Nationwide Harmonization Effort for Semi-Quantitative Reporting of SARS-CoV-2 PCR Test Results in Belgium

From early 2020, a high demand for SARS-CoV-2 tests was driven by several testing indications, including asymptomatic cases, resulting in the massive roll-out of PCR assays to combat the pandemic. Considering the dynamic of viral shedding during the course of infection, the demand to report cycle threshold (Ct) values rapidly emerged. As Ct values can be affected by a number of factors, we considered that harmonization of semi-quantitative PCR results across laboratories would avoid potential divergent interpretations, particularly in the absence of clinical or serological information. A propo... Mehr ...

Verfasser: Cuypers , Lize
Bode, Jannes
Beuselinck, Kurt
Laenen , Lies
Dewaele, Klaas
Janssen, Reile
Capron, Arnaud
Lafort, Yves
Paridaens, Henry
Bearzatto, Bertrand
Cauchie, Mathieu
Huwart, Aline
Degosserie, Jonathan
Fagnart, Olivier
Overmeire, Yarah
Rouffiange, Arlette
Vandecandelaere, Ilse
Deffontaine, Marine
Pilate, Thomas
Yin, Nicolas
Micalessi, Isabel
Roisin, Sandrine
Moons, Veronique
Reynders , Marijke
Steyaert, Sophia
Henin, Coralie
Lazarova, Elena
Obbels, Dagmar
Dufrasne, Francois E.
Pirenne, Hendri
Schepers , Raf
Collin, Anaelle
Verhasselt, Bruno
Gillet, Laurent
Jonckheere, Stijn
Van Lint, Philippe
van den Poel, Bea
van der Beken, Yolien
Stojkovic, Violeta
Garrino, Maria-Grazia
Segers, Hannah
Vos, Kevin
Godefroid, Maaike
Pede, Valerie
Nollet, Friedel
CLAES , Vincent
Verschraegen, Inge
Bogaerts, Pierre
Van Gysel, Marjan
Leurs, Judith
Saegeman, Veroniek
Soetens, Oriane
Vanhee, Merijn
Schiettekatte, Gilberte
Huyghe, Evelyne
Martens , Steven
Lemmens, Ann
Nailis, Heleen
Laffineur, Kim
STEENSELS, Deborah
Vanlaere, Elke
Gras, Jeremie
Roussel, Gatien
Gijbels, Koenraad
Boudewijns, Michael
Sion, Catherine
Achtergael, Wim
Maurissen, Wim
Iliano, Luc
Chantrenne, Marianne
Vanheule, Geert
Flies, Reinoud
Hougardy, Nicolas
Berth, Mario
Verbeke, Vanessa
Morent, Robin
Vankeerberghen, Anne
Bontems, Sebastien
Kehoe, Kaat
Schallier, Anneleen
Ho, Giang
Bafort, Kristof
Raymaekers, Marijke
Pypen, Yolande
Heinrichs, Amelie
Schuermans, Wim
Cuigniez, Dominique
Lali, Salah Eddine
Drieghe, Stefanie
Ory , Dieter
Le Mercier, Marie
Van Laethem, Kristel
Thoelen, Inge
Vandamme, Sarah
Mansoor, Iqbal
Vael, Carl
De Sloovere, Maxime
Declerck, Katrien
Dequeker, Elisabeth
DE SMET, Stefanie
Maes, Piet
Lagrou, Katrien
Andre, Emmanuel
Dokumenttyp: Artikel
Erscheinungsdatum: 2022
Verlag/Hrsg.: MDPI
Schlagwörter: SARS-CoV-2 / PCR / semi-quantitative reporting / RNA copies / mL / infectivity
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27381191
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : http://hdl.handle.net/1942/37673

From early 2020, a high demand for SARS-CoV-2 tests was driven by several testing indications, including asymptomatic cases, resulting in the massive roll-out of PCR assays to combat the pandemic. Considering the dynamic of viral shedding during the course of infection, the demand to report cycle threshold (Ct) values rapidly emerged. As Ct values can be affected by a number of factors, we considered that harmonization of semi-quantitative PCR results across laboratories would avoid potential divergent interpretations, particularly in the absence of clinical or serological information. A proposal to harmonize reporting of test results was drafted by the National Reference Centre (NRC) UZ/KU Leuven, distinguishing four categories of positivity based on RNA copies/mL. Pre-quantified control material was shipped to 124 laboratories with instructions to setup a standard curve to define thresholds per assay. For each assay, the mean Ct value and corresponding standard deviation was calculated per target gene, for the three concentrations (10(7), 10(5) and 10(3) copies/mL) that determine the classification. The results of 17 assays are summarized. This harmonization effort allowed to ensure that all Belgian laboratories would report positive PCR results in the same semi-quantitative manner to clinicians and to the national database which feeds contact tracing interventions. ; UZ/KU Leuven: as National Reference Center for Respiratory Pathogens, is supported by Sciensano, which is gratefully acknowledged. We would like to acknowledge additional staff members of the participating laboratories that contributed to this study: Jean-Luc Gala, Benoit Kabamba, Elsa Wiam, Valentin Coste, Paul Blanpain, Jean Ruelle, Ari Serbetciyan, Nicolas Pinte, Ophélie Simon and the entire UCLouvain federal testing platform COVID-19 team (all affiliation 4), Aurore Demars (affiliation 7), Laura Vanden Daele (affiliation 9), Hanne Valgaeren (affiliation 22), Guillaume Bayon-Vicente (affiliation 23), Fabrice Bureau, Claire Gourzonès and Joey ...