Evaluation of sample pooling using the SAMBA II SARS-CoV-2 test

Copyright © 2021 Elsevier B.V. All rights reserved..

BACKGROUND: Screening of infectious asymptomatic or pre-symptomatic individuals for SARS-CoV-2 is at present a key to controling the COVID-19 pandemic. In order to expand testing capability and limit cost, pool testing of asymtomatic individuals has been proposed, provided assay performance is not significantly affected.

METHODS: Combined nose and throat (N/T) swabs collected from COVID-19 infected or non-infected individuals were tested using SAMBA II individually and in pools of four (one positive and 3 negative). The evaluation was conducted by the manufacturer and an independent NHS site. Ct cycles of individual positives and pooled positives were determined by qRT-PCR.

RESULTS: In 42 pools containing a single positive sample with Ct values ranging between 17 and 36, 41 pools (97.6 %) were found positive by the SARS-CoV-2 SAMBA II test. The false-negative pool by SAMBA was also negative by both reference methods used in this evaluation.The individual positive sample in this pool was positive by SAMBA (Orf only) and by one of the reference methods (S gene only, Ct 35) but negative by the second reference method indicating that the sample itself was very low viral load. All 78 pools containing 4 negative swabs were negative (100 % specificity).

DISCUSSION: The preliminary data of the evaluation indicated a high level of performance in both sensitivity and specificity of the SAMBA II assay when used to test pools of 4 patient samples. The implementation of this pooled protocol can increase throughput and reduce cost/test when the prevalence of COVID is low.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:299

Enthalten in:

Journal of virological methods - 299(2022) vom: 25. Jan., Seite 114340

Sprache:

Englisch

Beteiligte Personen:

Heaney, Katy [VerfasserIn]
Ritchie, Allyson V [VerfasserIn]
Henry, Rowan [VerfasserIn]
Harvey, Adam J [VerfasserIn]
Curran, Martin D [VerfasserIn]
Allain, Jean-Pierre [VerfasserIn]
Lee, Helen H [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Journal Article
Molecular testing
Point-of-care
Pool testing
Research Support, Non-U.S. Gov't
SARS-CoV-2

Anmerkungen:

Date Completed 03.12.2021

Date Revised 01.03.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jviromet.2021.114340

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM332355608