Combined Point-of-Care Nucleic Acid and Antibody Testing for SARS-CoV-2 following Emergence of D614G Spike Variant
Abstract:
Rapid COVID-19 diagnosis in the hospital is essential, although this is complicated by 30%–50% of nose/throat swabs being negative by SARS-CoV-2 nucleic acid amplification testing (NAAT). Furthermore, the D614G spike mutant dominates the pandemic and it is unclear how serological tests designed to detect anti-spike antibodies perform against this variant. We assess the diagnostic accuracy of combined rapid antibody point of care (POC) and nucleic acid assays for suspected COVID-19 disease due to either wild-type or the D614G spike mutant SARS-CoV-2. The overall detection rate for COVID-19 is 79.2% (95% CI 57.8–92.9) by rapid NAAT alone. The combined point of care antibody test and rapid NAAT is not affected by D614G and results in very high sensitivity for COVID-19 diagnosis with very high specificity.
Año de publicación:
2020
Keywords:
- D614G
- point of care testing
- SARS-COV-2
- rapid diagnoses
- covid-19
Fuente:

Tipo de documento:
Article
Estado:
Acceso abierto
Áreas de conocimiento:
- Microbiología
- Microbiología
- Microbiología
Áreas temáticas:
- Enfermedades
- Microorganismos, hongos y algas
- Medicina y salud
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