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10.1371/journal.pone.0253941

http://scihub22266oqcxt.onion/10.1371/journal.pone.0253941
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34242243!8270193!34242243
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suck abstract from ncbi


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pmid34242243      PLoS+One 2021 ; 16 (7): e0253941
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  • Characteristics of SARS-CoV-2 testing for rapid diagnosis of COVID-19 during the initial stages of a global pandemic #MMPMID34242243
  • Guthrie JL; Chen AJ; Budhram DR; Cronin K; Peci A; Nelson P; Mallo GV; Broukhanski G; Murti M; Majury A; Mazzulli T; Allen VG; Patel SN; Kus JV; Tran V; Gubbay JB
  • PLoS One 2021[]; 16 (7): e0253941 PMID34242243show ga
  • Accurate SARS-CoV-2 diagnosis is essential to guide prevention and control of COVID-19. Here we examine SARS-CoV-2 molecular-based test performance characteristics and summarize case-level data related to COVID-19 diagnosis. From January 11 through April 22, 2020, Public Health Ontario conducted SARS-CoV-2 testing of 86,942 specimens collected from 80,354 individuals, primarily using real-time reverse-transcription polymerase chain reaction (rRT-PCR) methods. We analyzed test results across specimen types and for individuals with multiple same-day and multi-day collected specimens. Nasopharyngeal compared to throat swabs had a higher positivity (8.8% vs. 4.8%) and an adjusted estimate 2.9 Ct lower (SE = 0.5, p<0.001). Same-day specimens showed high concordance (98.8%), and the median Ct of multi-day specimens increased over time. Symptomatic cases had rRT-PCR results with an adjusted estimate 3.0 Ct (SE = 0.5, p<0.001) lower than asymptomatic/pre-symptomatic cases. Overall test sensitivity was 84.6%, with a negative predictive value of 95.5%. Molecular testing is the mainstay of SARS-CoV-2 diagnosis and testing protocols will continue to be dynamic and iteratively modified as more is learned about this emerging pathogen.
  • |*COVID-19 Nucleic Acid Testing[MESH]
  • |*COVID-19/diagnosis/epidemiology/genetics[MESH]
  • |*Pandemics[MESH]
  • |*Reverse Transcriptase Polymerase Chain Reaction[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Infant[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Ontario/epidemiology[MESH]


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