Surveillance of SARS-CoV-2 prevalence from repeated pooled testing: application to Swiss routine data.
Détails
Télécharger: 39168632.pdf (1140.12 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY-NC-ND 4.0
Etat: Public
Version: Final published version
Licence: CC BY-NC-ND 4.0
ID Serval
serval:BIB_B76C7E882838
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Surveillance of SARS-CoV-2 prevalence from repeated pooled testing: application to Swiss routine data.
Périodique
Epidemiology and infection
ISSN
1469-4409 (Electronic)
ISSN-L
0950-2688
Statut éditorial
Publié
Date de publication
22/08/2024
Peer-reviewed
Oui
Volume
152
Pages
e100
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Publication Status: epublish
Résumé
Surveillance of SARS-CoV-2 through reported positive RT-PCR tests is biased due to non-random testing. Prevalence estimation in population-based samples corrects for this bias. Within this context, the pooled testing design offers many advantages, but several challenges remain with regards to the analysis of such data. We developed a Bayesian model aimed at estimating the prevalence of infection from repeated pooled testing data while (i) correcting for test sensitivity; (ii) propagating the uncertainty in test sensitivity; and (iii) including correlation over time and space. We validated the model in simulated scenarios, showing that the model is reliable when the sample size is at least 500, the pool size below 20, and the true prevalence below 5%. We applied the model to 1.49 million pooled tests collected in Switzerland in 2021-2022 in schools, care centres, and workplaces. We identified similar dynamics in all three settings, with prevalence peaking at 4-5% during winter 2022. We also identified differences across regions. Prevalence estimates in schools were correlated with reported cases, hospitalizations, and deaths (coefficient 0.84 to 0.90). We conclude that in many practical situations, the pooled test design is a reliable and affordable alternative for the surveillance of SARS-CoV-2 and other viruses.
Mots-clé
COVID-19/epidemiology, COVID-19/diagnosis, Humans, Switzerland/epidemiology, Prevalence, Bayes Theorem, SARS-CoV-2/isolation & purification, COVID-19 Testing/methods, SARS-CoV-2, epidemics, screening programme, surveillance
Pubmed
Web of science
Open Access
Oui
Création de la notice
26/08/2024 10:56
Dernière modification de la notice
05/09/2024 8:59