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suck abstract from ncbi


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pmid33832565      Dan+Med+J 2021 ; 68 (5): ä
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  • SARS-CoV-2 in saliva, oropharyngeal and nasopharyngeal specimens #MMPMID33832565
  • Todsen T; Tolsgaard M; Folke F; Jakobsen KK; Ersboll AK; Benfield T; von Buchwald C; Kirkby N
  • Dan Med J 2021[Apr]; 68 (5): ä PMID33832565show ga
  • INTRODUCTION: The reference test to evaluate patients with suspected respiratory virus infection is a real-time reverse transcription-polymerase chain reaction (RT-PCR) from a nasopharyngeal swab (NPS). However, other specimen collection methods such as an oropharyngeal swab (OPS) or saliva specimen are also used for SARS-CoV-2 testing during the ongoing COVID-19 pandemic. However, it remains unclear if rates of SARS-CoV-2 detection differ between sampling methods. This study will compare the rates of SARS-CoV-2 detection by saliva, OPS, and NPS sampling in a public setting. METHODS: Individuals referred for outpatient SARS-CoV-2 testing will be invited to participate in a prospective clinical study. They will have saliva, OPS and NPS specimens collected that will be analysed separately for SARS-CoV-2 RNA by RT-PCR. The rate of SARS-CoV-2 detection in saliva, OPS and NPS will be compared using a logistic regression mixed-effect model analysis. A sample of 19,110 participants is required at an expected 1.5% test-positive rate in order to detect a 25.6% difference. The total sample size will be adjusted as the test-positive rate changes. CONCLUSIONS: This study will provide evidence for the optimal site of specimen collection to detect SARS-CoV-2. The results may help guide the health authorities. FUNDING: This is an investigator-initiated trial based on an unrestricted grant from the Novo Nordisk Foundation and the Aage og Johanne Louis-Hansens Fond. The foundations have had no say in the decisions on study design or reporting. TRIAL REGISTRATION: ClinicalTrials.gov (ID: NCT04715607).
  • |COVID-19 Nucleic Acid Testing[MESH]
  • |COVID-19/*diagnosis[MESH]
  • |Humans[MESH]
  • |Logistic Models[MESH]
  • |Nasopharynx/*virology[MESH]
  • |Oropharynx/*virology[MESH]
  • |Reverse Transcriptase Polymerase Chain Reaction[MESH]
  • |SARS-CoV-2/*isolation & purification[MESH]
  • |Saliva/*virology[MESH]


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