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10.3390/v13050801

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33947014!8146783!33947014
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suck abstract from ncbi


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pmid33947014      Viruses 2021 ; 13 (5): ä
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  • Fast Detection of SARS-CoV-2 RNA Directly from Respiratory Samples Using a Loop-Mediated Isothermal Amplification (LAMP) Test #MMPMID33947014
  • Anastasiou OE; Holtkamp C; Schafer M; Schon F; Eis-Hubinger AM; Krumbholz A
  • Viruses 2021[Apr]; 13 (5): ä PMID33947014show ga
  • The availability of simple SARS-CoV-2 detection methods is crucial to contain the COVID-19 pandemic. This study examined whether a commercial LAMP assay can reliably detect SARS-CoV-2 genomes directly in respiratory samples without having to extract nucleic acids (NA) beforehand. Nasopharyngeal swabs (NPS, n = 220) were tested by real-time reverse transcription (RT)-PCR and with the LAMP assay. For RT-PCR, NA were investigated. For LAMP, NA from 26 NPS in viral transport medium (VTM) were tested. The other 194 NPS were analyzed directly without prior NA extraction (140 samples in VTM; 54 dry swab samples stirred in phosphate buffered saline). Ten NPS were tested directly by LAMP using a sous-vide cooking unit. The isothermal assay demonstrated excellent specificity (100%) but moderate sensitivity (68.8%), with a positive predictive value of 1 and a negative predictive value of 0.65 for direct testing of NPS in VTM. The use of dry swabs, even without NA extraction, improved the analytical sensitivity; up to 6% of samples showed signs of inhibition. LAMP could be performed successfully with a sous-vide cooking unit. This technique is very fast, requires little laboratory resources, and can replace rapid antigen tests or verify reactive rapid tests on-site.
  • |COVID-19 Nucleic Acid Testing/*methods[MESH]
  • |COVID-19/*diagnosis[MESH]
  • |DNA, Viral/*analysis[MESH]
  • |Humans[MESH]
  • |Molecular Diagnostic Techniques/*methods[MESH]
  • |Nasopharynx/*virology[MESH]
  • |Nucleic Acid Amplification Techniques/*methods[MESH]
  • |SARS-CoV-2/*isolation & purification[MESH]
  • |Sensitivity and Specificity[MESH]


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