Evidence map›Paper›PMID 33418177›Full record

ArticleAmerican journal of otolaryngology

A comparison of swab types on sample adequacy, suspects comfort and provider preference in COVID-19.

Vijay Bidkar, Kalaiselvi Selvaraj, Meena Mishra, Vishal Shete, Anita Sajjanar

Open access · greenAbstract readComparative Study
In one paragraph

Article in American journal of otolaryngology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.3field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
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  5. Importance of Adequate qPCR Controls in Infection Control.Diagnostics (Basel, Switzerland) · 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

5 authors at 2 institutions in 1 country.

Vijay BidkarDepartment of Otorhinolaryngology-Head and Neck Surgery, All India Institute of Medical Sciences, Nagpur, Maharashtra, India. Electronic address: dr.vijaybidkar@gmail.com.
Kalaiselvi SelvarajDepartment of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India.
Meena MishraDepartment of Microbiology, All India Institute of Medical Sciences, Nagpur, Maharashtra, India.
Vishal SheteDepartment of Microbiology, All India Institute of Medical Sciences, Nagpur, Maharashtra, India.
Anita SajjanarDepartment of Pathology, Datta Meghe Medical College, Nagpur, Maharashtra, India.
All India Institute of Medical Sciences, NagpurDatta Meghe Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study was aimed to compare the virological, suspect reported outcomes and provider preferences during COVID-19 swab taking procedure used for sampling.

methodsThe COVID-19 suspects are subjected to nasopharyngeal (NP) and oropharyngeal (OP) swabs for testing. Two types of swabs (Nylon and Dacron) are used for sample collection. Prospectively each suspect's response is collected and assessed for self-reported comfort level. The provider's experience with each suspect and virological outcomes recorded separately. The sample adequacy was compared based on swab types and demographic characteristics.

resultsA total of 1008 COVID-19 suspects were considered for comparison of various outcomes. Dacron and flocked Nylon swab sticks are used for taking 530 and 478 samples, respectively. Suspects who underwent the procedure using Nylon swabs were six times more likely to have pain/discomfort compared to when Dacron swab was used (Adj RR (95% CI: 6.76 (3.53 to 13, p=0.0001))). The providers perceived six times more resistance with the Nylon swabs compared to Dacron Swabs (Adj RR (95% CI: 5.96 (3.88 to 9.14, p=0.0001))). The pediatric population had a higher rate of blood staining in Dacron swab [Dacron 66 (80.5%); Nylon 51 (54.8%) p=0.0001]. The sample adequacy rate and laboratory positivity rate were not significantly different from each other.

conclusionsGiven the comparable virological outcomes, the difference in suspect and providers comfort should drive swab selection based on characteristics of the suspects. The bulbous Nylon swab caused more pain/discomfort in adults compared to Dacron.

Indexed as

Attitude of Health PersonnelCOVID-19 TestingPatient ComfortAdolescentAdultChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleMiddle AgedNasopharynxNylonsOropharynxNylonsPolyethylene TerephthalatesCoronavirus Infections/diagnosisNasal CavityPandemicsPneumoniaSARSSensitivity and SpecificitySpecimen HandlingViral/diagnosis

Identifiers

PMID33418177
PMCPMC7831439
OpenAlexW3116176172

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.