Effectiveness of a standardized quality control management procedure for COVID-19 RT-PCR testing : a large-scale diagnostic accuracy study in China

Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved..

BACKGROUND: The study aimed to construct a standardized quality control management procedure (QCMP) and access its accuracy in the quality control of COVID-19 reverse transcriptase-polymerase chain reaction (RT-PCR).

METHODS: Considering the initial RT-PCR results without applying QCMP as the gold standard, a large-scale diagnostic accuracy study including 4,385,925 participants at three COVID-19 RT-PCR testing sites in China, Foshan (as a pilot test), Guangzhou and Shenyang (as validation sites), was conducted from May 21, 2021, to December 15, 2022.

RESULTS: In the pilot test, the RT-PCR with QCMP had a high accuracy of 99.18% with 100% specificity, 100% positive predictive value (PPV), and 99.17% negative predictive value (NPV). The rate of retesting was reduced from 1.98% to 1.16%. Its accuracy was then consistently validated in Guangzhou and Shenyang.

CONCLUSIONS: The RT-PCR with QCMP showed excellent accuracy in identifying true negative COVID-19 and relieved the labor and time spent on retesting.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:109

Enthalten in:

Diagnostic microbiology and infectious disease - 109(2024), 2 vom: 04. Apr., Seite 116287

Sprache:

Englisch

Beteiligte Personen:

Liu, Mengyu [VerfasserIn]
Tian, Cuihong [VerfasserIn]
Chen, Yequn [VerfasserIn]
Zhu, Jinxiu [VerfasserIn]
Zheng, Yan [VerfasserIn]
Chen, Jianhua [VerfasserIn]
Li, Zhen [VerfasserIn]
Xu, Feng [VerfasserIn]
Wu, Liang [VerfasserIn]
Wang, Xingyu [VerfasserIn]
Xie, Longxu [VerfasserIn]
Tan, Xuerui [VerfasserIn]
Cai, Yingmu [VerfasserIn]

Links:

Volltext

Themen:

Coronavirus disease 2019 (COVID-19)
Diagnostic accuracy
False negative
False positive
Journal Article
Quality control management procedures (QCMP)
Reverse transcriptase-polymerase chain reaction (RT-PCR)

Anmerkungen:

Date Completed 28.04.2024

Date Revised 28.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.diagmicrobio.2024.116287

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370638670