Efficiency study of a One-step RT-PCR compared with Real-time RT-PCR for SARS-CoV-2.
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Abstract
The COVID-19 pandemic was caused by SARS-CoV-2 infections. RTA-AFRIMS provided real-time reverse transcription polymerase chain reaction (real-time RT-PCR), one of the gold standards for SARS-CoV-2 detection, in response to the pandemic and in support of its military missions and Thai public health. The Cobas Liat SARS-CoV-2 system, which was the first U.S. Food and Drug Administration authorized Point-of-Care RT-PCR test, was claimed to offer highly sensitive and rapid SARS-CoV-2 nucleic acid detection. Considering the potential establishment of this new diagnostic technology in the RTA-laboratory, we evaluated its efficiency, sensitivity, and specificity.
Sixty nasopharyngeal swabs in viral transport medium were tested by both real-time RT-PCR and the Cobas Liat SARS-CoV-2 system. The results from the two procedures were then analyzed for sensitivity and specificity. The results of the two assays showed 100% agreement, for both positive and negative samples, with a correlation level of 0.98. The Point-of-Care Cobas Liat SARS-CoV-2 system produced results concordant with real-time RT-PCR and required less time and processing. Based on this assessment, the system was established in the diagnostic laboratory to support both military and civilian tasks.
Material and Methods: Sixty nasopharyngeal swabs in viral transport medium were tested by real-time RT-PCR and the Cobas Liat SARS-CoV-2 system. The results from the two procedures were then analyzed for sensitivity and specificity.
Results: The results of the two assays showed 100% agreement, both positive and negative, at a correlation level of 0.98.
Conclusion: Point-of-Care Cobas Liat SARS-CoV-2 system produced results concordant with real-time RT-PCR and required less time and processing. Based on this assessment, the system was established in the diagnostic laboratory to support in military and civilian tasks.
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