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RT-qPCR DETECTION OF SARS-CoV-2 RNA FROM PATIENT NASOPHARYNGEAL SWAB USING QIAGEN RNEASY KITS OR DIRECTLY VIA OMISSION OF AN RNA EXTRACTION STEP
Emily A Bruce.
Meei-Li Huang.
Garrett A Perchetti.
Scott Tighe.
Jessica J Hoffman.
Pheobe Laaguiby.
Diana L Gerrard.
Arun Nalla.
Yulun Wei.
Alexander L Greninger.
Sean A. Diehl.
David J Shirley.
Debra G. B. Leonard.
Christopher D. Huston.
Beth D. Kirkpatrick.
Julie Dragon.
Jessica W Crothers.
Keith R Jerome.
Jason W Botten.
Acceso Abierto
Atribución-NoComercial-SinDerivadas
10.1101/2020.03.20.001008
The ongoing COVID-19 pandemic has caused an unprecedented need for rapid diagnostic testing. The Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) recommend a standard assay that includes an RNA extraction step from a nasopharyngeal (NP) swab followed by reverse transcription-quantitative polymerase chain reaction (RT-qPCR) to detect the purified SARS-CoV-2 RNA. The current global shortage of RNA extraction kits has caused a severe bottleneck to COVID-19 testing. We hypothesized that SARS-CoV-2 RNA could be detected from NP samples via a direct RT-qPCR assay that omits the RNA extraction step altogether, and tested this hypothesis on a series of blinded clinical samples. The direct RT-qPCR approach correctly identified 92% of NP samples (n = 155) demonstrated to be positive for SARS-CoV-2 RNA by traditional clinical diagnostic RT-qPCR that included an RNA extraction. Thus, direct RT-qPCR could be a front-line approach to identify the substantial majority of COVID-19 patients, reserving a repeat test with RNA extraction for those individuals with high suspicion of infection but an initial negative result. This strategy would drastically ease supply chokepoints of COVID-19 testing and should be applicable throughout the world.
www.biorxiv.org
2020
Artículo
https://www.biorxiv.org/content/10.1101/2020.03.20.001008v2.full.pdf
Inglés
VIRUS RESPIRATORIOS
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