Impact of repeated nasal sampling on detection and quantification of SARS-CoV-2

被引:7
作者
Levy, Joshua M. [1 ,2 ]
Frediani, Jennifer K. [2 ,3 ]
Tyburski, Erika A. [1 ,4 ]
Wood, Anna [7 ]
Figueroa, Janet [7 ]
Kempker, Russell R. [1 ,5 ]
Rebolledo, Paulina A. [1 ,5 ,6 ]
Gonzalez, Mark D. [1 ,8 ,9 ]
Sullivan, Julie [1 ,7 ]
Vos, Miriam B. [1 ,7 ,8 ]
O'Neal, Jared [1 ]
Martin, Greg S. [1 ,5 ]
Lam, Wilbur A. [1 ,4 ,9 ,10 ,11 ]
Waggoner, Jesse J. [1 ,5 ,6 ]
机构
[1] Atlanta Ctr Microsyst Engn Point Care Technol, Atlanta, GA 30342 USA
[2] Emory Univ, Sch Med, Dept Otolaryngol Head & Neck Surg, Atlanta, GA USA
[3] Emory Univ, Nell Hodgson Woodruff Sch Nursing, Atlanta, GA 30322 USA
[4] Georgia Inst Technol, Atlanta, GA 30332 USA
[5] Emory Univ, Sch Med, Dept Med, Atlanta, GA 30322 USA
[6] Emory Univ, Rollins Sch Publ Hlth, Atlanta, GA 30322 USA
[7] Emory Univ, Sch Med, Dept Pediat, Atlanta, GA USA
[8] Childrens Healthcare Atlanta, Atlanta, GA USA
[9] Emory Univ, Sch Med, Dept Pathol & Lab Med, Atlanta, GA 30322 USA
[10] Childrens Healthcare Atlanta, Aflac Canc & Blood Disorders Ctr, Atlanta, GA 30329 USA
[11] Emory Univ, Wallace H Coulter Dept Biomed Engn, Atlanta, GA 30322 USA
关键词
D O I
10.1038/s41598-021-94547-0
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
The impact of repeated sample collection on COVID-19 test performance is unknown. The FDA and CDC currently recommend the primary collection of diagnostic samples to minimize the perceived risk of false-negative findings. We therefore evaluated the association between repeated sample collection and test performance among 325 symptomatic patients undergoing COVID-19 testing in Atlanta, GA. High concordance was found between consecutively collected mid-turbinate samples with both molecular (n = 74, 100% concordance) and antigen-based (n = 147, 97% concordance, kappa = 0.95, CI = 0.88-1.00) diagnostic assays. Repeated sample collection does not decrease COVID-19 test performance, demonstrating that multiple samples can be collected for assay validation and clinical diagnosis.
引用
收藏
页数:5
相关论文
共 9 条
[1]   Challenges and Controversies to Testing for COVID-19 [J].
Binnicker, Matthew J. .
JOURNAL OF CLINICAL MICROBIOLOGY, 2020, 58 (11)
[2]   Open Development and Clinical Validation of Multiple 3D-Printed Nasopharyngeal Collection Swabs: Rapid Resolution of a Critical COVID-19 Testing Bottleneck [J].
Callahan, Cody J. ;
Lee, Rose ;
Zulauf, Katelyn E. ;
Tamburello, Lauren ;
Smith, Kenneth P. ;
Previtera, Joe ;
Cheng, Annie ;
Green, Alex ;
Azim, Ahmed Abdul ;
Yano, Amanda ;
Doraiswami, Nancy ;
Kirby, James E. ;
Arnaout, Ramy A. .
JOURNAL OF CLINICAL MICROBIOLOGY, 2020, 58 (08)
[3]  
Centers for Disease Control and Prevention, INT GUID COLL HANDL
[4]   Performance of the BinaxNOW coronavirus disease 2019 (COVID-19) Antigen Card test relative to the severe acute respiratory coronavirus virus 2 (SARS-CoV-2) real-time reverse transcriptase polymerase chain reaction (rRT-PCR) assay among symptomatic and asymptomatic healthcare employees [J].
James, Allison E. ;
Gulley, Trent ;
Kothari, Atul ;
Holder, Kasey ;
Garner, Kelley ;
Patil, Naveen .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2022, 43 (01) :99-101
[5]   Head-to-head comparison of SARS-CoV-2 antigen-detecting rapid test with self-collected nasal swab versus professional-collected nasopharyngeal swab [J].
Lindner, Andreas K. ;
Nikolai, Olga ;
Kausch, Franka ;
Wintel, Mia ;
Hommes, Franziska ;
Gertler, Maximilian ;
Krueger, Lisa J. ;
Gaeddert, Mary ;
Tobian, Frank ;
Lainati, Federica ;
Koeppel, Lisa ;
Seybold, Joachim ;
Corman, Victor M. ;
Drosten, Christian ;
Hofmann, Jorg ;
Sacks, Jilian A. ;
Mockenhaupt, Frank P. ;
Denkinger, Claudia M. .
EUROPEAN RESPIRATORY JOURNAL, 2021, 57 (04)
[6]   Evaluation of Abbott BinaxNOW Rapid Antigen Test for SARS-CoV-2 Infection at Two Community-Based Testing Sites - Pima County, Arizona, November 3-17, 2020 [J].
Prince-Guerra, Jessica L. ;
Almendares, Olivia ;
Nolen, Leisha D. ;
Gunn, Jayleen K. L. ;
Dale, Ariella P. ;
Buono, Sean A. ;
Deutsch-Feldman, Molly ;
Suppiah, Suganthi ;
Hao, LiJuan ;
Zeng, Yan ;
Stevensl, Valerie A. ;
Knipe, Kristen ;
Pompey, Justine ;
Atherstone, Christine ;
Bui, David P. ;
Powell, Tracy ;
Tamin, Azaibi ;
Harcourt, Jennifer L. ;
Shewmaker, Patricia L. ;
Medrzycki, Magdalena ;
Wong, Phili ;
Jain, Shilpi ;
Tejada-Strop, Alexandra ;
Rogers, Shannon ;
Emery, Brian ;
Wang, Houping ;
Petway, Marla ;
Bohannon, Caitlin ;
Folster, Jennifer M. ;
MacNeil, Adam ;
Salerno, Reynolds ;
Kuhnert-Tallman, Wendi ;
Tate, Jacqueline E. ;
Thornburg, Natalie J. ;
Kirking, Hannah L. ;
Sheiban, Khalilullah ;
Kudrna, Julie ;
Cullen, Theresa ;
Komatsu, Kenneth K. ;
Villanueva, Julie M. ;
Rose, Dale A. ;
Neatherlin, John C. ;
Anderson, Mark ;
Rota, Paul A. ;
Honein, Margaret A. ;
Bower, William A. .
MMWR-MORBIDITY AND MORTALITY WEEKLY REPORT, 2021, 70 (03) :100-105
[7]   Triplex Real-Time RT-PCR for Severe Acute Respiratory Syndrome Coronavirus 2 [J].
Waggoner, Jesse J. ;
Stittleburg, Victoria ;
Pond, Renee ;
Saklawi, Youssef ;
Sahoo, Malaya K. ;
Babiker, Ahmed ;
Hussaini, Laila ;
Kraft, Colleen S. ;
Pinsky, Benjamin A. ;
Anderson, Evan J. ;
Rouphael, Nadine .
EMERGING INFECTIOUS DISEASES, 2020, 26 (07) :1633-1635
[8]   Detection of SARS-CoV-2 in Different Types of Clinical Specimens [J].
Wang, Wenling ;
Xu, Yanli ;
Gao, Ruqin ;
Lu, Roujian ;
Han, Kai ;
Wu, Guizhen ;
Tan, Wenjie .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 323 (18) :1843-1844
[9]  
Zou LR, 2020, NEW ENGL J MED, V382, P1177, DOI [10.1148/radiol.2020200463, 10.1056/NEJMc2001737]