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10.1371/journal.pone.0250886

http://scihub22266oqcxt.onion/10.1371/journal.pone.0250886
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33983971!8118553!33983971
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suck abstract from ncbi


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pmid33983971      PLoS+One 2021 ; 16 (5): e0250886
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  • Evaluation of the test accuracy of a SARS-CoV-2 rapid antigen test in symptomatic community dwelling individuals in the Netherlands #MMPMID33983971
  • Van der Moeren N; Zwart VF; Lodder EB; Van den Bijllaardt W; Van Esch HRJM; Stohr JJJM; Pot J; Welschen I; Van Mechelen PMF; Pas SD; Kluytmans JAJW
  • PLoS One 2021[]; 16 (5): e0250886 PMID33983971show ga
  • BACKGROUND: SARS-CoV-2 real-time reverse transcriptase polymerase chain reaction (qRT-PCR) is well suited for the diagnosis of clinically ill patients requiring treatment. Application for community testing of symptomatic individuals for disease control purposes however raises challenges. SARS-CoV-2 rapid antigen tests might offer an alternative, but quality evidence on their performance is limited. METHODS: We conducted an evaluation of the test accuracy of the 'BD Veritor System for Rapid Detection of SARS-CoV-2' (VRD) compared to qRT-PCR on combined nose/throat swabs obtained from symptomatic individuals at Municipal Health Service (MHS) COVID-19 test centers in the Netherlands. In part one of the study, with the primary objective to evaluate test sensitivity and specificity, all adults presenting at one MHS test center were eligible for inclusion. In part two, with the objective to evaluate test sensitivity stratified by Ct (cycle threshold)-value and time since symptom onset, adults who had a positive qRT-PCR obtained at a MHS test center were eligible. FINDINGS: In part one (n = 352) SARS-CoV-2 prevalence was 4.8%, overall specificity 100% (95%CI: 98.9%-100%) and sensitivity 94.1% (95%CI: 71.1%-100%). In part two (n = 123) the sensitivity was 78.9% (95%CI: 70.6%-85.7%) overall, 89.4% (95% CI: 79.4%-95.6%) for specimen obtained within seven days after symptom onset and 93% (95% CI: 86%-97.1%) for specimen with a Ct-value below 30. INTERPRETATION: The VRD is a promising diagnostic for COVID-19 testing of symptomatic community-dwelling individuals within seven days after symptom onset in context of disease control. Further research on practical applicability and the optimal position within the testing landscape is needed.
  • |COVID-19 Serological Testing/economics/*methods[MESH]
  • |COVID-19/*diagnosis/epidemiology[MESH]
  • |Humans[MESH]
  • |Independent Living[MESH]
  • |Netherlands/epidemiology[MESH]
  • |Prospective Studies[MESH]
  • |SARS-CoV-2/*isolation & purification[MESH]
  • |Sensitivity and Specificity[MESH]


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