Diagnostic Performance of Rapid Antigen Testing for SARS-CoV-2: The COVid-19 AntiGen (COVAG) study.

COVID-19 SARS-CoV-2 antigen testing diagnostic performance rapid detection sensitivity variants

Journal

Frontiers in medicine
ISSN: 2296-858X
Titre abrégé: Front Med (Lausanne)
Pays: Switzerland
ID NLM: 101648047

Informations de publication

Date de publication:
2022
Historique:
received: 12 09 2021
accepted: 17 02 2022
entrez: 7 4 2022
pubmed: 8 4 2022
medline: 8 4 2022
Statut: epublish

Résumé

Rapid diagnostic testing for SARS-Cov-2 antigens is used to combat the ongoing pandemic. In this study we aimed to compare two RDTs, the SD Biosensor Q SARS-CoV-2 Rapid Antigen Test (Roche) and the Panbio COVID-19 Ag Rapid Test (Abbott), against rRT-PCR. We included 2,215 all-comers at a diagnostic center between February 1 and March 31, 2021. rRT-PCR-positive samples were examined for SARS-CoV-2 variants. Three hundred and thirty eight participants (15%) were rRT-PCR-positive for SARS-CoV-2. The sensitivities of Roche-RDT and Abbott-RDT were 60.4 and 56.8% ( The sensitivities of the two RDTs for asymptomatic SARS-CoV-2 carriers are unsatisfactory. Their widespread use may not be effective in the ongoing SARS-CoV-2 pandemic. The virus genotype influences the sensitivity of the two RDTs. RDTs should be evaluated for different SARS-CoV-2 variants.

Sections du résumé

Background UNASSIGNED
Rapid diagnostic testing for SARS-Cov-2 antigens is used to combat the ongoing pandemic. In this study we aimed to compare two RDTs, the SD Biosensor Q SARS-CoV-2 Rapid Antigen Test (Roche) and the Panbio COVID-19 Ag Rapid Test (Abbott), against rRT-PCR.
Methods UNASSIGNED
We included 2,215 all-comers at a diagnostic center between February 1 and March 31, 2021. rRT-PCR-positive samples were examined for SARS-CoV-2 variants.
Findings UNASSIGNED
Three hundred and thirty eight participants (15%) were rRT-PCR-positive for SARS-CoV-2. The sensitivities of Roche-RDT and Abbott-RDT were 60.4 and 56.8% (
Interpretation UNASSIGNED
The sensitivities of the two RDTs for asymptomatic SARS-CoV-2 carriers are unsatisfactory. Their widespread use may not be effective in the ongoing SARS-CoV-2 pandemic. The virus genotype influences the sensitivity of the two RDTs. RDTs should be evaluated for different SARS-CoV-2 variants.

Identifiants

pubmed: 35386920
doi: 10.3389/fmed.2022.774550
pmc: PMC8979030
doi:

Types de publication

Journal Article

Langues

eng

Pagination

774550

Informations de copyright

Copyright © 2022 Wertenauer, Brenner Michael, Dressel, Pfeifer, Hauser, Wieland, Mayer, Mutschmann, Roskos, Wertenauer, Moissl, Lorkowski and März.

Déclaration de conflit d'intérêts

CW, GB, CP, UH, EW, CMa, MR, and WM were employed by SYNLAB Holding Germany GmbH or its regional subsidiaries. AD is the owner of Company Dr. Dressel Consulting. CMu was employed by company SGS Analytics Germany GmbH. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

Nature. 2020 Mar;579(7798):270-273
pubmed: 32015507
Immunity. 2021 Jul 13;54(7):1611-1621.e5
pubmed: 34166623
J Clin Virol. 2020 Nov;132:104654
pubmed: 33053494
Pathogens. 2021 Jan 05;10(1):
pubmed: 33466537
Lancet Infect Dis. 2021 May;21(5):629-636
pubmed: 33545090
J Clin Med. 2021 Jan 17;10(2):
pubmed: 33477365
Nature. 2020 May;581(7809):465-469
pubmed: 32235945
J Clin Virol. 2020 Dec;133:104659
pubmed: 33160179
Clin Microbiol Infect. 2021 Mar;27(3):472.e7-472.e10
pubmed: 33189872
Lancet Microbe. 2021 Jan;2(1):e13-e22
pubmed: 33521734
Comput Struct Biotechnol J. 2021;19:3799-3809
pubmed: 34188776
Euro Surveill. 2021 Jan;26(1):
pubmed: 33413740
ACS Cent Sci. 2020 May 27;6(5):591-605
pubmed: 32382657
Euro Surveill. 2020 Aug;25(32):
pubmed: 32794447
Science. 2021 Aug 6;373(6555):642-648
pubmed: 34168070
MMWR Morb Mortal Wkly Rep. 2021 Jan 22;70(3):100-105
pubmed: 33476316
J Clin Virol. 2021 Aug;141:104874
pubmed: 34144452
Cochrane Database Syst Rev. 2021 Mar 24;3:CD013705
pubmed: 33760236
N Engl J Med. 2020 Feb 20;382(8):727-733
pubmed: 31978945
Science. 2021 Aug 6;373(6555):
pubmed: 34168071
J Infect. 2021 Mar;82(3):e35-e37
pubmed: 33248218
Arch Pathol Lab Med. 2021 Jul 1;145(7):797-813
pubmed: 33684204
Clin Infect Dis. 2021 Nov 2;73(9):e2952-e2959
pubmed: 33098412
Lancet. 2020 Apr 4;395(10230):1137-1144
pubmed: 32178768
N Engl J Med. 2020 Mar 19;382(12):1177-1179
pubmed: 32074444
Euro Surveill. 2021 Apr;26(16):
pubmed: 33890568
Theranostics. 2021 Feb 6;11(8):3853-3867
pubmed: 33664866
J Infect. 2020 Sep;81(3):357-371
pubmed: 32615199
Eur J Clin Microbiol Infect Dis. 2020 Jun;39(6):1059-1061
pubmed: 32342252
J Clin Virol. 2020 Dec;133:104684
pubmed: 33176236
Microbes Infect. 2020 Mar;22(2):80-85
pubmed: 32087334

Auteurs

Christoph Wertenauer (C)

Hausärzte am Schillerplatz, Stuttgart, Germany.
Medical Clinic V, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
Faculty of Medicine, Riga Stradins University, Riga, Latvia.
SYNLAB Holding Deutschland GmbH, Augsburg, Germany.

Geovana Brenner Michael (G)

SYNLAB Holding Deutschland GmbH, Augsburg, Germany.

Alexander Dressel (A)

Dr. Dressel Consulting, Mannheim, Germany.

Caroline Pfeifer (C)

SYNLAB Holding Deutschland GmbH, Augsburg, Germany.

Ulrike Hauser (U)

SYNLAB Medical Care Center Augsburg GmbH, Augsburg, Germany.

Eberhard Wieland (E)

SYNLAB Medical Care Center Leinfelden-Echterdingen GmbH, Leinfelden-Echterdingen, Germany.

Christian Mayer (C)

SYNLAB Holding Deutschland GmbH, Augsburg, Germany.

Caren Mutschmann (C)

SGS Analytics Germany GmbH, Berlin, Germany.

Martin Roskos (M)

SYNLAB Holding Deutschland GmbH, Augsburg, Germany.

Hans-Jörg Wertenauer (HJ)

Hausärzte am Schillerplatz, Stuttgart, Germany.

Angela P Moissl (AP)

Medical Clinic V, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
Institute of Nutritional Sciences, Friedrich Schiller University Jena, Jena, Germany.
Competence Cluster for Nutrition and Cardiovascular Health (nutriCARD) Halle-Jena-Leipzig, Jena, Germany.

Stefan Lorkowski (S)

Institute of Nutritional Sciences, Friedrich Schiller University Jena, Jena, Germany.
Competence Cluster for Nutrition and Cardiovascular Health (nutriCARD) Halle-Jena-Leipzig, Jena, Germany.

Winfried März (W)

Medical Clinic V, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
SYNLAB Academy, SYNLAB Holding Deutschland GmbH, Mannheim, Germany.
Clinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria.

Classifications MeSH