Sensitivity of different RT-qPCR solutions for SARS-CoV-2 detection

Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved..

OBJECTIVES: The ongoing COVID-19 pandemic continues to impose demands on diagnostic screening. In anticipation that the recurrence of outbreaks and the measures for lifting the lockdown worldwide may cause supply chain issues over the coming months, this study assessed the sensitivity of a number of one-step retrotranscription and quantitative polymerase chain reaction (RT-qPCR) solutions to detect SARS-CoV-2.

METHODS: Six different RT-qPCR alternatives were evaluated for SARS-CoV-2/COVID-19 diagnosis based on standard RNA extractions. The one with best sensitivity was also assessed with direct nasopharyngeal swab viral transmission medium (VTM) heating; thus overcoming the RNA extraction step.

RESULTS: A wide variability in the sensitivity of RT-qPCR solutions was found that was associated with a range of false negatives from 2% (0.3-7.9%) to 39.8% (30.2-50.2%). Direct preheating of VTM combined with the best solution provided a sensitivity of 72.5% (62.5-81.0%), in the range of some of the solutions based on standard RNA extractions.

CONCLUSIONS: Sensitivity limitations of currently used RT-qPCR solutions were found. These results will help to calibrate the impact of false negative diagnoses of COVID-19, and to detect and control new SARS-CoV-2 outbreaks and community transmissions.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:99

Enthalten in:

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases - 99(2020) vom: 05. Okt., Seite 190-192

Sprache:

Englisch

Beteiligte Personen:

Alcoba-Florez, Julia [VerfasserIn]
Gil-Campesino, Helena [VerfasserIn]
Artola, Diego García-Martínez de [VerfasserIn]
González-Montelongo, Rafaela [VerfasserIn]
Valenzuela-Fernández, Agustín [VerfasserIn]
Ciuffreda, Laura [VerfasserIn]
Flores, Carlos [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Coronavirus Envelope Proteins
Diagnosis
Envelope protein, SARS-CoV-2
False negatives
Journal Article
SARS-CoV-2
Sensitivity
Solution comparisons
Viral Envelope Proteins

Anmerkungen:

Date Completed 27.10.2020

Date Revised 11.11.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ijid.2020.07.058

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM313209502