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10.1002/jmv.27054

http://scihub22266oqcxt.onion/10.1002/jmv.27054
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33930195!8242460!33930195
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suck abstract from ncbi


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pmid33930195      J+Med+Virol 2021 ; 93 (9): 5396-5404
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  • Optimal uses of pooled testing for COVID-19 incorporating imperfect test performance and pool dilution effect: An application to congregate settings in Los Angeles County #MMPMID33930195
  • Nianogo RA; Emeruwa IO; Gounder P; Manuel V; Anderson NW; Kuo T; Inkelas M; Arah OA
  • J Med Virol 2021[Sep]; 93 (9): 5396-5404 PMID33930195show ga
  • INTRODUCTION: Pooled testing is a potentially efficient alternative strategy for COVID-19 testing in congregate settings. We evaluated the utility and cost-savings of pooled testing based on imperfect test performance and potential dilution effect due to pooling and created a practical calculator for online use. METHODS: We developed a 2-stage pooled testing model accounting for dilution. The model was applied to hypothetical scenarios of 100 specimens collected during a one-week time-horizon cycle for varying levels of COVID-19 prevalence and test sensitivity and specificity, and to 338 skilled nursing facilities (SNFs) in Los Angeles County (Los Angeles) (data collected and analyzed in 2020). RESULTS: Optimal pool sizes ranged from 1 to 12 in instances where there is a least one case in the batch of specimens. 40% of Los Angeles SNFs had more than one case triggering a response-testing strategy. The median number (minimum; maximum) of tests performed per facility were 56 (14; 356) for a pool size of 4, 64 (13; 429) for a pool size of 10, and 52 (11; 352) for an optimal pool size strategy among response-testing facilities. The median costs of tests in response-testing facilities were $8250 ($1100; $46,100), $6000 ($1340; $37,700), $6820 ($1260; $43,540), and $5960 ($1100; $37,380) when adopting individual testing, a pooled testing strategy using pool sizes of 4, 10, and optimal pool size, respectively. CONCLUSIONS: Pooled testing is an efficient strategy for congregate settings with a low prevalence of COVID-19. Dilution as a result of pooling can lead to erroneous false-negative results.
  • |*Models, Statistical[MESH]
  • |COVID-19 Nucleic Acid Testing/economics/*methods[MESH]
  • |COVID-19/*diagnosis/economics/*epidemiology/virology[MESH]
  • |California/epidemiology[MESH]
  • |False Negative Reactions[MESH]
  • |Humans[MESH]
  • |Nasopharynx/virology[MESH]
  • |Prevalence[MESH]
  • |RNA, Viral/*genetics[MESH]
  • |SARS-CoV-2/*genetics[MESH]
  • |Sensitivity and Specificity[MESH]
  • |Skilled Nursing Facilities[MESH]


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