Evidence map›Paper›PMID 33401035›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2021

Validation of self-collected buccal swab and saliva as a diagnostic tool for COVID-19.

Chee Wai Ku, Durai Shivani, Jacqueline Q T Kwan, See Ling Loy, Christina Erwin, Karrie K K Ko, Xiang Wen Ng, Lynette Oon, Koh Cheng Thoon, Shirin Kalimuddin and 1 more

Open access · goldAbstract readValidation Study
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 10% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

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  11. 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

11 authors at 4 institutions in 1 country.

Chee Wai KuDepartment of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore; Academic Program in Obstetrics and Gynaecology, Duke-NUS Medical School, Singapore.
Durai ShivaniDepartment of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore.
Jacqueline Q T KwanYong Loo Lin School of Medicine, National University of Singapore, Singapore.
See Ling LoyAcademic Program in Obstetrics and Gynaecology, Duke-NUS Medical School, Singapore; Department of Reproductive Medicine, KK Women's and Children's Hospital, 100, Bukit Timah Road, 229899, Singapore.
Christina ErwinAcademic Program in Obstetrics and Gynaecology, Duke-NUS Medical School, Singapore.
Karrie K K KoAcademic Program in Obstetrics and Gynaecology, Duke-NUS Medical School, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Microbiology, Singapore General Hospital, Singapore; Department of Molecular Pathology, Singapore General Hospital, Singapore.
Xiang Wen NgDepartment of Reproductive Medicine, KK Women's and Children's Hospital, 100, Bukit Timah Road, 229899, Singapore.
Lynette OonDepartment of Molecular Pathology, Singapore General Hospital, Singapore.
Koh Cheng ThoonDepartment of Paediatrics, KK Women's and Children's Hospital, Singapore.
Shirin KalimuddinDepartment of Infectious Diseases, Singapore General Hospital, Block 4 Level 1, Singapore General Hospital, Outram Rd, 169608, Singapore; Programme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore. Electronic address: shirin.kalimuddin@singhealth.com.sg.
Jerry K Y ChanAcademic Program in Obstetrics and Gynaecology, Duke-NUS Medical School, Singapore; Department of Reproductive Medicine, KK Women's and Children's Hospital, 100, Bukit Timah Road, 229899, Singapore. Electronic address: jerrychan@duke-nus.edu.sg.
KK Women's and Children's Hospital · SGNational University of Singapore · SGSingapore General Hospital · SGDuke-NUS Medical School · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffective management of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) requires large-scale testing to identify and isolate infectious carriers. Self-administered buccal swab and saliva collection are convenient, painless, and safe alternatives to the current healthcare worker (HCW)-collected nasopharyngeal swab (NPS).

methodsA cross-sectional single-centre study was conducted on 42 participants who had tested positive for SARS-CoV-2 via an NPS within the past 7 days. Real-time polymerase chain reaction (RT-PCR) was performed and cycle threshold (Ct) values were obtained for each test. The positive percent agreement (PPA), negative percent agreement (NPA), and overall agreement (OA) were calculated for the saliva samples and buccal swabs, and compared with NPS.

resultsAmong the 42 participants, 73.8% (31/42) tested positive by any one of the three tests. With reference to NPS, the saliva test had PPA 66.7%, NPA 91.7%, and OA 69.0%; the buccal swab had PPA 56.7%, NPA 100%, and OA 73.8%.

conclusionSelf-collected saliva tests and buccal swabs showed only moderate agreement with HCW-collected NPS. Primary screening for SARS-CoV-2 may be performed with a saliva test or buccal swab, with a negative test warranting a confirmatory NPS to avoid false-negatives, minimize discomfort, and reduce the risk of spread to the community and HCWs.

Indexed as

AdultCOVID-19COVID-19 TestingCross-Sectional StudiesFemaleHumansMaleMiddle AgedMouth MucosaNasopharynxReal-Time Polymerase Chain ReactionSalivaSARS-CoV-2Specimen HandlingWorkflowBuccal swabCOVID-19Diagnostic testsSaliva testSARS-CoV-2

Identifiers

PMID33401035
PMCPMC7833930
OpenAlexW3090091026

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.