Performance differences among commercially available antigen rapid tests for COVID-19 in Brazil

Detalhes bibliográficos
Autor(a) principal: Mariana Lourenço Freire
Data de Publicação: 2022
Outros Autores: Daniel Moreira Avelar, Glaucia Fernandes Cota, Lindicy Leidicy Alves, Carolina Senra de Souza, Juliana Wilke Saliba, Verônica Faria, Mariana Junqueira Pedras, Nara de Oliveira Carvalho, Gláucia Queiroz Andrade, Ana Rabello
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFMG
Texto Completo: https://doi.org/10.1371/journal. pone.0269997
http://hdl.handle.net/1843/61859
https://orcid.org/0000-0003-0538-7403
Resumo: CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
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spelling 2023-12-07T22:51:50Z2023-12-07T22:51:50Z2022-06-16176113https://doi.org/10.1371/journal. pone.02699971932-6203http://hdl.handle.net/1843/61859https://orcid.org/0000-0003-0538-7403CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorOutra AgênciaA rapid and accurate diagnosis is a crucial strategy for containing the coronavirus disease (COVID-19) pandemic. Considering the obstacles to upscaling the use of RT–qPCR, rapid tests based on antigen detection (Ag-RDT) have become an alternative to enhance mass testing, reducing the time for a prompt diagnosis and virus spreading. However, the performances of several commercially available Ag-RDTs have not yet been evaluated in several countries. Here, we evaluate the performance of eight Ag-RDTs available in Brazil to diagnose COVID-19. Patients admitted to tertiary hospitals with moderate or mild COVID-19 symptoms and presenting risk factors for severe disease were included. The tests were performed using a masked protocol, strictly following the manufacturer’s recommendations and were compared with RT–qPCR. The overall sensitivity of the tests ranged from 9.8 to 81.1%, and specificity greater than 83% was observed for all the evaluated tests. Overall, slight or fair agreement was observed between Ag-RDTs and RT–PCR, except for the Ag-RDT COVID-19 (Acro Biotech), in which moderate agreement was observed. Lower sensitivity of Ag-RDTs was observed for patients with cycle threshold > 25, indicating that the sensitivity was directly affected by viral load, whereas the effect of the disease duration was unclear. Despite the lower sensitivity of Ag-RDTs compared with RT–qPCR, its easy fulfillment and promptness still justify its use, even at hospital admission. However, the main advantage of Ag-RDTs seems to be the possibility of increasing access to the diagnosis of COVID-19 in patients with a high viral load, allowing immediate clinical management and reduction of infectivity and community transmission.engUniversidade Federal de Minas GeraisUFMGBrasilHCL - HOSPITAL DAS CLINICASMEDICINA - FACULDADE DE MEDICINAPlos OneTestes de Diagnóstico RápidoTeste para COVID-19BrasilAntigen rapid testsCOVID-19BrazilPerformance differences among commercially available antigen rapid tests for COVID-19 in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0269997Mariana Lourenço FreireDaniel Moreira AvelarGlaucia Fernandes CotaLindicy Leidicy AlvesCarolina Senra de SouzaJuliana Wilke SalibaVerônica FariaMariana Junqueira PedrasNara de Oliveira CarvalhoGláucia Queiroz AndradeAna Rabelloapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/61859/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALPerformance differences among commercially available antigen rapid tests for COVID-19 in Brazil.pdfPerformance differences among commercially available antigen rapid tests for COVID-19 in Brazil.pdfapplication/pdf5774893https://repositorio.ufmg.br/bitstream/1843/61859/2/Performance%20differences%20among%20commercially%20available%20antigen%20rapid%20tests%20for%20COVID-19%20in%20Brazil.pdfc5748642ac5f83cf6b04b0755c49b2abMD521843/618592023-12-07 19:51:50.84oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-12-07T22:51:50Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
dc.title.pt_BR.fl_str_mv Performance differences among commercially available antigen rapid tests for COVID-19 in Brazil
title Performance differences among commercially available antigen rapid tests for COVID-19 in Brazil
spellingShingle Performance differences among commercially available antigen rapid tests for COVID-19 in Brazil
Mariana Lourenço Freire
Antigen rapid tests
COVID-19
Brazil
Testes de Diagnóstico Rápido
Teste para COVID-19
Brasil
title_short Performance differences among commercially available antigen rapid tests for COVID-19 in Brazil
title_full Performance differences among commercially available antigen rapid tests for COVID-19 in Brazil
title_fullStr Performance differences among commercially available antigen rapid tests for COVID-19 in Brazil
title_full_unstemmed Performance differences among commercially available antigen rapid tests for COVID-19 in Brazil
title_sort Performance differences among commercially available antigen rapid tests for COVID-19 in Brazil
author Mariana Lourenço Freire
author_facet Mariana Lourenço Freire
Daniel Moreira Avelar
Glaucia Fernandes Cota
Lindicy Leidicy Alves
Carolina Senra de Souza
Juliana Wilke Saliba
Verônica Faria
Mariana Junqueira Pedras
Nara de Oliveira Carvalho
Gláucia Queiroz Andrade
Ana Rabello
author_role author
author2 Daniel Moreira Avelar
Glaucia Fernandes Cota
Lindicy Leidicy Alves
Carolina Senra de Souza
Juliana Wilke Saliba
Verônica Faria
Mariana Junqueira Pedras
Nara de Oliveira Carvalho
Gláucia Queiroz Andrade
Ana Rabello
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Mariana Lourenço Freire
Daniel Moreira Avelar
Glaucia Fernandes Cota
Lindicy Leidicy Alves
Carolina Senra de Souza
Juliana Wilke Saliba
Verônica Faria
Mariana Junqueira Pedras
Nara de Oliveira Carvalho
Gláucia Queiroz Andrade
Ana Rabello
dc.subject.por.fl_str_mv Antigen rapid tests
COVID-19
Brazil
topic Antigen rapid tests
COVID-19
Brazil
Testes de Diagnóstico Rápido
Teste para COVID-19
Brasil
dc.subject.other.pt_BR.fl_str_mv Testes de Diagnóstico Rápido
Teste para COVID-19
Brasil
description CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
publishDate 2022
dc.date.issued.fl_str_mv 2022-06-16
dc.date.accessioned.fl_str_mv 2023-12-07T22:51:50Z
dc.date.available.fl_str_mv 2023-12-07T22:51:50Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1843/61859
dc.identifier.doi.pt_BR.fl_str_mv https://doi.org/10.1371/journal. pone.0269997
dc.identifier.issn.pt_BR.fl_str_mv 1932-6203
dc.identifier.orcid.pt_BR.fl_str_mv https://orcid.org/0000-0003-0538-7403
url https://doi.org/10.1371/journal. pone.0269997
http://hdl.handle.net/1843/61859
https://orcid.org/0000-0003-0538-7403
identifier_str_mv 1932-6203
dc.language.iso.fl_str_mv eng
language eng
dc.relation.ispartof.pt_BR.fl_str_mv Plos One
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.publisher.initials.fl_str_mv UFMG
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv HCL - HOSPITAL DAS CLINICAS
MEDICINA - FACULDADE DE MEDICINA
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFMG
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
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