1. Saliva for COVID-19 Testing: Simple but Useless or an Undervalued Resource?
- Author
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Sara Pijuan-Galito, Francesco Saverio Tarantini, Hannah Tomlin, Harry Jenkins, Jamie Louise Thompson, Danielle Scales, Amy Stroud, Ana Tellechea Lopez, James Hassall, Philip G. McTernan, Andy Coultas, Asta Arendt-Tranholm, Caroline Reffin, Ian Hill, I-ning Lee, Siyu Wu, Joanne Porte, Joseph Chappell, Katarzyna Lis-Slimak, Kazuyo Kaneko, Lara Doolan, Mairead Ward, Martin Stonebridge, Mohammad Ilyas, Patrick McClure, Patrick Tighe, Penny Gwynne, Ralph Hyde, Jonathan Ball, Claire Seedhouse, Andrew V. Benest, Moira Petrie, and Chris Denning
- Subjects
SARS-CoV-2 ,lateral flow ,polymerase chain reaction ,COVID-19 ,nasopharyngeal swab ,saliva ,Microbiology ,QR1-502 - Abstract
During the COVID-19 pandemic, countries with robust population-based asymptomatic testing were generally successful in controlling virus spread, hence reducing hospitalizations and deaths. This effectiveness inspired widespread asymptomatic surveillance for COVID-19/SARS-CoV-2 globally. Polarized vaccination programs, coupled with the relatively short-lived immunity vaccines provide, mean that reciprocal cross-border exchanges of each new variant are likely, as evidenced by Delta and Gamma, and asymptomatic testing will be required for the foreseeable future. Reliance on nasopharyngeal swabs contributes to “testing fatigue” arising due to difficulties in standardizing administration, unpleasantness, and inappropriateness of use in younger people or individuals with special needs. There has also been erosion in confidence of testing due to variable and/or poor accuracy of lateral flow devices to detect COVID-19. Here, we question why saliva-based PCR assays are not being used more widely, given that standardization is easy and this non-invasive test is suitable for everyone, providing high sensitivity and accuracy. We reflect on our experience with the University of Nottingham COVID-19 Asymptomatic Testing, where (as of October 2021) 96,317 samples have been processed by RT-qPCR from 23,740 repeat saliva donors, yielding 465 positive cases. We challenge myths that saliva is difficult to process, concluding that it is an undervalued resource for both asymptomatic and symptomatic detection of SARS-CoV-2 genomes to an accuracy of >99% and a sensitivity of 1–10 viral copies/μl. In July 2021, our data enabled Nottingham to become the first UK University to gain accreditation and the first UK institute to gain this accolade for saliva.
- Published
- 2021
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