1. Evaluation of RT-LAMP Assay for Rapid Detection of SARS-CoV-2.
- Author
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Li, Ya-Ping, Cao, Xun-Jie, Luo, Xin, Xie, Tian-Ao, Liu, Wan-Jun, Xie, Shi-Ming, Lin, Min, and Guo, Xu-Guang
- Subjects
ONLINE information services ,MEDICAL databases ,COVID-19 ,MOLECULAR diagnosis ,META-analysis ,MEDICAL information storage & retrieval systems ,CONFIDENCE intervals ,SYSTEMATIC reviews ,COMMUNITY health services ,PRIMARY health care ,DESCRIPTIVE statistics ,COVID-19 testing ,SENSITIVITY & specificity (Statistics) ,MEDLINE ,DATA analysis software ,ODDS ratio ,LOGISTIC regression analysis ,LOOP-mediated isothermal amplification ,EARLY diagnosis - Abstract
Objective To evaluate the accuracy of the reverse transcription loop-mediated isothermal amplification (RT-LAMP) assay for rapid detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in community or primary-care settings. Method We systematically searched the Web of Science, Embase, PubMed, and Cochrane Library databases. We conducted quality evaluation using ReviewManager software (version 5.0). We then used MetaDisc software (version 1.4) and Stata software (version 12.0) to build forest plots, along with a Deeks funnel plot and a bivariate boxplot for analysis. Result Overall, the sensitivity, specificity, and diagnostic odds ratio were 0.79, 0.97, and 328.18, respectively. The sensitivity for the subgroup with RNA extraction appeared to be higher, at 0.88 (0.86–0.90), compared to the subgroup without RNA extraction, at 0.50 (0.45–0.55), with no significant difference in specificity. Conclusion RT-LAMP assay exhibited high specificity regarding current SARS-CoV-2 infection. However, its overall sensitivity was relatively moderate. Extracting RNA was found to be beneficial in improving sensitivity. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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