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10.1016/j.ijid.2021.04.048

http://scihub22266oqcxt.onion/10.1016/j.ijid.2021.04.048
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33878460!8053214!33878460
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suck abstract from ncbi


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pmid33878460      Int+J+Infect+Dis 2021 ; 108 (ä): 187-189
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  • Comparative analysis of antigen and molecular tests for the detection of Sars-CoV-2 and related variants: A study on 4266 samples #MMPMID33878460
  • Caputo V; Bax C; Colantoni L; Peconi C; Termine A; Fabrizio C; Calvino G; Luzzi L; Panunzi GG; Fusco C; Strafella C; Cascella R; Battistini L; Caltagirone C; Salvia A; Sancesario G; Giardina E
  • Int J Infect Dis 2021[Jul]; 108 (ä): 187-189 PMID33878460show ga
  • OBJECTIVES: The present study compared the performance of the Lumipulse G Sars-CoV-2 Ag kit with the TaqPath COVID-19 RT-PCR CE IVD kit. METHODS: The study was conducted on 4266 naso-oropharyngeal swabs. Samples were subjected to antigen RT-PCR tests for the detection of Sars-CoV-2 and related variants. Statistical analyses were conducted in R software. RESULTS: We found 503 positives (including 138 H69-V70 deletion carriers) and 3763 negatives by RT-PCR, whereas 538 positives and 3728 negatives were obtained by antigen testing. We achieved empirical and binormal AU-ROCs of 0.920 and 0.990, accuracy of 0.960, sensitivity of 0.866, specificity of 0.973, positive and negative predictive values of 0.810 and 0.980. We obtained a positive correlation between viral loads and antigen levels (R(2) = 0.81), finding a complete concordance for high viral loads (log(10) copies/mL > 5.4). Antigen levels > 222 pg/mL were found to be reliable in assigning positive samples (p < 0.01). Concerning variant carriers, antigen test detected them with the same accuracy as other positive samples. CONCLUSIONS: Molecular and antigen tests should be evaluated regarding the prevalence of the area. In case of low prevalence, antigen testing can be employed as a first-line screening for the timely identification of affected individuals with high viral load, also if carriers of Sars-CoV-2 variants.
  • |*COVID-19[MESH]
  • |*SARS-CoV-2[MESH]
  • |Humans[MESH]
  • |Sensitivity and Specificity[MESH]


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