Evidence map›Paper›PMID 32403007›Full record

ArticleJournal of clinical virology : the official publication of the Pan American Society for Clinical Virology2020

Self-collection: An appropriate alternative during the SARS-CoV-2 pandemic.

Michael C Wehrhahn, Jennifer Robson, Suzanne Brown, Evan Bursle, Shane Byrne, David New, Smathi Chong, James P Newcombe, Terri Siversten, Narelle Hadlow

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. The Infectious Diseases Society of America Guidelines on the Diagnosis of COVID-19: Molecular Diagnostic Testing (December 2023).Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
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  12. Prospective, clinical comparison of self-collected throat-bilateral nares swabs and saline gargle compared to health care provider collected nasopharyngeal swabs among symptomatic outpatients with potential SARS-CoV-2 infection.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2024
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Michael C WehrhahnDouglass Hanly Moir Pathology, 14 Giffnock Ave, Macquarie Park, NSW, 2113, Australia. Electronic address: mwehrhahn@dhm.com.au.
Jennifer RobsonSullivan Nicolaides Pathology, 24 Hurworth St, Bowen Hills, QLD, 4006, Australia.
Suzanne BrownDepartment of Endocrinology & Diabetes, Sir Charles Gairdner Hospital, Hospital Ave, Nedlands, WA, 6009, Australia.
Evan BursleSullivan Nicolaides Pathology, 24 Hurworth St, Bowen Hills, QLD, 4006, Australia.
Shane ByrneSullivan Nicolaides Pathology, 24 Hurworth St, Bowen Hills, QLD, 4006, Australia.
David NewClinipath Pathology, 310 Selby St, North Osborne Park, WA, 6017, Australia.
Smathi ChongClinipath Pathology, 310 Selby St, North Osborne Park, WA, 6017, Australia.
James P NewcombeDouglass Hanly Moir Pathology, 14 Giffnock Ave, Macquarie Park, NSW, 2113, Australia.
Terri SiverstenDouglass Hanly Moir Pathology, 14 Giffnock Ave, Macquarie Park, NSW, 2113, Australia.
Narelle HadlowClinipath Pathology, 310 Selby St, North Osborne Park, WA, 6017, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the reliability of self-collection for SARS-CoV-2 and other respiratory viruses because swab collections for SARS-CoV-2 put health workers at risk of infection and require use of personal protective equipment (PPE).

methodsIn a prospective study, patients from two states in Australia attending dedicated COVID-19 collection clinics were offered the option to first self-collect (SC) nasal and throat swabs (SCNT) prior to health worker collect (HC) using throat and nasal swabs (Site 1) or throat and nasopharyngeal swabs (Site 2). Samples were analysed for SARS-CoV-2 as well as common respiratory viruses. Concordance of results between methods was assessed using Cohen's kappa (κ) and Cycle threshold (Ct) values were recorded for all positive results as a surrogate measure for viral load.

resultsOf 236 patients sampled by HC and SC, 25 had SARS-CoV-2 (24 by HC and 25 by SC) and 63 had other respiratory viruses (56 by HC and 58 by SC). SC was highly concordant with HC (κ = 0.890) for all viruses including SARS-CoV-2 and more concordant than HC to positive results by any method (κ = 0.959 vs 0.933). Mean SARS-CoV-2 E-gene and N-gene, rhinovirus and parainfluenza Ct values did not differ between HC and SCNT.

conclusionsSelf-collection of nasal and throat swabs offers a reliable alternative to health worker collection for the diagnosis of SARS-CoV-2 and other respiratory viruses and provides patients with easier access to testing, reduces exposure of the community and health workers to those being tested and reduces requirement for PPE.

Indexed as

PandemicsAdolescentAdultAgedAged, 80 and overAustraliaBetacoronavirusChildCoronavirus InfectionsCOVID-19FemaleHumansMaleMiddle AgedNasopharynxNoseCOVID-19DiagnosisPCRRespiratory virusesSARS-CoV-2Self-collection

Identifiers

PMID32403007
PMCPMC7198188

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.