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10.1002/jmv.27245

http://scihub22266oqcxt.onion/10.1002/jmv.27245
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34324212!8426914!34324212
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suck abstract from ncbi


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pmid34324212      J+Med+Virol 2021 ; 93 (12): 6837-6840
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  • Comparison of SARS-CoV-2 detection with the Cobas(R) 6800/8800 system on gargle samples using two sample processing methods with combined oropharyngeal/nasopharyngeal swab #MMPMID34324212
  • Benoit P; Labbe AC; Lalancette L; Gagnon S; Bonneau E; Lavallee C; Roger M; Fafard J; Dumaresq J; Beauchemin S; Coutlee F
  • J Med Virol 2021[Dec]; 93 (12): 6837-6840 PMID34324212show ga
  • BACKGROUND: Gargle samples have been proposed as a noninvasive method for detection of SARS-CoV-2 RNA. The clinical performance of gargle specimens diluted in Cobas(R) PCR Media and in Cobas(R) Omni Lysis Reagent was compared to oropharyngeal/nasopharyngeal swab (ONPS) for the detection of SARS-CoV-2 RNA. STUDY DESIGN: Participants were recruited prospectively in two COVID-19 screening clinics. In addition to the ONPS, participants gargled with 5 ml of natural spring water split in the laboratory as follows: 1 ml was added to 4.3 ml of polymerase chain reaction (PCR) media and 400 mul was added to 200 mul of lysis buffer. Testing was performed with the Cobas(R) SARS-CoV-2 test on the Cobas(R) 6800 or 8800 platforms. RESULTS: Overall, 134/647 (20.7%) participants were considered infected because the ONPS or at least one gargle test was positive. ONPS had, respectively, a sensitivity of 96.3% (95% confidence interval [CI]: 91.3-98.5); both gargle processing methods were slightly less but equally sensitive (90.3% [95% CI: 83.9-94.3]). When ONPS and gargle specimens were both positive, the mean cycle threshold (C(t) ) was significantly higher for gargles, suggesting lower viral loads. CONCLUSION: Gargle specimens directly added in PCR Media provide a similar clinical sensitivity to chemical lysis, both having a slightly, not significantly, lower sensitivity to ONPS.
  • |COVID-19 Nucleic Acid Testing/*methods[MESH]
  • |COVID-19/*diagnosis/*virology[MESH]
  • |Diagnostic Tests, Routine/methods[MESH]
  • |Humans[MESH]
  • |Mass Screening/methods[MESH]
  • |Nasopharynx/*virology[MESH]
  • |Oropharynx/*virology[MESH]
  • |Prospective Studies[MESH]
  • |RNA, Viral/genetics[MESH]
  • |SARS-CoV-2/*genetics[MESH]
  • |Saliva/virology[MESH]
  • |Specimen Handling/methods[MESH]


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