From more testing to smart testing:data-guided SARS-CoV-2 testing choices, the Netherlands, May to September 2020

Background: SARS-CoV-2 RT-PCR assays are more sensitive than rapid antigen detection assays (RDT) and can detect viral RNA even after an individual is no longer infectious. RDT can reduce the time to test and the results might better correlate with infectiousness. Aim: We assessed the ability of five RDT to identify infectious COVID-19 cases and systematically recorded the turnaround time of RT-PCR testing. Methods: Sensitivity of RDT was determined using a serially diluted SARS-CoV-2 stock with known viral RNA concentration. The probability of detecting infectious virus at a given viral load... Mehr ...

Verfasser: van Beek, Janko
Igloi, Zsofia
Boelsums, Timo
Fanoy, Ewout
Gotz, Hannelore
Molenkamp, Richard
van Kampen, Jeroen
GeurtsvanKessel, Corine
van der Eijk, Annemiek A.
van de Vijver, David
Koopmans, Marion
Dokumenttyp: Artikel
Erscheinungsdatum: 2022
Reihe/Periodikum: van Beek , J , Igloi , Z , Boelsums , T , Fanoy , E , Gotz , H , Molenkamp , R , van Kampen , J , GeurtsvanKessel , C , van der Eijk , A A , van de Vijver , D & Koopmans , M 2022 , ' From more testing to smart testing : data-guided SARS-CoV-2 testing choices, the Netherlands, May to September 2020 ' , Eurosurveillance , vol. 27 , no. 8 . https://doi.org/10.2807/1560-7917.ES.2022.27.8.2100702
Schlagwörter: /dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being / name=SDG 3 - Good Health and Well-being
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27616173
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://pure.eur.nl/en/publications/6751c493-c3c6-4087-8768-bb557a361af6

Background: SARS-CoV-2 RT-PCR assays are more sensitive than rapid antigen detection assays (RDT) and can detect viral RNA even after an individual is no longer infectious. RDT can reduce the time to test and the results might better correlate with infectiousness. Aim: We assessed the ability of five RDT to identify infectious COVID-19 cases and systematically recorded the turnaround time of RT-PCR testing. Methods: Sensitivity of RDT was determined using a serially diluted SARS-CoV-2 stock with known viral RNA concentration. The probability of detecting infectious virus at a given viral load was calculated using logistic regression of viral RNA concentration and matched culture results of 78 specimens from randomly selected non-hospitalised cases. The probability of each RDT to detect infectious cases was calculated as the sum of the projected probabilities for viral isolation success for every viral RNA load found at the time of diagnosis in 1,739 confirmed non-hospitalised COVID-19 cases. Results: The distribution of quantification cycle values and estimated RNA loads for patients reporting to drive-through testing was skewed to high RNA loads. With the most sensitive RDT (Abbott and SD Biosensor), 97.30% (range: 88.65-99.77) of infectious individuals would be detected. This decreased to 92.73% (range: 60.30-99.77) for Coris BioConcept and GenBody, and 75.53% (range: 17.55-99.77) for RapiGEN. Only 32.9% of RT-PCR results were available on the same day as specimen collection. Conclusion: The most sensitive RDT detected infectious COVID-19 cases with high sensitivity and may considerably improve containment through more rapid isolation and contact tracing.