The QuantuMDx Q-POC™ SARS-CoV-2 RT-PCR assay for rapid detection of COVID-19 at point-of-care: preliminary evaluation of a novel technology

Abstract Background Accurate, affordable, and rapid point-of-care (PoC) diagnostics are critical to the global control and management of the COVID-19 pandemic. The current standard for accurate diagnosis of SARS-CoV-2 is laboratory-based reverse transcription polymerase chain reaction (RT-PCR). Here, we report a preliminary prospective performance evaluation of the QuantuMDx Q-POC™ SARS CoV-2 RT-PCR assay.Methods Between November 2020 and March 2021, we obtained 49 longitudinal nose and throat swabs from 29 individuals hospitalised with RT-PCR confirmed COVID-19 at St George’s NHS Foundation Trust, London (UK). In addition, we obtained 101 mid nasal swabs from healthy volunteers in June 2021. We then used these samples to evaluate the Q-POC™ SARS-CoV-2 RT-PCR assay. The primary analysis was to compare the sensitivity and specificity of the Q-POC™ test against a reference laboratory-based RT-PCR assay.Results The overall sensitivity of the Q-POC™ test compared with the reference test was 96.88% (83.78%-99.92% CI) for a cycle threshold (Ct) cut-off value for the reference test of 35 and 80.00% (64.35% to 90.95% CI) without altering the reference test’s Ct cut-off value of 40.Conclusions The Q-POC™ test is a sensitive, specific and rapid point-of-care test for SARS-CoV-2 at a reference Ct cut-off value of 35. The Q-POC™ test provides an accurate and affordable option for RT-PCR at point-of-care without the need for sample pre-processing and laboratory handling. The Q-POC™ test would enable rapid diagnosis and clinical triage in acute care and other settings..

Medienart:

Preprint

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

bioRxiv.org - (2021) vom: 16. Juli Zur Gesamtaufnahme - year:2021

Sprache:

Englisch

Beteiligte Personen:

Caffry, Jessica [VerfasserIn]
Selby, Matthew [VerfasserIn]
Barr, Katie [VerfasserIn]
Morgan, George [VerfasserIn]
McGurk, David [VerfasserIn]
Scully, Philip [VerfasserIn]
Park, Catherine [VerfasserIn]
Caridis, Anna-Maria [VerfasserIn]
Southworth, Emily [VerfasserIn]
Morrison, Jack [VerfasserIn]
Clark, David J [VerfasserIn]
Eckersely, Nickolas [VerfasserIn]
Groppelli, Elisabetta [VerfasserIn]
Kirwan, Daniela E. [VerfasserIn]
Monahan, Irene [VerfasserIn]
Augustin, Yolanda [VerfasserIn]
Toombs, Colin [VerfasserIn]
Planche, Tim [VerfasserIn]
Staines, Henry M [VerfasserIn]
Krishna, Sanjeev [VerfasserIn]

Links:

Volltext [kostenfrei]

doi:

10.1101/2021.07.12.21260119

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

XBI032211708