Impact of different SARS-CoV-2 assays on laboratory turnaround time.

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Ressource 1Download: Marquis B., Opota O., Jaton K., Greub G 2021.pdf (741.33 [Ko])
State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_568573E3CB88
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Impact of different SARS-CoV-2 assays on laboratory turnaround time.
Journal
Journal of medical microbiology
Author(s)
Marquis B., Opota O., Jaton K., Greub G.
ISSN
1473-5644 (Electronic)
ISSN-L
0022-2615
Publication state
Published
Issued date
05/2021
Peer-reviewed
Oui
Volume
70
Number
5
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Introduction. Clinical microbiology laboratories have had to cope with an increase in the volume of tests due to the emergence of the SARS-CoV-2 virus. Short turnaround times (TATs) are important for case tracing and to help clinicians in patient management. In such a context, high-throughput systems are essential to process the bulk of the tests. Rapid tests are also required to ensure shorter TATs for urgent situations. In our laboratory, SARS-CoV-2 assays were initially implemented on our custom platform using a previously published method. The commercial cobas 6800 (Roche diagnostics) assay and the GeneXpert Xpress (Cepheid) SARS-CoV-2 assay were implemented on 24 March and 8 April 2020, respectively, as soon as available.Hypothesis/Gap Statement. Despite the abundant literature on SARS-CoV-2 assays, the articles focus mainly on the diagnostic performances. This is to our knowledge the first article that specifically studies the TAT of different assays.Aim. We aimed to describe the impact of various SARS-CoV-2 assays on the TAT at the beginning of the outbreak.Methodology. In this study, we retrospectively analysed the TAT of all SARS-CoV-2 assays performed in our centre between 24 February and 9 June, 2020.Results. We retrieved 33 900 analyses, with a median TAT of 6.25 h. TATs were highest (6.9 h) when only our custom platform was used (24 February to 24 March, 2020). They were reduced to 6.1 h when the cobas system was introduced (24 March to 8 April, 2020). The implementation of the GeneXpert further reduced the median TAT to 4.8 h (8 April to 9 June, 2020). The GeneXpert system had the shortest median TAT (1.9 h), followed by the cobas (5.5 h) and by our custom platform (6.9 h).Conclusion. This work shows that the combination of high-throughput systems and rapid tests allows the efficient processing of a large number of tests with a short TAT. In addition, the use of a custom platform allowed the quick implementation of an in-house test when commercial assays were not yet available.
Keywords
COVID-19/diagnosis, Contact Tracing, High-Throughput Screening Assays, Hospitals, University, Humans, Retrospective Studies, SARS-CoV-2/isolation & purification, Switzerland, Time Factors, COVID, NAAT, SARS-CoV-2, TAT, diagnostic, time to results
Pubmed
Web of science
Open Access
Yes
Create date
24/05/2021 14:18
Last modification date
24/07/2023 6:56
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