Evidence map›Paper›PMID 35325195›Full record

Observational studyJournal of travel medicine2022

Using trained dogs and organic semi-conducting sensors to identify asymptomatic and mild SARS-CoV-2 infections: an observational study.

Claire Guest, Sarah Y Dewhirst, Steve W Lindsay, David J Allen, Sophie Aziz, Oliver Baerenbold, John Bradley, Unnati Chabildas, Vanessa Chen-Hussey, Samuel Clifford and 20 more

Registry-linked trialOpen access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Journal of travel medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04509713 (Using Medical-detection Dogs to Identify People With SARS-CoV-), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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.

NCT04509713 unknown statusnot on this map

Using Medical-detection Dogs to Identify People With SARS-CoV-: Phase I: Proof-of-concept Studies

TypeobservationalSponsorARCTECRan2020 to 2020Enrolled16,250ConditionsCovid19ArmsCollection of odour samples
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  10. In search of COVID-19: The ability of biodetection canines to detect COVID-19 odours from clinical samples.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 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

30 authors at 7 institutions in 5 countries.

Claire GuestMedical Detection Dogs, Milton Keynes, UK.
Sarah Y DewhirstArctech Innovation, The Cube, Londoneast-uk Business and Technical Park, Dagenham, UK.ORCID 0000-0002-2370-5578
Steve W LindsayDepartment of Biosciences, Durham University, Durham, UK.
David J AllenDepartment of Infection Biology, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Sophie AzizMedical Detection Dogs, Milton Keynes, UK.
Oliver BaerenboldDepartment of Medical Statistics, London School of Hygiene and Tropical Medicine, London, UK.
John BradleyMRC International Statistics and Epidemiology Group, London School of Hygiene and Tropical Medicine, London, UK.
Unnati ChabildasArctech Innovation, The Cube, Londoneast-uk Business and Technical Park, Dagenham, UK.
Vanessa Chen-HusseyArctech Innovation, The Cube, Londoneast-uk Business and Technical Park, Dagenham, UK.
Samuel CliffordDepartment of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0002-3774-3882
Luke CottisHampden Veterinary Hospital, Anchor Ln, Aylesbury, UK.
Jessica DennehyArctech Innovation, The Cube, Londoneast-uk Business and Technical Park, Dagenham, UK.
Erin FoleyArctech Innovation, The Cube, Londoneast-uk Business and Technical Park, Dagenham, UK.
Salvador A GezanArctech Innovation, The Cube, Londoneast-uk Business and Technical Park, Dagenham, UK.
Tim GibsonRoboScientific Ltd, Ely, UK.
Courtenay K GreavesArctech Innovation, The Cube, Londoneast-uk Business and Technical Park, Dagenham, UK.
Immo KleinschmidtMRC International Statistics and Epidemiology Group, London School of Hygiene and Tropical Medicine, London, UK.
Sébastien LambertRoyal Veterinary College, University of London, Hatfield, UK.
Anna LastClinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Steve MorantMedical Detection Dogs, Milton Keynes, UK.
Josephine E A ParkerArctech Innovation, The Cube, Londoneast-uk Business and Technical Park, Dagenham, UK.
John PickettCardiff University Main Building, Cardiff, UK.
Billy J QuiltyDepartment of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Ann RooneyLomond Veterinary Clinic, Helensburgh, UK.
Manil ShahArctech Innovation, The Cube, Londoneast-uk Business and Technical Park, Dagenham, UK.
Mark SomervilleMedical Detection Dogs, Milton Keynes, UK.
Chelci SquiresArctech Innovation, The Cube, Londoneast-uk Business and Technical Park, Dagenham, UK.
Martin WalkerRoyal Veterinary College, University of London, Hatfield, UK.
James G LoganArctech Innovation, The Cube, Londoneast-uk Business and Technical Park, Dagenham, UK.
COVID Dogs Research Team
London School of Hygiene & Tropical Medicine · GBRoyal Veterinary College · GBUniversity of London · GBCardiff University · GBDepartment of Disease Control · THDurham University · GBSt Helens Hospital · GB

Funding

Medical Research Council MR/R010161/1
6 · The paper itself

Abstract

backgroundA rapid, accurate, non-invasive diagnostic screen is needed to identify people with SARS-CoV-2 infection. We investigated whether organic semi-conducting (OSC) sensors and trained dogs could distinguish between people infected with asymptomatic or mild symptoms, and uninfected individuals, and the impact of screening at ports-of-entry.

methodsOdour samples were collected from adults, and SARS-CoV-2 infection status confirmed using RT-PCR. OSC sensors captured the volatile organic compound (VOC) profile of odour samples. Trained dogs were tested in a double-blind trial to determine their ability to detect differences in VOCs between infected and uninfected individuals, with sensitivity and specificity as the primary outcome. Mathematical modelling was used to investigate the impact of bio-detection dogs for screening.

resultsAbout, 3921 adults were enrolled in the study and odour samples collected from 1097 SARS-CoV-2 infected and 2031 uninfected individuals. OSC sensors were able to distinguish between SARS-CoV-2 infected individuals and uninfected, with sensitivity from 98% (95% CI 95-100) to 100% and specificity from 99% (95% CI 97-100) to 100%. Six dogs were able to distinguish between samples with sensitivity ranging from 82% (95% CI 76-87) to 94% (95% CI 89-98) and specificity ranging from 76% (95% CI 70-82) to 92% (95% CI 88-96). Mathematical modelling suggests that dog screening plus a confirmatory PCR test could detect up to 89% of SARS-CoV-2 infections, averting up to 2.2 times as much transmission compared to isolation of symptomatic individuals only.

conclusionsPeople infected with SARS-CoV-2, with asymptomatic or mild symptoms, have a distinct odour that can be identified by sensors and trained dogs with a high degree of accuracy. Odour-based diagnostics using sensors and/or dogs may prove a rapid and effective tool for screening large numbers of people.Trial Registration NCT04509713 (clinicaltrials.gov).

Indexed as

COVID-19DogsAnimalsAsymptomatic InfectionsHumansMass ScreeningSARS-CoV-2Sensitivity and SpecificityVolatile Organic CompoundsVolatile Organic CompoundsCOVID-19infection controlpublic healthrapid screening

Identifiers

PMID35325195
PMCPMC9047163
OpenAlexW4220978393

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.