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10.3390/microorganisms9030642

http://scihub22266oqcxt.onion/10.3390/microorganisms9030642
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suck abstract from ncbi


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pmid33808815      Microorganisms 2021 ; 9 (3): ä
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  • High Efficacy of Saliva in Detecting SARS-CoV-2 by RT-PCR in Adults and Children #MMPMID33808815
  • Huber M; Schreiber PW; Scheier T; Audige A; Buonomano R; Rudiger A; Braun DL; Eich G; Keller DI; Hasse B; Boni J; Berger C; Gunthard HF; Manrique A; Trkola A
  • Microorganisms 2021[Mar]; 9 (3): ä PMID33808815show ga
  • Rising demands for repetitive SARS-CoV-2 screens and mass testing necessitate additional test strategies. Saliva may serve as an alternative to nasopharyngeal swab (NPS) as its collection is simple, non-invasive and amenable for mass- and home testing, but its rigorous validation, particularly in children, is missing. We conducted a large-scale head-to-head comparison of SARS-CoV-2 detection by RT-PCR in saliva and NPS of 1270 adults and children reporting to outpatient test centers and an emergency unit. In total, 273 individuals were tested positive for SARS-CoV-2 in either NPS or saliva. SARS-CoV-2 RT-PCR results in the two specimens showed a high agreement (overall percent agreement = 97.8%). Despite lower viral loads in the saliva of both adults and children, detection of SARS-CoV-2 in saliva fared well compared to NPS (positive percent agreement = 92.5%). Importantly, in children, SARS-CoV-2 infections were more often detected in saliva than NPS (positive predictive value = 84.8%), underlining that NPS sampling in children can be challenging. The comprehensive parallel analysis reported here establishes saliva as a generally reliable specimen for the detection of SARS-CoV-2, with particular advantages for testing children, that is readily applicable to increase and facilitate repetitive and mass testing in adults and children.
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