Evaluation of an immunochromatography-based rapid antigen test, Inspecter Kowa® SARS-CoV-2, using saliva specimens for the detection of SARS-CoV-2

Copyright © 2023 Japanese Society of Chemotherapy, Japanese Association for Infectious Diseases, and Japanese Society for Infection Prevention and Control. Published by Elsevier Ltd. All rights reserved..

BACKGROUND: In the context of the coronavirus disease 2019 (COVID-19) pandemic, a rapid and reliable point-of-care test is an essential tool for controlling the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In particular, an immunochromatography test (ICT) that uses saliva specimens for rapid antigen detection not only reduces the risk of secondary infections but also reduces the burden on medical personnel.

METHODS: The newly developed salivary antigen test kit "Inspecter Kowa® SARS-CoV-2" is an ICT to which saliva specimens can be directly applied. We evaluated its usefulness in comparison with reverse transcription quantitative PCR (RT-qPCR) and the Espline® SARS-CoV-2 Kit for the detection of SARS-CoV-2 using nasopharyngeal swab specimens. In this study, 140 patients with suspected symptomatic COVID-19 who visited our hospital were enrolled, and nasopharyngeal swab and saliva specimens were collected after they consented to participate in the study.

RESULTS: Inspector Kowa SARS-CoV-2 was positive in 45 of 61 (73.8%) saliva that were positive by RT-qPCR and the Espline® SARS-CoV-2 Kit was also positive in 56 of 60 (93.3%) Np swabs that were positive by RT-qPCR. Good antigen detection was achieved by ICT with saliva and nasopharyngeal swab specimens when viral load was ≥105 copies/mL, whereas detection sensitivity was low when viral load was <105 copies/mL, especially in saliva specimens.

CONCLUSION: This ICT for the detection of SARS-CoV-2 salivary antigen is an attractive tool that does not require specialized equipment and allows patients to perform the entire process from sample collection to self-diagnose and to reduce the burden on medical care during a pandemic.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:29

Enthalten in:

Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy - 29(2023), 6 vom: 01. Juni, Seite 586-591

Sprache:

Englisch

Beteiligte Personen:

Kodana, Masahiro [VerfasserIn]
Orihara, Yuta [VerfasserIn]
Tezuka, Mariko [VerfasserIn]
Takahashi, Rina [VerfasserIn]
Noguchi, Sakiko [VerfasserIn]
Matsuzaki, Nanako [VerfasserIn]
Takada, Tomohito [VerfasserIn]
Kobari, Naomi [VerfasserIn]
Ogane, Kana [VerfasserIn]
Kawamura, Rieko [VerfasserIn]
Kawamura, Toru [VerfasserIn]
Takeuchi, Shinichi [VerfasserIn]
Kamiyama, Yuki [VerfasserIn]
Shiomi, Rie [VerfasserIn]
Aoyagi, Ryutaro [VerfasserIn]
Saito, Masaya [VerfasserIn]
Kusano, Takeru [VerfasserIn]
Nakaya, Nobuaki [VerfasserIn]
Kaneko, Satoru [VerfasserIn]
Morita, Hideo [VerfasserIn]
Uchida, Yoshihito [VerfasserIn]
Yazawa, Hiroaki [VerfasserIn]
Sekiya, Ryu [VerfasserIn]
Katayama, Kazuki [VerfasserIn]
Mikami, Shingo [VerfasserIn]
Sato, Tomoya [VerfasserIn]
Tarumoto, Norihito [VerfasserIn]
Kobayashi, Takehito [VerfasserIn]
Nakamoto, Hidetomo [VerfasserIn]
Maeda, Takuya [VerfasserIn]

Links:

Volltext

Themen:

Antigen detection
COVID-19
Immunochromatography
Journal Article
SARS-CoV-2
Saliva

Anmerkungen:

Date Completed 18.04.2023

Date Revised 18.04.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jiac.2023.02.011

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM353551902