SARS-CoV-2 rapid antigen test: High sensitivity to detect infectious virusShow others and affiliations
2021 (English)In: Journal of Clinical Virology, ISSN 1386-6532, E-ISSN 1873-5967, Vol. 140, article id 104846Article in journal (Refereed) Published
Abstract [en]
Background: The COVID-19 pandemic has highlighted the need for rapid, cost effective and easy-to-use diagnostic tools for SARS-CoV-2 infections that can be used in point of care settings to limit disease transmission. Objective: We evaluated two rapid antigen immunochromatographic tests, Abbott PanbioTM COVID-19 Ag Rapid Test (Panbio) and Zhejiang Orient Gene/Healgen Biotech Coronavirus Ag rapid test cassette (Orient gene) for detection of infectious SARS-CoV-2. Results: The tests were evaluated on nasopharyngeal samples taken from individuals having respiratory and/or COVID-19 related symptoms, which had been analyzed for SARS-CoV-2 RNA using real-time PCR. In total 156 PCR-positive, and 130 (Panbio) and 176 (Orient Gene) PCR-negative samples were analyzed. Overall sensitivity and specificity were 71.8% and 100% for Panbio and 79.5% and 74.4% for the Orient Gene test respectively. The false positives by the Orient Gene test were verified as SARS-CoV-2 negative by in-house real-time PCR assay and were negative for the four seasonal coronaviruses. Subgroup analysis revealed that the antigen tests had high sensitivity for samples with Ct-values <25 (>88%) and for samples containing infectious viruses as determined by cultivation on Vero cells, 94.1% and 97.1% for the Panbio and Orient gene tests, respectively. Furthermore, both tests had a sensitivity of <50 picogram for nucleocapsid protein. No sample with a Ct-value >27 was shown to contain infectious virus. Conclusion: The results indicate that the rapid antigen tests, especially the Panbio tests may be a valuable tool to detect contagious persons during the ongoing pandemic.
Place, publisher, year, edition, pages
ELSEVIER , 2021. Vol. 140, article id 104846
Keywords [en]
SARS-CoV-2; Rapid antigen test; Infectious virus
National Category
Microbiology in the medical area
Identifiers
URN: urn:nbn:se:liu:diva-177416DOI: 10.1016/j.jcv.2021.104846ISI: 000659514400010PubMedID: 33971580OAI: oai:DiVA.org:liu-177416DiVA, id: diva2:1574731
Note
Funding Agencies|Region Ostergotland [30320005]
2021-06-292021-06-292024-01-08