Evidence map›Paper›PMID 32949663›Full record

ArticleJournal of virological methods2020

Value of swab types and collection time on SARS-COV-2 detection using RT-PCR assay.

Min Liu, Qianyuan Li, Jun Zhou, Wen Ai, Xiaoling Zheng, Jingjing Zeng, Yuwen Liu, Xiying Xiang, Rong Guo, Xiaoyin Li and 8 more

Abstract read
In one paragraph

Article in Journal of virological methods, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  6. Comparing SARS-CoV-2 Viral Load in Human Saliva to Oropharyngeal Swabs, Nasopharyngeal Swabs, and Sputum: A Systematic Review and Meta-Analysis.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2023
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  18. Laboratory evaluation of SARS-CoV-2 in the COVID-19 pandemic.Best practice & research. Clinical rheumatology · 2021
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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

18 authors.

Min LiuThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People's Hospital, China.
Qianyuan LiThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People's Hospital, China.
Jun ZhouThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People's Hospital, China.
Wen AiThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People's Hospital, China.
Xiaoling ZhengThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People's Hospital, China.
Jingjing ZengThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People's Hospital, China.
Yuwen LiuThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People's Hospital, China.
Xiying XiangThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People's Hospital, China.
Rong GuoThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People's Hospital, China.
Xiaoyin LiThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People's Hospital, China.
Xiandi WuThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People's Hospital, China.
Haiying XuThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People's Hospital, China.
Ling JiangThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People's Hospital, China.
Huaqin ZhangThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People's Hospital, China.
Jing ChenThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People's Hospital, China.
Lili TianThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People's Hospital, China.
Jun LuoThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People's Hospital, China. Electronic address: lj1988cby@126.com.
Chunhua LuoThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People's Hospital, China. Electronic address: lchlgj2004@aliyun.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveLow viral load from patients infected with SARS-CoV-2 during infection late stage easily lead to false negative nucleic acid testing results, thus having great challenges to the prevention and control of the current pandemic. In present study, we mainly aimed to evaluate specimen types and specimen collection timepoint on the positive detection of 2019 novel coronavirus from patients at infection late stage based on RT-PCR testing.

methodsPaired nasopharyngeal swabs, nasal swabs, oropharyngeal swabs and anal swabs were collected from patients infected with SARS-CoV-2 during infection late stage before washing in the morning and afternoon on the same day. Then virus RNA was extracted and tested for 2019-nCoV identification by RT-PCR within 24 h.

resultsViral load was low at late infection stage. Specimens collected before washing in the morning would increase the detection ratio of 2019-nCoV. Detection ratio of nasopharyngeal swab [65 (95 % CI: 49.51-77.87) vs 42.5(95 % CI: 28.51-57.8)] or nasal swab [57.5 (95 % CI: 42.2-71.49) vs 35 (95 % CI: 22.13-50.49)] is higher not only than oropharyngeal swab[22.5 (95 % CI: 12.32-37.5) vs 7.5 (95 % CI: 2.58-19.86)], but also anal swab[2.5 (95 % CI: 0.44-12.88) vs 5 (95 % CI: 1.38-16.5)].

conclusionsIn summary, our research discovers that nasopharyngeal or nasal swab collected before washing in the morning might be more suitable for detecting of large-scale specimens from patients infected with low SARS-CoV-2 load during infection late stage. Those results could facilitate other laboratories in collecting appropriate specimens for improving detection of SARS-CoV-2 from patients during infection late stage as well as initially screening.

Indexed as

AdultAgedBetacoronavirusChinaClinical Laboratory TechniquesCoronavirus InfectionsCOVID-19COVID-19 TestingDiagnostic Tests, RoutineFemaleHumansMaleMiddle AgedNasal CavityNasopharynxOropharynxRNA, ViralCollection timepointPositive detection rateRT-PCRSARS-Cov-2Specimen types

Identifiers

PMID32949663
PMCPMC7493793

What OpenQuestion holds

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Registered trials

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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.