Envelope Proteins/genetics[MESH]
  • |Coronavirus Nucleocapsid Proteins/genetics[MESH]
  • |Humans[MESH]
  • |Pharynx/virology[MESH]
  • |Phosphoproteins/genetics[MESH]
  • |Polyproteins/genetics[MESH]
  • |RNA, Viral/*analysis[MESH]
  • |Reverse Transcriptase Polymerase Chain Reaction/*methods[MESH]
  • |SARS-CoV-2/*genetics[MESH]


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