Combined Point-of-Care Nucleic Acid and Antibody Testing for SARS-CoV-2 following Emergence of D614G Spike Variant Journal Articles uri icon

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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.

authors

  • Mlcochova, Petra
  • Collier, Dami
  • Ritchie, Allyson
  • Assennato, Sonny M
  • Hosmillo, Myra
  • Goel, Neha
  • Meng, Bo
  • Chatterjee, Krishna
  • Mendoza, Vivien
  • Temperton, Nigel
  • Kiss, Leo
  • James, Leo C
  • Ciazynska, Katarzyna A
  • Xiong, Xiaoli
  • Briggs, John AG
  • Nathan, James A
  • Mescia, Federica
  • Bergamaschi, Laura
  • Zhang, Hongyi
  • Barmpounakis, Petros
  • Demeris, Nikos
  • Skells, Richard
  • Lyons, Paul A
  • Bradley, John
  • Baker, Steven
  • Allain, Jean Pierre
  • Smith, Kenneth GC
  • Bousfield, Rachel
  • Wilson, Michael
  • Sparkes, Dominic
  • Amoroso, Glenn
  • Gkrania-Klotsas, Effrosyni
  • Hardwick, Susie
  • Boyle, Adrian
  • Goodfellow, Ian
  • Gupta, Ravindra K
  • Baker, Steven
  • Bradley, John
  • Dougan, Gordon
  • Goodfellow, Ian
  • Gupta, Ravi
  • Lehner, Paul J
  • Lyons, Paul
  • Matheson, Nicholas J
  • Smith, Kenneth GC
  • Toshner, Mark
  • Weekes, Michael P
  • Brown, Nick
  • Curran, Martin
  • Palmar, Surendra
  • Zhang, Hongyi
  • Enoch, David
  • Chapman, Daniel
  • Shaw, Ashley
  • Jose, Sherly
  • Bermperi, Areti
  • Zerrudo, Julie Ann
  • Kourampa, Evgenia
  • Watson, Laura
  • Worsley, Jieniean
  • Saunders, Caroline
  • de Jesus, Ranalie
  • Domingo, Jason
  • Pasquale, Ciro
  • Vergese, Bensi
  • Vargas, Phoebe
  • Fabiculana, Marivic
  • Perales, Marlyn
  • Mynott, Lee
  • Blake, Elizabeth
  • Bates, Amy
  • Vallier, Anne-Laure
  • Williams, Alexandra
  • Phillips, David
  • Chiu, Edmund
  • Overhill, Alex
  • Ramenatte, Nicola
  • Sipple, Jamal
  • Frost, Steven
  • Knock, Helena
  • Hardy, Richard
  • Foster, Emily
  • Davidson, Fiona
  • Rundell, Viona
  • Bundi, Purity
  • Abeseabe, Richmond
  • Clark, Sarah
  • Vicente, Isabel
  • Watson, Laura
  • Worsley, Jieniean
  • Elmer, Anne
  • Ribeiro, Carla
  • Kourampa, Jenny
  • Jose, Sherly
  • Kennet, Jane
  • Rowlands, Jane
  • Meadows, Anne
  • O’Brien, Criona
  • Rastall, Rebecca
  • Crucusio, Cherry
  • Hewitt, Sarah
  • Price, Jane
  • Calder, Jo
  • Canna, Laura
  • Bucke, Ashlea
  • Tordesillas, Hugo
  • Harris, Julie
  • Ruffolo, Valentina
  • Domingo, Jason
  • Graves, Barbara
  • Butcher, Helen
  • Caputo, Daniela
  • Le Gresley, Emma
  • Dunmore, Benjamin J
  • Martin, Jennifer
  • Legchenko, Ekaterina
  • Treacy, Carmen
  • Huang, Christopher
  • Wood, Jennifer
  • Sutcliffe, Rachel
  • Hodgson, Josh
  • Shih, Joy
  • Graf, Stefan
  • Tong, Zhen
  • Mescia, Federica
  • Tilly, Tobias
  • O’Donnell, Ciara
  • Hunter, Kelvin
  • Pointon, Linda
  • Pond, Nicole
  • Wylot, Marta
  • Jones, Emma
  • Fawke, Stuart
  • Bullman, Ben
  • Turner, Lori
  • Jarvis, Isobel
  • Omarjee, Ommar
  • De Sa, Aloka
  • Marsden, Joe
  • Betancourt, Ariana
  • Perera, Marianne
  • Epping, Maddie
  • Richoz, Nathan
  • Bower, Georgie
  • Sharma, Rahul
  • Nice, Francesca
  • Huhn, Oisin
  • Fawke, Stuart
  • Savoinykh Yarkoni, Natalia
  • Romashova, Nika
  • Lewis, Daniel
  • Hinch, Andrew
  • Cossetti, Chiara
  • Strezlecki, Mateusz
  • Grenfell, Richard
  • Stark, Hannah
  • Walker, Neil
  • Stirrups, Kathy
  • Ovington, Nigel
  • Dewhust, Eleanor
  • Li, Emily
  • Papadia, Sofia
  • Kingston, Nathalie
  • Lever, Andrew
  • Torok, Estee
  • Hamilton, William
  • Hall, Grant
  • Jahun, Aminu
  • Chaudhry, Yasmin
  • Pinckert, Malte
  • Georgana, Iliana
  • Yakovleva, Anna
  • Caller, Laura
  • Caddy, Sarah
  • Feltwell, Theresa
  • Khokhar, Fahad
  • Meredith, Luke
  • Holdcroft, Charlotte
  • Curran, Martin
  • Parmar, Surendra
  • Kingston, Nathalie
  • Lever, Andrew
  • Torok, Estee
  • Hamilton, William
  • Hall, Grant
  • Jahun, Aminu
  • Chaudhry, Yasmin
  • Pinckert, Malte
  • Georgana, Iliana
  • Yakovleva, Anna
  • Caller, Laura
  • Caddy, Sarah
  • Feltwell, Theresa
  • Khokhar, Fahad
  • Meredith, Luke
  • Holdcroft, Charlotte
  • Curran, Martin
  • Parmar, Surendra

publication date

  • September 2020