Evidence map›Paper›PMID 34324212›Full record

ArticleJournal of medical virology2021

Comparison of SARS-CoV-2 detection with the Cobas® 6800/8800 system on gargle samples using two sample processing methods with combined oropharyngeal/nasopharyngeal swab.

Patrick Benoit, Annie-Claude Labbé, Linda Lalancette, Simon Gagnon, Eric Bonneau, Christian Lavallée, Michel Roger, Judith Fafard, Jeannot Dumaresq, Stéphanie Beauchemin and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of medical virology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
0.6field-weighted citation impact, top 30% 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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Performance of saline and water gargling for SARS-CoV-2 reverse transcriptase PCR testing: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2022
    Pooled it
  4. Review
  5. Article
  6. Article
  7. Article
  8. Observational
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 6 institutions in 1 country.

Patrick BenoitDépartement de microbiologie, Infectiologie et Immunologie, Université de Montréal, Québec, Canada.
Annie-Claude LabbéDépartement de microbiologie, Infectiologie et Immunologie, Université de Montréal, Québec, Canada.
Linda LalancetteDépartement de Microbiologie et d'Infectiologie, Centre Hospitalier de St-Eustache, St-Eustache, Québec, Canada.
Simon GagnonService de biologie moléculaire, Département clinique de Médecine de laboratoire, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
Eric BonneauDépartement de Microbiologie et d'Infectiologie, Centre Hospitalier de St-Eustache, St-Eustache, Québec, Canada.
Christian LavalléeDépartement de microbiologie, Infectiologie et Immunologie, Université de Montréal, Québec, Canada.
Michel RogerDépartement de microbiologie, Infectiologie et Immunologie, Université de Montréal, Québec, Canada.
Judith FafardLaboratoire de santé publique du Québec, Institut national de santé publique du Québec, Ste-Anne-de-Bellevue, Québec, Canada.
Jeannot DumaresqDépartement de Microbiologie et d'Infectiologie, CISSS de Chaudière-Appalaches, Lévis, Québec, Canada.
Stéphanie BeaucheminService d'infectiologie, Département de médecine, Hôpital Maisonneuve-Rosemont-CIUSSS de l'Est-de-l'Île-de-Montréal, Montréal, Québec, Canada.
François CoutléeDépartement de microbiologie, Infectiologie et Immunologie, Université de Montréal, Québec, Canada.
G-SPIT group
Université de Montréal · CACentre Hospitalier de l’Université de Montréal · CACentre intégré de santé et de services sociaux de Chaudière-Appalaches · CACentre intégré universitaire de santé et de services sociaux de l'Est-de-l'Île-de-MontréalHôpital Maisonneuve-Rosemont · CAInstitut National de Santé Publique du Québec · CA

Funding

Ministere de la Santé du QuébecRoche Diagnostics
6 · The paper itself

Abstract

backgroundGargle samples have been proposed as a noninvasive method for detection of SARS-CoV-2 RNA. The clinical performance of gargle specimens diluted in Cobas® PCR Media and in Cobas® Omni Lysis Reagent was compared to oropharyngeal/nasopharyngeal swab (ONPS) for the detection of SARS-CoV-2 RNA. STUDY

designParticipants were recruited prospectively in two COVID-19 screening clinics. In addition to the ONPS, participants gargled with 5 ml of natural spring water split in the laboratory as follows: 1 ml was added to 4.3 ml of polymerase chain reaction (PCR) media and 400 μl was added to 200 μl of lysis buffer. Testing was performed with the Cobas® SARS-CoV-2 test on the Cobas® 6800 or 8800 platforms.

resultsOverall, 134/647 (20.7%) participants were considered infected because the ONPS or at least one gargle test was positive. ONPS had, respectively, a sensitivity of 96.3% (95% confidence interval [CI]: 91.3-98.5); both gargle processing methods were slightly less but equally sensitive (90.3% [95% CI: 83.9-94.3]). When ONPS and gargle specimens were both positive, the mean cycle threshold (C

conclusionGargle specimens directly added in PCR Media provide a similar clinical sensitivity to chemical lysis, both having a slightly, not significantly, lower sensitivity to ONPS.

Indexed as

COVID-19COVID-19 Nucleic Acid TestingDiagnostic Tests, RoutineHumansMass ScreeningNasopharynxOropharynxProspective StudiesRNA, ViralSalivaSARS-CoV-2Specimen HandlingViral LoadRNA, Viralinactivation methodsmolecular methodsSARS-CoV-2specimen collectiontransport medium

Identifiers

PMID34324212
PMCPMC8426914
OpenAlexW3187020682

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.