Combined Point-of-Care Nucleic Acid and Antibody Testing for SARS-CoV-2 following Emergence of D614G Spike Variant
© 2020 The Author(s)..
Rapid COVID-19 diagnosis in the hospital is essential, although this is complicated by 30%-50% of nose/throat swabs being negative by SARS-CoV-2 nucleic acid amplification testing (NAAT). Furthermore, the D614G spike mutant dominates the pandemic and it is unclear how serological tests designed to detect anti-spike antibodies perform against this variant. We assess the diagnostic accuracy of combined rapid antibody point of care (POC) and nucleic acid assays for suspected COVID-19 disease due to either wild-type or the D614G spike mutant SARS-CoV-2. The overall detection rate for COVID-19 is 79.2% (95% CI 57.8-92.9) by rapid NAAT alone. The combined point of care antibody test and rapid NAAT is not affected by D614G and results in very high sensitivity for COVID-19 diagnosis with very high specificity.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2020 |
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Erschienen: |
2020 |
Enthalten in: |
Zur Gesamtaufnahme - volume:1 |
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Enthalten in: |
Cell reports. Medicine - 1(2020), 6 vom: 22. Sept., Seite 100099 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Mlcochova, Petra [VerfasserIn] |
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Links: |
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Anmerkungen: |
Date Completed 22.02.2022 Date Revised 11.02.2024 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.1016/j.xcrm.2020.100099 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM314776435 |
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245 | 1 | 0 | |a Combined Point-of-Care Nucleic Acid and Antibody Testing for SARS-CoV-2 following Emergence of D614G Spike Variant |
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500 | |a published: Print-Electronic | ||
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520 | |a © 2020 The Author(s). | ||
520 | |a Rapid COVID-19 diagnosis in the hospital is essential, although this is complicated by 30%-50% of nose/throat swabs being negative by SARS-CoV-2 nucleic acid amplification testing (NAAT). Furthermore, the D614G spike mutant dominates the pandemic and it is unclear how serological tests designed to detect anti-spike antibodies perform against this variant. We assess the diagnostic accuracy of combined rapid antibody point of care (POC) and nucleic acid assays for suspected COVID-19 disease due to either wild-type or the D614G spike mutant SARS-CoV-2. The overall detection rate for COVID-19 is 79.2% (95% CI 57.8-92.9) by rapid NAAT alone. The combined point of care antibody test and rapid NAAT is not affected by D614G and results in very high sensitivity for COVID-19 diagnosis with very high specificity | ||
650 | 4 | |a Evaluation Study | |
650 | 4 | |a Journal Article | |
650 | 4 | |a Research Support, Non-U.S. Gov't | |
650 | 4 | |a COVID-19 | |
650 | 4 | |a D614G | |
650 | 4 | |a SARS-CoV-2 | |
650 | 4 | |a point of care testing | |
650 | 4 | |a rapid diagnoses | |
650 | 7 | |a Antibodies, Viral |2 NLM | |
650 | 7 | |a Spike Glycoprotein, Coronavirus |2 NLM | |
650 | 7 | |a spike protein, SARS-CoV-2 |2 NLM | |
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700 | 1 | |a Chatterjee, Krishna |e verfasserin |4 aut | |
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700 | 1 | |a Lyons, Paul A |e verfasserin |4 aut | |
700 | 1 | |a Bradley, John |e verfasserin |4 aut | |
700 | 1 | |a Baker, Steven |e verfasserin |4 aut | |
700 | 1 | |a Allain, Jean Pierre |e verfasserin |4 aut | |
700 | 1 | |a Smith, Kenneth G C |e verfasserin |4 aut | |
700 | 1 | |a Bousfield, Rachel |e verfasserin |4 aut | |
700 | 1 | |a Wilson, Michael |e verfasserin |4 aut | |
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700 | 1 | |a Gupta, Ravindra K |e verfasserin |4 aut | |
700 | 0 | |a Cambridge Institute of Therapeutic Immunology and Infectious Disease-National Institute of Health Research (CITIID-NIHR) COVID BioResource Collaboration |e verfasserin |4 aut | |
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