Complementary methods for SARS-CoV-2 diagnosis in times of material shortage

Sci Rep. 2021 Jun 7;11(1):11899. doi: 10.1038/s41598-021-91457-z.

Abstract

The pandemic caused by SARS-CoV-2 resulted in increasing demands for diagnostic tests, leading to a shortage of recommended testing materials and reagents. This study reports on the performance of self-sampled alternative swabbing material (ordinary Q-tips tested against flocked swab and rayon swab), of reagents for classical RNA extraction (phenol/guanidine-based protocol against a commercial kit), and of intercalating dye-based one-step quantitative reverse transcription real-time PCRs (RT-qPCR) compared against the gold standard hydrolysis probe-based assays for SARS-CoV-2 detection. The study found sampling with Q-tips, RNA extraction with classical protocol and intercalating dye-based RT-qPCR as a reliable and comparably sensitive strategy for detection of SARS-CoV-2-particularly valuable in the current period with a resurgent and dramatic increase in SARS-CoV-2 infections and growing shortage of diagnostic materials especially for regions limited in resources.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • COVID-19 / diagnosis*
  • COVID-19 Testing* / methods
  • Humans
  • RNA, Viral / genetics*
  • Real-Time Polymerase Chain Reaction / methods
  • Reverse Transcription / physiology
  • SARS-CoV-2 / pathogenicity*
  • Specimen Handling* / methods
  • Time Factors

Substances

  • RNA, Viral