Comparison of real‐time and droplet digital PCR to detect and quantify SARS‐CoV‐2 RNA in plasma

Autor: José María Eiros, David J. Kelvin, Rosario Menéndez, Natalia Blanca-López, Ferran Barbé, Marta Domínguez-Gil, Dariela Micheloud, Antoni Torres, Ruth Oneizat, Ali Toloue Ostadgavahi, Jesus F. Bermejo-Martin, Felipe Pérez-García, Wysali Trapiello, Carolina Puertas, Elena Bustamante, Alyson A. Kelvin, Raquel Almansa, Raúl Méndez, Cristina Doncel, Milagros González-Rivera, Ana P. Tedim, Pablo Ryan, Ricard Ferrer, José Manuel Gómez, Ryan Booth
Rok vydání: 2021
Předmět:
Male
viruses
Clinical Biochemistry
ddPCR
030204 cardiovascular system & hematology
Polymerase Chain Reaction
Severity of Illness Index
Biochemistry
Gastroenterology
SARS‐CoV‐2
0302 clinical medicine
Ambulatory Care
Medicine
Statistical analysis
Digital polymerase chain reaction
030212 general & internal medicine
skin and connective tissue diseases
General Medicine
Middle Aged
3. Good health
Intensive Care Units
RNAemia
RNA
Viral

Female
Original Article
RT‐qPCR
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19)
Concordance
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
COVID-19
RNAemia
RT-qPCR
SARS-CoV-2
ddPCR
viral RNA load

Real-Time Polymerase Chain Reaction
03 medical and health sciences
Disease severity
COVID‐19
Internal medicine
Patients' Rooms
Humans
Viral rna
Aged
SARS-CoV-2
business.industry
fungi
COVID-19
RNA
Original Articles
respiratory tract diseases
body regions
business
viral RNA load
Zdroj: EUROPEAN JOURNAL OF CLINICAL INVESTIGATION
r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe
instname
European Journal of Clinical Investigation
ISSN: 1365-2362
0014-2972
DOI: 10.1111/eci.13501
Popis: Background The presence of SARS‐CoV‐2 RNA in plasma has been linked to disease severity and mortality. We compared RT‐qPCR to droplet digital PCR (ddPCR) to detect SARS‐CoV‐2 RNA in plasma from COVID‐19 patients (mild, moderate, and critical disease). Methods The presence/concentration of SARS‐CoV‐2 RNA in plasma was compared in three groups of COVID‐19 patients (30 outpatients, 30 ward patients and 30 ICU patients) using both RT‐qPCR and ddPCR. Plasma was obtained in the first 24h following admission, and RNA was extracted using eMAG. ddPCR was performed using Bio‐Rad SARS‐CoV‐2 detection kit, and RT‐qPCR was performed using GeneFinder™ COVID‐19 Plus RealAmp Kit. Statistical analysis was performed using Statistical Package for the Social Science. Results SARS‐CoV‐2 RNA was detected, using ddPCR and RT‐qPCR, in 91% and 87% of ICU patients, 27% and 23% of ward patients and 3% and 3% of outpatients. The concordance of the results obtained by both methods was excellent (Cohen's kappa index = 0.953). RT‐qPCR was able to detect 34/36 (94.4%) patients positive for viral RNA in plasma by ddPCR. Viral RNA load was higher in ICU patients compared with the other groups (P 85%). RT‐qPCR was as useful as ddPCR to detect and quantify SARS‐CoV‐2 RNAemia in plasma.
Databáze: OpenAIRE