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10.1016/j.cca.2021.02.014

http://scihub22266oqcxt.onion/10.1016/j.cca.2021.02.014
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33626369!7897404!33626369
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suck abstract from ncbi


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pmid33626369      Clin+Chim+Acta 2021 ; 517 (ä): 54-59
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  • Salivary SARS-CoV-2 antigen rapid detection: A prospective cohort study #MMPMID33626369
  • Basso D; Aita A; Padoan A; Cosma C; Navaglia F; Moz S; Contran N; Zambon CF; Maria Cattelan A; Plebani M
  • Clin Chim Acta 2021[Jun]; 517 (ä): 54-59 PMID33626369show ga
  • BACKGROUND AND AIM: SARS-CoV-2 quick testing is relevant for the containment of new pandemic waves. Antigen testing in self-collected saliva might be useful. We compared salivary and naso-pharyngeal swab (NPS) SARS-CoV-2 antigen detection by a rapid chemiluminescent assay (CLEIA) and two different point-of-care (POC) immunochromatographic assays, with results of molecular testing. METHODS: 234 patients were prospectively enrolled. Paired self-collected saliva (Salivette) and NPS were obtained to perform rRT-PCR, chemiluminescent (Lumipulse G) and POC (NPS: Fujirebio and Abbott; saliva: Fujirebio) for SARS-CoV-2 antigen detection. RESULTS: The overall agreement between NPS and saliva rRT-PCR was 78.7%, reaching 91.7% at the first week from symptoms. SARS-CoV-2 CLEIA antigen was highly accurate in distinguishing positive and negative NPS (ROC-AUC = 0.939, 95%CI:0.903-0.977), with 81.6% sensitivity and 93.8% specificity. This assay on saliva reached the optimal value within 7 days from symptoms onset (Sensitivity: 72%; Specificity: 97%). Saliva POC antigen was limited in sensitivity (13%), performing better in NPS (Sensitivity: 48% and 66%; Specificity: 100% and 99% for Espline and Abbott respectively), depending on viral loads. CONCLUSIONS: Self-collected saliva is a valid alternative to NPS for SARS-CoV-2 detection by molecular, but also by CLEIA antigen testing, which is therefore potentially useful for large scale screening.
  • |Antigens, Viral/*analysis[MESH]
  • |COVID-19/*diagnosis[MESH]
  • |Humans[MESH]
  • |Luminescent Measurements[MESH]
  • |Nasopharynx/virology[MESH]
  • |Pandemics[MESH]
  • |Point-of-Care Testing[MESH]
  • |Prospective Studies[MESH]
  • |SARS-CoV-2[MESH]
  • |Saliva/*chemistry[MESH]


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