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Microbiol Spectr . Self-Collected Gargle Lavage Allows Reliable Detection of SARS-CoV-2 in an Outpatient Setting

tetano

Editor, Senior Moderator
Microbiol Spectr


. 2021 Jul 14;e0036121.
doi: 10.1128/Spectrum.00361-21. Online ahead of print.
Self-Collected Gargle Lavage Allows Reliable Detection of SARS-CoV-2 in an Outpatient Setting


Johannes Zander[SUP] #[/SUP][SUP] 1 2 [/SUP], Stephan Scholtes[SUP] #[/SUP][SUP] 3 [/SUP], Maximilian Ottinger[SUP] 4 [/SUP], Marcel Kremer[SUP] 1 [/SUP], Azadeh Kharazi[SUP] 1 [/SUP], Vanessa Stadler[SUP] 1 [/SUP], Julia Bickmann[SUP] 1 [/SUP], Christian Zeleny[SUP] #[/SUP][SUP] 3 [/SUP], Johannes W P Kuiper[SUP] #[/SUP][SUP] 5 [/SUP], Christof R Hauck[SUP] 5 6 [/SUP]



Affiliations

Abstract

Current procurement of specimens for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection requires trained personnel and dedicated equipment. We compared standard nasopharyngeal swabs with self-collected gargle lavage fluid obtained from 80 mostly symptomatic outpatients. After RNA extraction, RT-PCR to detect SARS-CoV-2 was performed. Qualitative results obtained with the paired samples from individual outpatients were 100% congruent. Therefore, self-collected gargle lavage fluid can serve as a suitable specimen for coronavirus disease 2019 (COVID-19) testing in outpatients. IMPORTANCE The SARS-CoV-2 pandemic still strains health care systems worldwide. While COVID-19 testing is considered an essential pillar in combating this infectious disease, shortages in supplies and trained health care personnel often limit the procurement of patient samples, in particular in outpatient settings. Here, we compared the simple self-collection of gargle lavage fluid with the gold standard nasopharyngeal swab as a specimen for COVID-19 testing. By finding complete congruence of results obtained with paired samples of a sizeable patient cohort, our results strongly support the idea that the painless self-collection of gargle lavage fluid provides a suitable and uncomplicated sample for reliable SARS-CoV-2 detection.

Keywords: COVID-19; RT-PCR; SARS-CoV-2; gargle lavage; outpatients.
 
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