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10.1016/j.diagmicrobio.2021.115392

http://scihub22266oqcxt.onion/10.1016/j.diagmicrobio.2021.115392
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suck abstract from ncbi


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pmid34161880      Diagn+Microbiol+Infect+Dis 2021 ; 101 (2): 115392
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  • Test, trace, isolate: evidence for declining SARS-CoV-2 PCR sensitivity in a clinical cohort #MMPMID34161880
  • Bergmans BJM; Reusken CBEM; van Oudheusden AJG; Godeke GJ; Bonacic Marinovic AA; de Vries E; Kluiters-de Hingh YCM; Vingerhoets R; Berrevoets MAH; Verweij JJ; Nieman AE; Reimerink J; Murk JL; Swart A
  • Diagn Microbiol Infect Dis 2021[Oct]; 101 (2): 115392 PMID34161880show ga
  • Real-time reverse transcription-polymerase chain reaction (RT-PCR) on upper respiratory tract (URT) samples is the primary method to diagnose SARS-CoV-2 infections and guide public health measures, with a supportive role for serology. We reinforce previous findings on limited sensitivity of PCR testing, and solidify this fact by statistically utilizing a firm basis of multiple tests per individual. We integrate stratifications with respect to several patient characteristics such as severity of disease and time since onset of symptoms. Bayesian statistical modelling was used to retrospectively determine the sensitivity of RT-PCR using SARS-CoV-2 serology in 644 COVID-19-suspected patients with varying degrees of disease severity and duration. The sensitivity of RT-PCR ranged between 80% - 95%; increasing with disease severity, it decreased rapidly over time in mild COVID-19 cases. Negative URT RT-PCR results should be interpreted in the context of clinical characteristics, especially with regard to containment of viral transmission based on 'test, trace and isolate'. Keywords: SARS-CoV-2, RT-PCR, serology, sensitivity, public health.
  • |*COVID-19 Nucleic Acid Testing[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Bayes Theorem[MESH]
  • |COVID-19 Serological Testing[MESH]
  • |COVID-19/*diagnosis/prevention & control/transmission[MESH]
  • |Contact Tracing[MESH]
  • |False Negative Reactions[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Netherlands/epidemiology[MESH]
  • |Quarantine[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2/genetics/immunology/*isolation & purification[MESH]
  • |Sensitivity and Specificity[MESH]


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