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10.1093/ajcp/aqaa273

http://scihub22266oqcxt.onion/10.1093/ajcp/aqaa273
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33399200!7929460!33399200
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suck abstract from ncbi


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pmid33399200      Am+J+Clin+Pathol 2021 ; 155 (4): 522-526
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  • Asymptomatic Patient Testing After 10:1 Pooling Using the Xpert Xpress SARS-CoV-2 Assay #MMPMID33399200
  • Procop GW; Tuohy M; Ramsey C; Rhoads DD; Rubin BP; Figler R
  • Am J Clin Pathol 2021[Mar]; 155 (4): 522-526 PMID33399200show ga
  • OBJECTIVES: Pool testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) preserves testing resources at the risk of missing specimens through specimen dilution. METHODS: To determine whether SARS-CoV-2 specimens would be missed after 10:1 pooling, we identified 10 specimens with midrange (ie, 25-34 cycles) and 10 with late (ie, >34-45 cycles) crossing threshold (Ct) values and tested these both neat and after 10:1 pooling. Final test results and Ct changes were compared. RESULTS: Overall, 17 of 20 specimens that contained SARS-CoV-2 were detected after 10:1 pooling with the Xpert Xpress SARS-CoV-2 Assay (Cepheid), rendering an 85% positive percentage of agreement. All 10 of 10 specimens with an undiluted Ct in the mid-Ct range were detected after 10:1 pooling, in contrast to 7 of 10 with an undiluted Ct in the late-Ct range. The overall Ct difference between the neat testing and the 10:1 pool was 2.9 cycles for the N2 gene target and 3 cycles for the E gene target. The N2 gene reaction was more sensitive than the E gene reaction, detecting 16 of 20 positive specimens after 10:1 pooling compared with 9 of 20 specimens. CONCLUSIONS: An 85% positive percentage of agreement was achieved, with only specimens with low viral loads being missed following 10:1 pooling. The average impact on both reverse transcription polymerase chain reactions within this assay was about 3 cycles.
  • |*Asymptomatic Infections[MESH]
  • |COVID-19 Nucleic Acid Testing/*methods[MESH]
  • |COVID-19/*diagnosis/virology[MESH]
  • |False Negative Reactions[MESH]
  • |Feasibility Studies[MESH]
  • |Humans[MESH]
  • |Reverse Transcriptase Polymerase Chain Reaction[MESH]
  • |Sensitivity and Specificity[MESH]
  • |Specimen Handling/*methods[MESH]


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