Evidence map›Paper›PMID 33748157›Full record

ArticleFrontiers in medicine2021

Performance of a Point of Care Test for Detecting IgM and IgG Antibodies Against SARS-CoV-2 and Seroprevalence in Blood Donors and Health Care Workers in Panama.

Alcibiades Villarreal, Giselle Rangel, Xu Zhang, Digna Wong, Gabrielle Britton, Patricia L Fernandez, Ambar Pérez, Diana Oviedo, Carlos Restrepo, María B Carreirra and 34 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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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

44 authors at 9 institutions in 2 countries.

Alcibiades VillarrealCentro de Biología Celular y Molecular de las Enfermedades, City of Knowledge, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama.
Giselle RangelCentro de Biología Celular y Molecular de las Enfermedades, City of Knowledge, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama.
Xu ZhangInstitute of Biophysics, Chinese Academy of Sciences, Beijing, China.
Digna WongCentro de Biología Celular y Molecular de las Enfermedades, City of Knowledge, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama.
Gabrielle BrittonCentro de Biología Celular y Molecular de las Enfermedades, City of Knowledge, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama.
Patricia L FernandezCentro de Biología Celular y Molecular de las Enfermedades, City of Knowledge, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama.
Ambar PérezCentro de Biología Celular y Molecular de las Enfermedades, City of Knowledge, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama.
Diana OviedoCentro de Biología Celular y Molecular de las Enfermedades, City of Knowledge, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama.
Carlos RestrepoCentro de Biología Celular y Molecular de las Enfermedades, City of Knowledge, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama.
María B CarreirraCentro de Biología Celular y Molecular de las Enfermedades, City of Knowledge, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama.
Dilcia SambranoCentro de Biología Celular y Molecular de las Enfermedades, City of Knowledge, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama.
Gilberto A EskildsenCentro de Biología Celular y Molecular de las Enfermedades, City of Knowledge, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama.
Carolina De La GuardiaCentro de Biología Celular y Molecular de las Enfermedades, City of Knowledge, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama.
Julio Flores-CuadraCentro de Neurociencia, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología, AIP (INDICASAT AIP), Panama City, Panama.
Jean-Paul CarreraDepartment of Research in Virology and Biotechnology, Gorgas Memorial Institute of Health Studies, Panama City, Panama.
Yamitzel ZaldivarDepartment of Research in Surveillance and Biologic Risk 3, Gorgas Memorial Institute of Health Studies, Panama City, Panama.
Danilo FrancoDepartment of Research in Virology and Biotechnology, Gorgas Memorial Institute of Health Studies, Panama City, Panama.
Sandra López-VergèsDepartment of Research in Virology and Biotechnology, Gorgas Memorial Institute of Health Studies, Panama City, Panama.
Dexi ZhangInstitute of Biophysics, Chinese Academy of Sciences, Beijing, China.
Fangjing FanInstitute of Biophysics, Chinese Academy of Sciences, Beijing, China.
Baojun WangBeijing Kewei Clinical Diagnostic Reagent Inc., Beijing, China.
Xavier Sáez-LlorensCentro de Vacunación e Investigación, Centro de Vacunación e Investigación Panama Clinic, Panama City, Panama.
Rodrigo DeAntonioCentro de Vacunación e Investigación, Centro de Vacunación e Investigación Panama Clinic, Panama City, Panama.
Ivonne Torres-AtencioFacultad de Medicina, Universidad de Panamá, Panama City, Panama.
Isabel BlancoMedical Research Center, Pacifica Salud, Hospital Punta Pacifica, Panama City, Panama.
Fernando Diaz SubíaMedical Research Center, Pacifica Salud, Hospital Punta Pacifica, Panama City, Panama.
Laiss MudarraDepartamento de Microbiología Humana/Inmunología, Facultad de Medicina, Universidad de Panamá, Panama City, Panama.
Aron BenzadonServicio de Neurología. Complejo Hospitalario Dr. AAM, Universidad Nacional de Panamá, Panama City, Panama.
Walter ValverdeComplejo Hospitalario Metropolitano Dr. Arnulfo Arias Madrid, Caja de Seguro Social, Panama City, Panama.
Lineth LópezServicio de Hematología. Complejo Hospitalario Metropolitano Dr. Arnulfo Arias Madrid, Caja de Seguro Social, Panama City, Panama.
Nicolás HurtadoCompleo Hospitalario Manuel Amador Guerrero, Caja de Seguro Social, Colón, Panama.
Neyla RivasCompleo Hospitalario Manuel Amador Guerrero, Caja de Seguro Social, Colón, Panama.
Julio JuradoCompleo Hospitalario Manuel Amador Guerrero, Caja de Seguro Social, Colón, Panama.
Aixa CarvalloCompleo Hospitalario Manuel Amador Guerrero, Caja de Seguro Social, Colón, Panama.
Juan RodriguezCompleo Hospitalario Manuel Amador Guerrero, Caja de Seguro Social, Colón, Panama.
Yaseikiry PerezServicio de Hematología, Banco de Sangre. Complejo Hospitalario Metropolitano Dr. Arnulfo Arias Madrid, Caja de Seguro Social, Panama City, Panama.
Johanna MorrisServicio de Hematología. Complejo Hospitalario Metropolitano Dr. Arnulfo Arias Madrid, Caja de Seguro Social, Panama City, Panama.
Odemaris LuqueCompleo Hospitalario Manuel Amador Guerrero, Caja de Seguro Social, Colón, Panama.
David CortezDirección Nacional de Laboratorios Clínicos, Ministerio de Salud, Panama City, Panama.
Eduardo Ortega-BarriaGlaxoSmithKline Vaccines, City of Knowledge, Panama City, Panama.
Rao KosagisharafCentro de Biología Celular y Molecular de las Enfermedades, City of Knowledge, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama.
Ricardo LleonartCentro de Biología Celular y Molecular de las Enfermedades, City of Knowledge, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama.
Chong LiInstitute of Biophysics, Chinese Academy of Sciences, Beijing, China.
Amador GoodridgeCentro de Biología Celular y Molecular de las Enfermedades, City of Knowledge, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama.
Instituto de Investigaciones Científicas y Servicios de Alta Tecnología · PAChinese Academy of Sciences · CNComplejo Hospitalario Dr. Arnulfo Arias Madrid · PAInstituto Conmemorativo Gorgas de Estudios de la Salud · PAUniversidad de Panamá · PAHospital Punta Pacifica · PACity of Knowledge · PANational Hospital · PAUniversidad Católica Santa María La Antigua · PA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the etiologic agent of the ongoing coronavirus disease 2019 (COVID-19) pandemic, which has reached 28 million cases worldwide in 1 year. The serological detection of antibodies against the virus will play a pivotal role in complementing molecular tests to improve diagnostic accuracy, contact tracing, vaccine efficacy testing, and seroprevalence surveillance. Here, we aimed first to evaluate a lateral flow assay's ability to identify specific IgM and IgG antibodies against SARS-CoV-2 and second, to report the seroprevalence estimates of these antibodies among health care workers and healthy volunteer blood donors in Panama. We recruited study participants between April 30th and July 7th, 2020. For the test validation and performance evaluation, we analyzed serum samples from participants with clinical symptoms and confirmed positive RT-PCR for SARS-CoV-2, and a set of pre-pandemic serum samples. We used two by two table analysis to determine the test positive and negative percentage agreement as well as the Kappa agreement value with a 95% confidence interval. Then, we used the lateral flow assay to determine seroprevalence among serum samples from COVID-19 patients, potentially exposed health care workers, and healthy volunteer donors. Our results show this assay reached a positive percent agreement of 97.2% (95% CI 84.2-100.0%) for detecting both IgM and IgG. The assay showed a Kappa of 0.898 (95%CI 0.811-0.985) and 0.918 (95% CI 0.839-0.997) for IgM and IgG, respectively. The evaluation of serum samples from hospitalized COVID-19 patients indicates a correlation between test sensitivity and the number of days since symptom onset; the highest positive percent agreement [87% (95% CI 67.0-96.3%)] was observed at ≥15 days post-symptom onset (PSO). We found an overall antibody seroprevalence of 11.6% (95% CI 8.5-15.8%) among both health care workers and healthy blood donors. Our findings suggest this lateral flow assay could contribute significantly to implementing seroprevalence testing in locations with active community transmission of SARS-CoV-2.

Indexed as

biomarkerCOVID-19diagnosisimmunochromatographic assayPanamaserology

Identifiers

PMID33748157
PMCPMC7968482
OpenAlexW3134638022

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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.