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Can I read RT-PCR detection of SARS-CoV-2 in nasopharyngeal and salivary specimens: contribution of alternative collection systems and extraction processes to cope with mass screening. Interpretation of low viral loads on EtoBox?

RT-PCR detection of SARS-CoV-2 in nasopharyngeal and salivary specimens: contribution of alternative collection systems and extraction processes to cope with mass screening. Interpretation of low viral loads by Sylvain Robinet; François Parisot; Laurie Cochonot; Benjamin Schiltz; Camille Paboeuf; Clement Nedelec; Laurent Espinet; Alexis Heddebaut is a Medicine article available to read on EtoBox.

What is RT-PCR detection of SARS-CoV-2 in nasopharyngeal and salivary specimens: contribution of alternative collection systems and extraction processes to cope with mass screening. Interpretation of low viral loads about?

## Abstract ## Objectives Due to massive screening of the persistent coronavirus SARS-CoV-2, supply difficulties emerged for swabs and extraction reagents leading to test alternative choices. Quality sampling may have an impact on the result and a low RNA detection may be difficult to interpret because it does not necessarily mean that infectious particles are present in biological samples. There is a need to understand whether the Ct value information is relevant and informative. ## Methods We compared the pre-analytical stability of RNA in saline solution, UTM^®^, Amies and Cary-Blair transport media. Expression profile of E, N and RdRp genes was assessed at various concentration levels with the AllplexTM 2019-nCoV Assay. Factors that may influence the determination of Ct were studied with several extraction reagents coupled to the GSD NovaPrime^®^ SARS-CoV-2 RT-PCR testing kit. ## Results Seventy two-hour RNA stability has been demonstrated for all the transport media assessed. A matrix effect was shown, leading to a decrease in the detection of E and RdRp genes, so that only N gene was often found for Ct greater than 35.0. A follow-up over more than 67,000 patients suggests tha

Who reads RT-PCR detection of SARS-CoV-2 in nasopharyngeal and salivary specimens: contribution of alternative collection systems and extraction processes to cope with mass screening. Interpretation of low viral loads?

It is typically read by researchers, students, and practitioners in Medicine.

Author
Sylvain Robinet; François Parisot; Laurie Cochonot; Benjamin Schiltz; Camille Paboeuf; Clement Nedelec; Laurent Espinet; Alexis Heddebaut
Publisher
Walter de Gruyter GmbH
Published
2022
Language
EN
Field
Medicine (Health Sciences)

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