scholarly journals A Nasopharyngeal Swab Specimen: How to Perform?

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Şahin Bayram ◽  
Aytuluk Hande Gürbüz
Author(s):  
Jeffrey D Klausner ◽  
Noah Kojima ◽  
Susan M. Butler-Wu

The US Food and Drug Administration currently uses the nasopharyngeal swab specimen as the reference standard for evaluation of SARS-CoV-2 assays. We propose that the patient-infected status algorithm is a superior way to classify whether an individual is infected or not infected.


2021 ◽  
Vol 14 (12) ◽  
pp. e246884
Author(s):  
Victor Carvalho ◽  
Paula H Damasco ◽  
Thiago S Mello ◽  
Bruno Gonçalves

A 21-year-old woman arrived at the emergency department with dyspnoea, arterial hypotension and abdominal pain after 5 days with a influenza-like syndrome. SARS-CoV-2 was detected by reverse transcription PCR in a nasopharyngeal swab specimen. CT of the chest and abdomen with contrast demonstrated a minimal amount of free intraperitoneal fluid, gallbladder with wall oedema, multiple para-aortic lymph node and interlobular septal thickening with ground glass opacities on the lungs. No pleural effusion or thromboembolism. Early broad-spectrum antibiotics, high-flow nasal cannula and norepinephrine were started. She was successfully treated with intravenous immunoglobulin and pulse corticosteroid therapy with methylprednisolone. The patient was discharged home with complete resolution of her symptoms and returned to her previous health status.


2020 ◽  
Vol 382 (22) ◽  
pp. e76 ◽  
Author(s):  
Francisco M. Marty ◽  
Kaiwen Chen ◽  
Kelly A. Verrill

2020 ◽  
Vol 58 (8) ◽  
Author(s):  
Nicholas M. Moore ◽  
Haiying Li ◽  
Debra Schejbal ◽  
Jennifer Lindsley ◽  
Mary K. Hayden

ABSTRACT We compared the ability of 2 commercial molecular amplification assays (RealTime SARS-CoV-2 on the m2000 [abbreviated ACOV; Abbott] and ID Now COVID-19 [abbreviated IDNOW; Abbott]) and a laboratory-developed test (modified CDC 2019-nCoV reverse transcriptase PCR [RT-PCR] assay with RNA extraction by eMag [bioMérieux] and amplification on QuantStudio 6 or ABI 7500 real-time PCR system [abbreviated CDC COV]) to detect severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA in upper respiratory tract specimens. Discrepant results were adjudicated by medical record review. A total of 200 nasopharyngeal swab specimens in viral transport medium (VTM) were collected from symptomatic patients between 27 March and 9 April 2020. Results were concordant for 167 specimens (83.5% overall agreement), including 94 positive and 73 negative specimens. The ACOV assay yielded 33 additional positive results, 25 of which were also positive by the CDC COV assay but not by the IDNOW assay. In a follow-up evaluation, 97 patients for whom a dry nasal swab specimen yielded negative results by IDNOW had a paired nasopharyngeal swab specimen collected in VTM and tested by the ACOV assay; SARS-CoV-2 RNA was detected in 13 (13.4%) of these specimens. Medical record review deemed all discrepant results to be true positives. The IDNOW test was the easiest to perform and provided a result in the shortest time but detected fewer cases of COVID-19. The ACOV assay detected more cases of COVID-19 than the CDC COV or IDNOW assays.


2020 ◽  
Vol 9 (27) ◽  
Author(s):  
Sanaâ Lemriss ◽  
Amal Souiri ◽  
Narjis Amar ◽  
Nabil Lemzaoui ◽  
Omar Mestoui ◽  
...  

ABSTRACT Here, we report a complete genome sequence obtained for a novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) strain isolated from a nasopharyngeal swab specimen of a Moroccan patient with coronavirus disease 2019 (COVID-19).


Cureus ◽  
2021 ◽  
Author(s):  
Asit Misra ◽  
Kristy J Carlson ◽  
Christie A Barnes ◽  
Samuel K Pate ◽  
Benjamin B Stobbe ◽  
...  

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Gregorio P. Milani ◽  
Paola Marchisio ◽  
Alessia Rocchi ◽  
Giuseppe Bertolozzi ◽  
Ludovico Furlan ◽  
...  

Abstract Background Children often develop an asymptomatic form of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), but it is debated if children are at higher risk than adults to be asymptomatic carriers of SARS-CoV-2, especially during the school reopening. The main aim of this study was to investigate the frequency of SARS-CoV-2 asymptomatic carriers in children and adults during the reopening of the schools in Milan, Italy. Methods We conducted a cross-sectional study at the pediatric and adult Emergency Department (ED) of the Ca' Granda Ospedale Maggiore Policlinico (Milan) between October 1 and 31, 2020, i.e. 3 weeks after the reopening of schools. Patients admitted to the ED short stay observation and without any sign or symptom consistent with a SARS-CoV-2 were eligible. These patients underwent a nasopharyngeal swab specimen for the detection of SARS-CoV-2. The odds ratio and its 95% confidence interval (CI) was calculated to assess the risk of asymptomatically carrying the SARS-CoV-2 infection in children and adults. Results A total of 69 (27 females, median age 8.7 years) children and 251 (107 females, median age 71 years) adults were enrolled. Pediatric and adult subjects tested positive for SARS-CoV-2 with a similar frequency (1/69 [1.4%] vs 4/251 [1.6%]). Children had an odds ratio to be a carrier of 0.91 (CI 0.02– 9.38) compared to adults. Conclusions The frequency of asymptomatic SARS-CoV-2 carriers was similar among children and adults. Considering the emerging diffusion of new SARS-CoV-2 variants, the asymptomatic spread of SARS-CoV-2 infection among children and adults should be monitored.


2021 ◽  
Vol 10 (11) ◽  
Author(s):  
Tarik Aanniz ◽  
Mouna Ouadghiri ◽  
Mohammed Amine Bendahou ◽  
Mohammed Walid Chemao-Elfihri ◽  
Mohamed Chenaoui ◽  
...  

ABSTRACT We report the nearly complete genome sequence and the genetic variations of a clinical sample of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) collected from a nasopharyngeal swab specimen from a male patient from Harhoura-Rabat, Morocco. The sequence, which was obtained using Ion Torrent technology, is valuable as it carries a recently described deletion (His69-Val70) and substitution (Asn439Lys).


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