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10.4317/medoral.24424

http://scihub22266oqcxt.onion/10.4317/medoral.24424
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33609022!8254882!33609022
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suck abstract from ncbi


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pmid33609022      Med+Oral+Patol+Oral+Cir+Bucal 2021 ; 26 (4): e526-e532
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  • Evaluation of saliva as a complementary technique to the diagnosis of COVID-19: a systematic review #MMPMID33609022
  • Sagredo-Olivares K; Morales-Gomez C; Aitken-Saavedra J
  • Med Oral Patol Oral Cir Bucal 2021[Jul]; 26 (4): e526-e532 PMID33609022show ga
  • BACKGROUND: Infectious disease coronavirus 2019 (COVID-19) is caused by the SARS-CoV-2 virus, and it mainly affects the upper respiratory tract. The gold standard for its diagnosis is real-time reverse transcription polymerase chain reaction (RT-qPCR) performed on a nasopharyngeal swab. In contrast, testing saliva has significant advantages as a diagnostic method. MATERIAL AND METHODS: We searched for articles evaluating saliva as a diagnostic method for COVID-19 on the PUBMED/MEDLINE, WEB OF SCIENCE, COCHRANE, and SCIELO platforms. We initially found 233 articles and 20 were selected for inclusion following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol: 18 cross-sectional studies and 2 case reports, including 8 from America, 8 from Asia, and 4 from Europe. The studies evaluated the presence of viral RNA, IgG, IgM, and IgA in samples of unstimulated saliva from adults with confirmed or suspected COVID-19. The vast majority of the studies performed RT-qPCR on the saliva samples and compared the results with the gold standard (a nasopharyngeal swab of the same patient). RESULTS: Saliva samples analyzed by RT-qPCR, reverse transcription isothermal amplification (RT-LAMP), spectroscopy, and enzyme-linked immunosorbent assay (ELISA) offer high sensitivity to detect SARS-CoV-2 in the early stages of the disease and among asymptomatic patients as compared to nasopharyngeal swab RT-qPCR. In addition, the self-collection of saliva offers the possibility of receiving telemedicine instructions to carry out the test, reducing the risk of contagion. CONCLUSIONS: The diagnosis of COVID-19 through saliva is sensitive, non-invasive, and is of low risk for the healthcare professionals. However, further studies are recommended to validate its clinical use.
  • |*COVID-19[MESH]
  • |*Saliva[MESH]
  • |Adult[MESH]
  • |Asia[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Europe[MESH]
  • |Humans[MESH]
  • |Molecular Diagnostic Techniques[MESH]
  • |Nucleic Acid Amplification Techniques[MESH]
  • |SARS-CoV-2[MESH]


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