Beta
217098

Evaluating the performance of two rapid antigen detection tests in diagnosis of SARS- COV- 2 infection

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Infectious diseases
Medical virology

Abstract

Background:Rapid antigen detection tests for SARS-CoV-2 infection could promote the clinical and public health policies to handle the COVID-19 pandemic. Rapid antigen detection and molecular approaches could expand entry to checking and initial evidence of issues and playing an essential role in public health managing choices that may decrease the transmission. Objectives: We evaluated the diagnostic accurateness of couple of rapid antigen recognition tests equated with the molecular-based assays for verdict of SARS-CoV-2 infection. Methods: The 100 nasopharyngeal swabs were verified by the SARS-CoV-2 RT-PCR kit as a gold standard for COVID-19 recognition. SARS‐CoV‐2 antigen (Ag) was evaluated in the nasopharyngeal swabs using iFlash and UNICELL-2019-nCoV antigen methods. The iFlash-2019-nCoV antigen assay, which is a chemiluminescent immunoassay (CLIA), was used to qualitatively determine the nucleocapsid protein antigen, where the other one was used to identify the nucleocapsid protein antigen by lateral flow immunofluorescent test. Results: Out of the 100 samples, 62% were positive by RT-PCR. Amongst 62 confirmed COVID-19 cases, 43 (69.4%) were positive by iFlash and 40 samples (64.5%) were positive by the UNICELL-2019-nCoV antigen assay. The specificity of both I Flash-2019-nCoV antigen assay & UNICELL-2019-nCoV antigen assay with RT-PCR were 100% and sensitivity were 69.35 and 64.52%, respectively. This sensitivity was augmented to 100% compared with the PCR with Ct-value of ≤25 and specificity of 80.28 and 84.51%, respectively. Conclusion: Antigen detection rapid diagnostic tests may be motivating in the initial stage of the infection when the viral load is elevated, and the risk of SARS‐CoV‐2 transmission be high.

DOI

10.21608/mid.2022.115448.1234

Keywords

SARS-CoV-2, detection, Antigen assays, RT-PCR

Authors

First Name

yasmin

Last Name

Elmahdy

MiddleName

adel

Affiliation

Clinical and chemical pathology department Cairo university

Email

yasminadel83@hotmail.com

City

Cairo

Orcid

-

First Name

May

Last Name

Soliman

MiddleName

Sherif

Affiliation

Clinical and Chemical Pathology Department, Faculty of Medicine ,Cairo University

Email

dr.may@maysheri.com

City

Cairo

Orcid

-

First Name

Sahar

Last Name

Khairat

MiddleName

Mohammed

Affiliation

Clinical and Chemical Pathology Department ,Faculty of Medicine ,Cairo University

Email

sahar.khairat@gmail.com

City

-

Orcid

-

First Name

Nashwa

Last Name

Reda

MiddleName

Mohamed

Affiliation

Clinical and Chemical Pathology Department .Faculty of Medicine ,Cairo University

Email

dr.nashwa_ezzelarab@yahoo.com

City

Cairo

Orcid

-

First Name

nermeen

Last Name

Eldesoukey

MiddleName

-

Affiliation

Clinical and Chemical Pathology Department ,Faculty of Medicine, Cairo University

Email

nermeen.eldesoukey@kasralainy.edu.eg

City

-

Orcid

-

First Name

Noha

Last Name

Soliman

MiddleName

Salah

Affiliation

Clinical and Chemical Pathology ,Faculty of Medicine ,Cairo University

Email

nsal18@yahoo.com

City

Cairo

Orcid

-

Volume

3

Article Issue

2

Related Issue

32908

Issue Date

2022-05-01

Receive Date

2022-01-01

Publish Date

2022-05-01

Page Start

255

Page End

261

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_217098.html

Detail API

https://mid.journals.ekb.eg/service?article_code=217098

Order

3

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023