Pooled Saliva Specimens for SARS-CoV-2 Testing. (Record no. 5949)

MARC details
000 -LEADER
fixed length control field 03138nam a22003977a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 201231s20202020 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0095-1137
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1128/JCM.02486-20 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code JCM.02486-20 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 33262219
245 ## - TITLE STATEMENT
Title Pooled Saliva Specimens for SARS-CoV-2 Testing.
251 ## - Source
Source Journal of Clinical Microbiology. 2020 Dec 01
252 ## - Abbreviated Source
Abbreviated source J Clin Microbiol. 2020 Dec 01
253 ## - Journal Name
Journal name Journal of clinical microbiology
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2020
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2021
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2020-12-31
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 1975 - present (after 6 months), Available in print through MWHC library: 1999 - 2001
520 ## - SUMMARY, ETC.
Abstract We evaluated saliva (SAL) specimens for SARS-CoV-2 RT-PCR testing by comparison of 459 prospectively paired nasopharyngeal (NP) or mid-turbinate (MT) swabs from 449 individuals with the aim of using saliva for asymptomatic screening. Samples were collected in a drive-through car line for symptomatic individuals (N=380) and in the emergency department (ED) (N=69). The percent positive and negative agreement of saliva compared to nasopharyngeal swab were 81.1% (95% CI: 65.8% - 90.5%) and 99.8% (95% CI: 98.7% - 100%), respectively. The percent positive agreement increased to 90.0% (95% CI: 74.4% - 96.5%) when considering only samples with moderate to high viral load (Cycle threshold (Ct) for the NP <=34). Pools of five saliva specimens were also evaluated on three platforms: bioMerieux NucliSENS easyMAG with ABI 7500Fast (CDC assay), Hologic Panther Fusion R, and Roche COBAS R 6800. The average loss of signal upon pooling was 2-3 Ct values across the platforms. The sensitivity of detecting a positive specimen in a pool compared with testing individually was 94%, 90%, and 94% for CDC 2019-nCoV Real-Time RT-PCR, Panther Fusion R SARS-CoV-2 assay, and cobas R SARS-CoV-2 test respectively, with decreased sample detection trending with lower viral load. We conclude that although pooled saliva testing, as collected in this study, is not quite as sensitive as NP/MT testing, saliva testing is adequate to detect individuals with higher viral loads in an asymptomatic screening program, does not require swabs or viral transport media for collection, and may help to improve voluntary screening compliance for those individuals averse to various forms of nasal collections.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Health Research Institute
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Medicine/Infectious Diseases
656 ## - INDEX TERM--OCCUPATION
Department Nursing
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Moriarty, Theresa
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Sawney, Shari
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Tanjutco, Patricia
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Wortmann, Glenn W
790 ## - Authors
All authors Barat B, Das S, De Giorgi V, Frank KM, Henderson DK, Kopka S, Lau AF, Miller T, Moriarty T, Palmore TN, Sawney S, Spalding C, Tanjutco P, Wortmann G, Zelazny AM
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1128/JCM.02486-20">https://dx.doi.org/10.1128/JCM.02486-20</a>
Public note https://dx.doi.org/10.1128/JCM.02486-20
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 12/31/2020   33262219 33262219 12/31/2020 12/31/2020 Journal Article

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