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Verfasst von:Klein, Julian [VerfasserIn]   i
 Krüger, Lisa [VerfasserIn]   i
 Tobian, Frank [VerfasserIn]   i
 Gaeddert, Mary [VerfasserIn]   i
 Lainati, Federica [VerfasserIn]   i
 Schnitzler, Paul [VerfasserIn]   i
 Lindner, Andreas [VerfasserIn]   i
 Nikolai, Olga [VerfasserIn]   i
 Knorr, Britta [VerfasserIn]   i
 Welker, Andreas [VerfasserIn]   i
 Vos, Margaretha de [VerfasserIn]   i
 Sacks, Jilian A. [VerfasserIn]   i
 Escadafal, Camille [VerfasserIn]   i
 Denkinger, Claudia M. [VerfasserIn]   i
Titel:Head-to-head performance comparison of self-collected nasal versus professional-collected nasopharyngeal swab for a WHO-listed SARS-CoV-2 antigen-detecting rapid diagnostic test
Verf.angabe:Julian A.F. Klein, Lisa J. Krüger, Frank Tobian, Mary Gaeddert, Federica Lainati, Paul Schnitzler, Andreas K. Lindner, Olga Nikolai, B. Knorr, A. Welker, Margaretha de Vos, Jilian A. Sacks, Camille Escadafal, Claudia M. Denkinger, for the Study Team
E-Jahr:2021
Jahr:24 May 2021
Umfang:6 S.
Fussnoten:Gesehen am 30.10.2023
Titel Quelle:Enthalten in: Medical microbiology and immunology
Ort Quelle:Berlin : Springer, 1886
Jahr Quelle:2021
Band/Heft Quelle:210(2021), 4, Seite 181-186
ISSN Quelle:1432-1831
Abstract:In 2020, the World Health Organization (WHO) recommended two SARS-CoV-2 lateral flow antigen-detecting rapid diagnostics tests (Ag-RDTs), both initially with nasopharyngeal (NP) sample collection. Independent head-to-head studies are necessary for SARS-CoV-2 Ag-RDT nasal sampling to demonstrate comparability of performance with nasopharyngeal (NP) sampling. We conducted a head-to-head comparison study of a supervised, self-collected nasal mid-turbinate (NMT) swab and a professional-collected NP swab, using the Panbio™ Ag-RDT (distributed by Abbott). We calculated positive and negative percent agreement between the sampling methods as well as sensitivity and specificity for both sampling techniques compared to the reference standard reverse transcription polymerase chain reaction (RT-PCR). A SARS-CoV-2 infection could be diagnosed by RT-PCR in 45 of 290 participants (15.5%). Comparing the NMT and NP sampling the positive percent agreement of the Ag-RDT was 88.1% (37/42 PCR positives detected; CI 75.0-94.8%). The negative percent agreement was 98.8% (245/248; CI 96.5-99.6%). The overall sensitivity of Panbio with NMT sampling was 84.4% (38/45; CI 71.2-92.3%) and 88.9% (40/45; CI 76.5-95.5%) with NP sampling. Specificity was 99.2% (243/245; CI 97.1-99.8%) for both, NP and NMT sampling. The sensitivity of the Panbio test in participants with high viral load (> 7 log10 SARS-CoV-2 RNA copies/mL) was 96.3% (CI 81.7-99.8%) for both, NMT and NP sampling. For the Panbio supervised NMT self-sampling yields comparable results to NP sampling. This suggests that nasal self-sampling could be used for to enable scaled-up population testing.
DOI:doi:10.1007/s00430-021-00710-9
URL:kostenfrei: Volltext: https://doi.org/10.1007/s00430-021-00710-9
 DOI: https://doi.org/10.1007/s00430-021-00710-9
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Antigen-detecting rapid diagnostic test
 COVID-19
 Head-to-head comparison
 Nasal sampling
 SARS-CoV-2
 Self-sampling
K10plus-PPN:1868777014
Verknüpfungen:→ Zeitschrift
 
 
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