1. Evaluation of the artus® Prep&Amp UM RT-PCR for detection of SARS-CoV-2 from nasopharyngeal swabs without prior nucleic acid eluate extraction
- Author
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O'Hara, Robert William, Brown, Benjamin, Hughes, Angela, McEwan, Ashley, Birtles, Andrew, Hawker, Adam, Davies, Emma, Farooq, Hamzah Z, Tilston, Peter, Haigh, Dominic, Hesketh, Louise, Dodgson, Andrew, Dodgson, Kirsty, Shazaad, Ahmad, Guiver, Malcolm, and Machin, Nicholas
- Abstract
Here we describe a retrospective clinical evaluation of the QIAGEN artus®SARS-CoV-2 Prep&Amp UM RT-PCR assay that detects SARS-CoV-2 RNA without the need for a nucleic acid eluate extraction procedure. Using Roche SARS-CoV-2 RT-PCR on the cobas® 8800 platform as a reference standard, a total of 225 confirmed SARS-CoV-2 positive and 320 negative nasopharyngeal swabs in viral transport media, were used to evaluate the artus®assay. Using the RT-PCR cycle threshold as a semi-quantitative marker of viral load, an assessment of over 370,000 SARS-CoV-2 RT-PCR positive results was used in the design of the reference positive specimen cohort. The viral load of all reference positive specimens used in the evaluation was a unique and accurate representation of the range and levels of SARS-CoV-2 positivity observed over a 13-month period of the COVID-19 pandemic. The artus®RT-PCR detects the presence of SARS-CoV-2 RNA, an internal control, and the human RNase P gene to ensure specimen quality. The diagnostic sensitivity of artus®was 92.89% with a specificity of 100%. To assess the analytical sensitivity, a limit of detection was performed using the 1stWHO NIBSC SARS-CoV-2 international standard, recording a 95% LOD of 1.1 × 103IU/ml. The total invalid rate of specimens was 7.34% due to a lack of detectable RNase P (Ct>35). The artus®SARS-CoV-2 Prep&Amp UM RT-PCR assay is a new rapid RT-PCR assay, which may be considered to produce acceptable levels of diagnostic sensitivity and specificity whilst potentially halving the laboratory processing time.
- Published
- 2022
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