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10.1097/INF.0000000000003198

http://scihub22266oqcxt.onion/10.1097/INF.0000000000003198
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34250969!ä!34250969

suck abstract from ncbi


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pmid34250969      Pediatr+Infect+Dis+J 2021 ; 40 (8): e300-e304
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  • Performance of RT-PCR on Saliva Specimens Compared With Nasopharyngeal Swabs for the Detection of SARS-CoV-2 in Children: A Prospective Comparative Clinical Trial #MMPMID34250969
  • Fougere Y; Schwob JM; Miauton A; Hoegger F; Opota O; Jaton K; Brouillet R; Greub G; Genton B; Gehri M; Taddeo I; D'Acremont V; Asner SA
  • Pediatr Infect Dis J 2021[Aug]; 40 (8): e300-e304 PMID34250969show ga
  • BACKGROUND: Saliva reverse transcriptase-Polymerase chain reaction (RT-PCR) is an attractive alternative for the detection of severe acute respiratory syndrome coronavirus 2 in adults with less known in children. METHODS: Children with coronavirus disease 2019 symptoms were prospectively enrolled in a 1-month comparative clinical trial of saliva and nasopharyngeal (NP) RT-PCR. Detection rates and sensitivities of saliva and NP RT-PCR were compared as well as discordant NP and saliva RT-PCR findings including viral loads (VLs). RESULTS: Of 405 patients enrolled, 397 patients had 2 tests performed. Mean age was 12.7 years (range, 1.2-17.9). Sensitivity of saliva was 85.2% (95% confidence interval: 78.2%-92.1%) when using NP as the standard; sensitivity of NP was 94.5% (89.8%-99.2%) when saliva was considered as the standard. For a NP RT-PCR VL threshold of >/=103 and >/=104 copies/mL, sensitivity of saliva increases to 88.7% and 95.2%, respectively. Sensitivity of saliva and NP swabs was, respectively, 89.5% and 95.3% in patient with symptoms less than 4 days (P = 0.249) and 70.0% and 95.0% in those with symptoms >/=4-7 days (P = 0.096). The 15 patients who had an isolated positive NP RT-PCR were younger (P = 0.034), had lower NP VL (median 5.6 x 103 vs. 3.9 x 107, P < 0.001), and could not drool saliva at the end of the sampling (P = 0.002). VLs were lower with saliva than with NP RT-PCR (median 8.7 cp/mL x 104; interquartile range 1.2 x 104-5.2 x 105; vs. median 4.0 x 107 cp/mL; interquartile range, 8.6 x 105-1 x 108; P < 0.001). CONCLUSIONS: While RT-PCR testing on saliva performed more poorly in younger children and likely after longer duration of symptoms, saliva remains an attractive alternative to NP swabs in children.
  • |*COVID-19 Testing[MESH]
  • |*Reverse Transcriptase Polymerase Chain Reaction[MESH]
  • |COVID-19/*diagnosis/*virology[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Diagnostic Tests, Routine[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Infant[MESH]
  • |Infant, Newborn[MESH]
  • |Male[MESH]
  • |Nasopharynx/*virology[MESH]
  • |Prospective Studies[MESH]
  • |SARS-CoV-2/genetics/*isolation & purification[MESH]
  • |Saliva/*virology[MESH]
  • |Sensitivity and Specificity[MESH]
  • |Specimen Handling[MESH]


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