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10.1093/ajcp/aqab033

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33899091!8130881!33899091
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suck abstract from ncbi


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pmid33899091      Am+J+Clin+Pathol 2021 ; 155 (6): 773-775
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  • Unexpected False-Positive Rates in Pediatric SARS-CoV-2 Serology Using the EUROIMMUN Anti-SARS-CoV-2 ELISA IgG Assay #MMPMID33899091
  • Geisler D; Freeman MC; Rapsinski GJ; Wheeler SE
  • Am J Clin Pathol 2021[May]; 155 (6): 773-775 PMID33899091show ga
  • OBJECTIVES: Serologic assay performance studies for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-?2) in pediatric populations are lacking, and few seroprevalence studies have routinely incorporated orthogonal testing to improve accuracy. METHODS: Remnant serum samples for routine bloodwork from 2,338 pediatric patients at UPMC Children's Hospital of Pittsburgh were assessed using the EUROIMMUN Anti-SARS-CoV-2 ELISA IgG (EuroIGG) assay. Reactive cases with sufficient volume were also tested using 3 additional commercial assays. RESULTS: Eighty-five specimens were reactive according to the EuroIGG, yielding 3.64% (95% confidence interval [CI], 2.91%-4.48%) seropositivity, of which 73 specimens had sufficient remaining volume for confirmation by orthogonal testing. Overall, 19.18% (95% CI, 10.18%-28.18%) of samples were positive on a second and/or third orthogonal assay. This 80.82% false positivity rate is disproportionate to the expected false positivity rate of 50% given our pediatric population prevalence and assay performance. CONCLUSIONS: In pediatric populations, false-positive SARS-CoV-2 serology may be more common than assay and prevalence parameters would predict, and further studies are needed to establish the performance of SARS-CoV-2 serology in children.
  • |*COVID-19 Testing/methods[MESH]
  • |*Sensitivity and Specificity[MESH]
  • |*Seroepidemiologic Studies[MESH]
  • |Antibodies, Viral/blood[MESH]
  • |COVID-19/*diagnosis[MESH]
  • |Child[MESH]
  • |Enzyme-Linked Immunosorbent Assay/methods[MESH]
  • |Humans[MESH]
  • |Immunoglobulin A/analysis[MESH]
  • |Male[MESH]


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