Evidence map›Paper›PMID 37201848›Full record

ArticleThe Science of the total environment2023

Passive swab versus grab sampling for detection of SARS-CoV-2 markers in wastewater.

Nicholas W West, James Hartrick, Md Alamin, Adrian A Vasquez, Azadeh Bahmani, Carrie L Turner, William Shuster, Jeffrey L Ram

Abstract read
In one paragraph

Article in The Science of the total environment, 2023. 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
–field-weighted citation impact
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.

  1. Article
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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

8 authors.

Nicholas W WestDepartment of Physiology, Wayne State, Detroit, MI 48201, USA.
James HartrickLimnoTech, 501 Avis Dr., Ann Arbor, MI 48108, USA.
Md AlaminDepartment of Physiology, Wayne State, Detroit, MI 48201, USA.
Adrian A VasquezDepartment of Physiology, Wayne State, Detroit, MI 48201, USA.
Azadeh BahmaniDepartment of Physiology, Wayne State, Detroit, MI 48201, USA.
Carrie L TurnerLimnoTech, 501 Avis Dr., Ann Arbor, MI 48108, USA.
William ShusterDepartment of Civil and Environmental Engineering, Wayne State, Detroit, MI 48201, USA.
Jeffrey L RamDepartment of Physiology, Wayne State, Detroit, MI 48201, USA. Electronic address: jeffram@wayne.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Early detection of the COVID-19 virus, SARS-CoV-2, is key to mitigating the spread of new outbreaks. Data from individual testing is increasingly difficult to obtain as people conduct non-reported home tests, defer tests due to logistics or attitudes, or ignore testing altogether. Wastewater based epidemiology is an alternative method for surveilling a community while maintaining individual anonymity; however, a problem is that SARS-CoV-2 markers in wastewater vary throughout the day. Collecting grab samples at a single time may miss marker presence, while autosampling throughout a day is technically challenging and expensive. This study investigates a passive sampling method that would be expected to accumulate greater amounts of viral material from sewers over a period of time. Tampons were tested as passive swab sampling devices from which viral markers could be eluted with a Tween-20 surfactant wash. Six sewersheds in Detroit were sampled 16-22 times by paired swab (4 h immersion before retrieval) and grab methods over a five-month period and enumerated for N1 and N2 SARS-CoV-2 markers using ddPCR. Swabs detected SARS-CoV-2 markers significantly more frequently (P < 0.001) than grab samples, averaging two to three-fold more copies of SARS-CoV-2 markers than their paired grab samples (p < 0.0001) in the assayed volume (10 mL) of wastewater or swab eluate. No significant difference was observed in the recovery of a spiked-in control (Phi6), indicating that the improved sensitivity is not due to improvements in nucleic acid recovery or reduction of PCR inhibition. The outcomes of swab-based sampling varied significantly between sites, with swab samples providing the greatest improvements in counts for smaller sewersheds that otherwise tend to have greater variation in grab sample counts. Swab-sampling with tampons provides significant advantages in detection of SARS-CoV-2 wastewater markers and are expected to provide earlier detection of new outbreaks than grab samples, with consequent public health benefits.

Indexed as

COVID-19SARS-CoV-2Biological AssayDisease OutbreaksHumansWastewaterWastewaterDetroitSARS-CoV-2Sewershed sizeSwabTamponWastewater based epidemiology

Identifiers

PMID37201848
PMCPMC10185491

What OpenQuestion holds

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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.