Evidence map›Paper›PMID 32946791›Full record

ArticleClinica chimica acta; international journal of clinical chemistry2020

SARS-CoV-2 identification and IgA antibodies in saliva: One sample two tests approach for diagnosis.

Ada Aita, Daniela Basso, Anna Maria Cattelan, Paola Fioretto, Filippo Navaglia, Francesco Barbaro, Alice Stoppa, Enrico Coccorullo, Assunta Farella, Aurora Socal and 2 more

Open access · greenAbstract read
In one paragraph

Article in Clinica chimica acta; international journal of clinical chemistry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 5 pooled it
1.8field-weighted citation impact, top 8% of its field
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

40 citing papers in PubMed, 5 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
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  3. SARS-CoV-2 saliva testing using RT-PCR: a systematic review.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
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  18. ESCMID COVID-19 guidelines: diagnostic testing for SARS-CoV-2.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2022
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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

12 authors at 1 institution in 1 country.

Ada AitaDepartment of Medicine - DIMED, Laboratory Medicine, University Hospital of Padova, Padova, Italy.
Daniela BassoDepartment of Medicine - DIMED, Laboratory Medicine, University Hospital of Padova, Padova, Italy. Electronic address: daniela.basso@unipd.it.
Anna Maria CattelanTropical and Infectious Diseases Unit, University Hospital of Padova, Padova, Italy.
Paola FiorettoDepartment of Medicine - DIMED, Internal Medicine 3, University Hospital of Padova, Padova, Italy.
Filippo NavagliaDepartment of Medicine - DIMED, Laboratory Medicine, University Hospital of Padova, Padova, Italy.
Francesco BarbaroTropical and Infectious Diseases Unit, University Hospital of Padova, Padova, Italy.
Alice StoppaDepartment of Medicine - DIMED, Laboratory Medicine, University Hospital of Padova, Padova, Italy.
Enrico CoccorulloDepartment of Medicine - DIMED, Laboratory Medicine, University Hospital of Padova, Padova, Italy.
Assunta FarellaDepartment of Medicine - DIMED, Laboratory Medicine, University Hospital of Padova, Padova, Italy.
Aurora SocalDepartment of Medicine - DIMED, Laboratory Medicine, University Hospital of Padova, Padova, Italy.
Roberto VettorDepartment of Medicine - DIMED, Internal Medicine 3, University Hospital of Padova, Padova, Italy.
Mario PlebaniDepartment of Medicine - DIMED, Laboratory Medicine, University Hospital of Padova, Padova, Italy.
University of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study aims to verify whether standardized saliva collection is suitable for SARS-CoV-2 molecular detection and IgA measurement.

methods43 COVID-19 inpatients and 326 screening subjects underwent naso-pharyngeal (NP)-swab and saliva collection (Salivette). Inpatients also underwent repeated blood collections to evaluate inflammation and organs involvement. In all patients and subjects, SARS-CoV-2 (gene E) rRT-PCR was undertaken in saliva and NP-swabs. Salivary IgA and serum IgA, IgG, IgM were measured on inpatients' samples.

resultsNP-swabs and saliva were both SARS-CoV-2 positive in 7 (16%) or both negative in 35 (82%) out of 43 patients successfully included in the study. NP-swabs and saliva results did not perfectly match in one patient (saliva positive, NP-swab negative). Positive molecular results were significantly associated with disease duration (p = 0.0049). 326/326 screening subjects were SARS-CoV-2 negative on both NP-swabs and saliva. Among the 27 saliva samples tested for IgA, 18 were IgA positive. Salivary IgA positivity was associated with pneumonia (p = 0.002) and CRP values (p = 0.0183), not with other clinical and molecular data, or with serum immunoglubulins.

conclusionsA standardized saliva collection can be adopted to detect SARS-CoV-2 infection in alternative to NP-swabs. Preliminary data on salivary IgA support the use of saliva also for patient monitoring.

Indexed as

Clinical Laboratory TechniquesAdultAgedAged, 80 and overBetacoronavirusCoronavirus InfectionsCOVID-19 TestingFemaleHumansImmunoglobulin AMaleMiddle AgedReference StandardsSalivaSARS-CoV-2Specimen HandlingImmunoglobulin ANaso-pharyngeal swabSalivaSalivary IgASARS-CoV-2

Identifiers

PMID32946791
PMCPMC7492139
OpenAlexW3086468930

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.