Evaluation of a fully closed real time PCR platform for the detection of SARS-CoV-2 in nasopharyngeal swabs: a pilot study.


Journal

Journal of clinical pathology
ISSN: 1472-4146
Titre abrégé: J Clin Pathol
Pays: England
ID NLM: 0376601

Informations de publication

Date de publication:
Aug 2022
Historique:
received: 01 03 2021
revised: 21 03 2021
accepted: 24 03 2021
pubmed: 11 4 2021
medline: 22 7 2022
entrez: 10 4 2021
Statut: ppublish

Résumé

To date, reverse transcriptase PCR (RT-PCR) on nasopharyngeal swabs is the 'gold standard' approach for the diagnosis of COVID-19. The need to develop easy to use, rapid, robust and with minimal hands-on time approaches are warranted. In this setting, the Idylla SARS-CoV-2 Test may be a valuable option. The aim of our study is to evaluate the analytical and clinical performance of this assay on previously tested SARS-CoV-2 people by conventional RT-PCR based approach in different settings, including initial diagnosis and clinical follow-up. To evaluate the sensitivity and specificity of the Idylla SARS-CoV-2 Test, we retrieved 55 nasopharyngeal swabs, previously analysed by a fully validated assay, from symptomatic patients or from people who have been in close contact with COVID-19 positive cases. Discordant or high discrepant cases were further analysed by a third technique. In addition, a second subset of 14 nasopharyngeal swab samples with uncertain results (cycle threshold between 37 and 40), by using the fully validated assay, from patients with viral infection beyond day 21, were retrieved. Overall, Idylla showed a sensitivity of 93.9% and a specificity of 100.0%. In addition, in the additional 14 nasopharyngeal swab samples, only five (35.7%) featured a positive result by the Idylla SARS-CoV-2 Test. We demonstrated that the Idylla SARS-CoV-2 Test may represent a valid, fast, highly sensitive and specific RT-PCR test for the identification of SARS-CoV-2 infection.

Identifiants

pubmed: 33837109
pii: jclinpath-2021-207516
doi: 10.1136/jclinpath-2021-207516
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

551-554

Informations de copyright

© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: UM has received personal fees (as consultant and/or speaker bureau) from Boehringer Ingelheim, Roche, MSD, Amgen, Thermo Fisher Scientifics, Diaceutics, GSK, Merck and AstraZeneca, unrelated to the current work. GT reports personal fees (as speaker bureau or advisor) from Roche, MSD, Pfizer and Bayer, unrelated to the current work.

Auteurs

Caterina De Luca (C)

Public Health, University of Naples Federico II, Naples, Italy.

Gianluca Gragnano (G)

Public Health, University of Naples Federico II, Naples, Italy.

Floriana Conticelli (F)

Public Health, University of Naples Federico II, Naples, Italy.

Michele Cennamo (M)

Translational Medical Sciences, University of Naples Federico II, Naples, Italy.

Pasquale Pisapia (P)

Public Health, University of Naples Federico II, Naples, Italy.

Daniela Terracciano (D)

Translational Medical Sciences, University of Naples Federico II, Naples, Italy.

Umberto Malapelle (U)

Public Health, University of Naples Federico II, Naples, Italy.

Emma Montella (E)

Public Health, University of Naples Federico II, Naples, Italy.

Maria Triassi (M)

Public Health, University of Naples Federico II, Naples, Italy.

Giancarlo Troncone (G)

Public Health, University of Naples Federico II, Naples, Italy giancarlo.troncone@unina.it.

Giuseppe Portella (G)

Translational Medical Sciences, University of Naples Federico II, Naples, Italy.

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