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.
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页数:5
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