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J Clin Virol . Validation of a modified CDC assay and performance comparison with the NeuMoDx™ and DiaSorin? automated assays for rapid detection of

tetano

Editor, Senior Moderator
J Clin Virol


. 2020 Nov 11;133:104688.
doi: 10.1016/j.jcv.2020.104688. Online ahead of print.
Validation of a modified CDC assay and performance comparison with the NeuMoDx™ and DiaSorin? automated assays for rapid detection of SARS-CoV-2 in respiratory specimens


Amorce Lima[SUP] 1 [/SUP], Vicki Healer[SUP] 2 [/SUP], Elaine Vendrone[SUP] 2 [/SUP], Suzane Silbert[SUP] 2 [/SUP]



Affiliations

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes coronavirus disease 2019 (COVID-19), has spread rapidly around the globe since it was first identified in December of 2019 in Wuhan, China. In a race to contain the infection, researchers and healthcare officials have developed several assays to help diagnose individuals with COVID-19. To help laboratories decide what assay to bring into testing lines, factors such as assay availability, cost, throughput, and TAT should be considered. Here we validated a modified version of the CDC assay and used it as a reference to evaluate the performance of the NeuMoDxTM SARS-CoV-2 and DiaSorin SimplexaTM Covid-19 Direct assays. In silico analysis and clinical sample testing showed that the primers/probes designed by the CDC were specific to the SARS-CoV-2 as they accurately detected all reactive samples with an assay LoD of 200 copies/mL. The performance of the three assays were analyzed using 159 nasopharyngeal swabs specimen tested within 1-5 days after routine testing. A 100 % agreement was observed between the commercial assays and the modified CDC SARS-CoV-2 assay. A deeper look at the Ct values showed no significant difference between NeuMoDx and the modified CDC SARS-CoV-2 assay, whereas DiaSorin had lower overall Ct values than the modified CDC SARS-CoV-2 assay. NeuMoDx and DiaSorin workflows were much easier to perform. NeuMoDx has the highest throughput and shortest TAT, whereas although the modified CDC SARS-CoV-2 assay has comparable throughput to DiaSorin, it has the longest hands-on time and highest TAT.

Keywords: COVID-19; Pandemic; SARS-CoV-2.
 
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