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10.1016/j.jcv.2021.104895

http://scihub22266oqcxt.onion/10.1016/j.jcv.2021.104895
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suck abstract from ncbi


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pmid34246075      J+Clin+Virol 2021 ; 141 (ä): 104895
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  • High-sensitivity SARS-CoV-2 group testing by digital PCR among symptomatic patients in hospital settings #MMPMID34246075
  • Martin A; Storto A; Le Hingrat Q; Collin G; Andre B; Mallory A; Dangla R; Descamps D; Visseaux B; Gossner O
  • J Clin Virol 2021[Aug]; 141 (ä): 104895 PMID34246075show ga
  • BACKGROUND: Worldwide demand for SARS-CoV-2 RT-PCR testing is still high as testing remains central to follow the disease spread and vaccine efficacy. Group testing has been proposed as a solution to expand testing capabilities but sensitivity concerns may limit its impact on the management of the pandemic. Digital PCR (RT-dPCR) has been shown to be highly sensitive and could help by providing larger testing capabilities without compromising sensitivity. METHODS: We implemented RT-dPCR based COVID-19 group testing on a commercially available system and assay (naica(R) system from Stilla Technologies) and investigated the sensitivity of the method in real life conditions of a university hospital in Paris, France, in May 2020. We tested the protocol in a direct comparison with reference RT-PCR testing on 448 samples split into groups of 8, 16 and 32 samples for RT-dPCR analysis. RESULTS: Individual RT-PCR testing identified 25/448 positive samples. Using 56 groups of 8, RT-dPCR identified 23 groups as positive, corresponding to 26 positive samples by individual PCR (positive percentage agreement 95.2% [95% confidence interval: 76.2-99.9%]) and including 2 samples not detected by individual RT-PCR but confirmed positive by further investigation. 15 of 28 groups of 16 tested positive, corresponding to 25 positive samples by individual PCR (positive percentage agreement 87.5% [95% confidence interval: 61.7-98.4%]). 14 groups of 32 were fully concordant with individual PCR testing but will need to be confirmed on larger datasets. CONCLUSIONS: Our proposed approach of group testing by digital PCR has similar diagnostic sensitivity compared to individual RT-PCR testing for group up to 16 samples. This approach reduces the quantity of reagent needed by up to 80% while reducing costs and increasing capabilities of testing up to 10-fold.
  • |*COVID-19[MESH]
  • |*SARS-CoV-2[MESH]
  • |Hospitals[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]
  • |Polymerase Chain Reaction[MESH]


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