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10.1183/23120541.00139-2021

http://scihub22266oqcxt.onion/10.1183/23120541.00139-2021
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34235208!8255539!34235208
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suck abstract from ncbi


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pmid34235208      ERJ+Open+Res 2021 ; 7 (3): ä
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  • Diagnosis of COVID-19 by exhaled breath analysis using gas chromatography-mass spectrometry #MMPMID34235208
  • Ibrahim W; Cordell RL; Wilde MJ; Richardson M; Carr L; Sundari Devi Dasi A; Hargadon B; Free RC; Monks PS; Brightling CE; Greening NJ; Siddiqui S
  • ERJ Open Res 2021[Jul]; 7 (3): ä PMID34235208show ga
  • BACKGROUND: The ongoing coronavirus disease 2019 (COVID-19) pandemic has claimed over two and a half million lives worldwide so far. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is perceived to be seasonally recurrent, and a rapid noninvasive biomarker to accurately diagnose patients early on in their disease course will be necessary to meet the operational demands for COVID-19 control in the coming years. OBJECTIVE: The aim of this study was to evaluate the role of exhaled breath volatile biomarkers in identifying patients with suspected or confirmed COVID-19 infection, based on their underlying PCR status and clinical probability. METHODS: A prospective, real-world, observational study was carried out, recruiting adult patients with suspected or confirmed COVID-19 infection. Breath samples were collected using a standard breath collection bag, modified with appropriate filters to comply with local infection control recommendations, and samples were analysed using gas chromatography-mass spectrometry (TD-GC-MS). RESULTS: 81 patients were recruited between April 29 and July 10, 2020, of whom 52 out of 81 (64%) tested positive for COVID-19 by reverse transcription-polymerase chain reaction (RT-PCR). A regression analysis identified a set of seven exhaled breath features (benzaldehyde, 1-propanol, 3,6-methylundecane, camphene, beta-cubebene, iodobenzene and an unidentified compound) that separated PCR-positive patients with an area under the curve (AUC): 0.836, sensitivity: 68%, specificity: 85%. CONCLUSIONS: GC-MS-detected exhaled breath biomarkers were able to identify PCR-positive COVID-19 patients. External replication of these compounds is warranted to validate these results.
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