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10.1016/j.cmi.2021.07.020

http://scihub22266oqcxt.onion/10.1016/j.cmi.2021.07.020
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34325065!8310783!34325065
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suck abstract from ncbi


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pmid34325065      Clin+Microbiol+Infect 2021 ; 27 (11): 1700.e1-1700.e3
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  • The potential of SARS-CoV-2 antigen-detection tests in the screening of asymptomatic persons #MMPMID34325065
  • Wachinger J; Olaru ID; Horner S; Schnitzler P; Heeg K; Denkinger CM
  • Clin Microbiol Infect 2021[Nov]; 27 (11): 1700.e1-1700.e3 PMID34325065show ga
  • OBJECTIVES: The aim was to assess the performance of antigen-based rapid diagnostic tests (Ag-RDTs) for SARS CoV-2 when implemented for large-scale universal screening of asymptomatic individuals. METHODS: This study was a pragmatic implementation study for universal Ag-RDT-based screening at a tertiary care hospital in Germany where patients presenting for elective procedures and selected personnel without symptoms suggestive of SARS-CoV-2 were screened with an Ag-RDT since October 2020. Test performance was calculated on an individual patient level. RESULTS: In total, 49 542 RDTs were performed in 27 421 asymptomatic individuals over a duration of 5 and a half months. Out of 222 positive results, 196 underwent in-house confirmatory testing with PCR, out of which 170 were confirmed positive, indicating a positive predictive value of 86.7% (95% CI 81.2-91.1%). Negative Ag-RDTs were not routinely tested with PCR, but a total of 94 cases of false negative Ag-RDTs were detected due to PCR tests being performed within the following 5 days with a median cycle threshold value of 33 (IQR 29-35). DISCUSSION: This study provides evidence that Ag-RDTs can have a high diagnostic yield for transmission relevant infections with limited false positives when utilized at the point of care on asymptomatic patients and thus can be a suitable public health test for universal screening.
  • |*COVID-19/diagnosis[MESH]
  • |*SARS-CoV-2/isolation & purification[MESH]
  • |Antigens, Viral/*isolation & purification[MESH]
  • |COVID-19 Testing/methods[MESH]
  • |Diagnostic Tests, Routine[MESH]
  • |Germany[MESH]
  • |Humans[MESH]
  • |Mass Screening/*methods[MESH]
  • |Predictive Value of Tests[MESH]
  • |Sensitivity and Specificity[MESH]


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