Skip to main content
Erschienen in: European Journal of Clinical Microbiology & Infectious Diseases 2/2021

25.11.2020 | COVID-19 | Brief Report Zur Zeit gratis

Practical challenges to the clinical implementation of saliva for SARS-CoV-2 detection

verfasst von: Nancy Matic, Aleksandra Stefanovic, Victor Leung, Tanya Lawson, Gordon Ritchie, Lynne Li, Sylvie Champagne, Marc G. Romney, Christopher F. Lowe

Erschienen in: European Journal of Clinical Microbiology & Infectious Diseases | Ausgabe 2/2021

Einloggen, um Zugang zu erhalten

Abstract

Due to global shortages of flocked nasopharyngeal swabs and appropriate viral transport media during the COVID-19 pandemic, alternate diagnostic specimens for SARS-CoV-2 detection are sought. The accuracy and feasibility of saliva samples collected and transported without specialized collection devices or media were evaluated. Saliva demonstrated good concordance with paired nasopharyngeal swabs for SARS-CoV-2 detection in 67/74 cases (90.5%), though barriers to saliva collection were observed in long-term care residents and outbreak settings. SARS-CoV-2 RNA was stable in human saliva at room temperature for up to 48 h after initial specimen collection, informing appropriate transport time and conditions.
Literatur
2.
Zurück zum Zitat Zou L, Ruan F, Huang M et al (2020) SARS-CoV-2 viral load in upper respiratory specimens of infected patients. N Engl J Med 382:1177–1179CrossRef Zou L, Ruan F, Huang M et al (2020) SARS-CoV-2 viral load in upper respiratory specimens of infected patients. N Engl J Med 382:1177–1179CrossRef
4.
Zurück zum Zitat Daley P, Castriciano S, Chernesky M, Smieja M (2006) Comparison of flocked and rayon swabs for collection of respiratory epithelial cells from uninfected volunteers and symptomatic patients. J Clin Microbiol 44:2265–2267CrossRef Daley P, Castriciano S, Chernesky M, Smieja M (2006) Comparison of flocked and rayon swabs for collection of respiratory epithelial cells from uninfected volunteers and symptomatic patients. J Clin Microbiol 44:2265–2267CrossRef
5.
Zurück zum Zitat Baron EJ, Miller JM, Weinstein MP et al (2013) A guide to utilization of the microbiology laboratory for diagnosis of infectious diseases: 2013 recommendations by the infectious diseases society of America (IDSA) and the American Society for Microbiology (ASM). Clin Infect Dis 57:e22-121CrossRef Baron EJ, Miller JM, Weinstein MP et al (2013) A guide to utilization of the microbiology laboratory for diagnosis of infectious diseases: 2013 recommendations by the infectious diseases society of America (IDSA) and the American Society for Microbiology (ASM). Clin Infect Dis 57:e22-121CrossRef
6.
Zurück zum Zitat Wyllie AL, Fournier J, Casanovas-Massana A et al (2020) Saliva or nasopharyngeal swab specimens for detection of SARS-CoV-2. N Engl J Med 383:13CrossRef Wyllie AL, Fournier J, Casanovas-Massana A et al (2020) Saliva or nasopharyngeal swab specimens for detection of SARS-CoV-2. N Engl J Med 383:13CrossRef
8.
Zurück zum Zitat Kinloch N, Ritchie G, Brumme CJ, Dong W, Dong W, Lawson T, Jones RB, Montaner JSG, Leung V, Romney MG, Stefanovic A, Matic N, Lowe CF, Brumme Z (2020) Suboptimal biological sampling as a probable cause of false-negative COVID-19 diagnostic test results. J Infect Dis 222:899–902CrossRef Kinloch N, Ritchie G, Brumme CJ, Dong W, Dong W, Lawson T, Jones RB, Montaner JSG, Leung V, Romney MG, Stefanovic A, Matic N, Lowe CF, Brumme Z (2020) Suboptimal biological sampling as a probable cause of false-negative COVID-19 diagnostic test results. J Infect Dis 222:899–902CrossRef
12.
Zurück zum Zitat Robinson JL, Lee BE, Kothapalli S, Craig WR, Fox JD (2008) Use of throat swab or saliva specimens for detection of respiratory viruses in children. Clin Infect Dis 46:e61–e64CrossRef Robinson JL, Lee BE, Kothapalli S, Craig WR, Fox JD (2008) Use of throat swab or saliva specimens for detection of respiratory viruses in children. Clin Infect Dis 46:e61–e64CrossRef
13.
Zurück zum Zitat Bartholomeusz A, Locarnini S (2006) Associated with antiviral therapy. Antivir Ther 55:52–55 Bartholomeusz A, Locarnini S (2006) Associated with antiviral therapy. Antivir Ther 55:52–55
14.
Zurück zum Zitat Kim YG, Yun SG, Kim MY, Park K, Cho CH, Yoon SY, Nsm MH, Lee CK, Cho YJLC (2017) Comparison between saliva and nasopharyngeal swab specimens for detection of respiratory viruses by multiplex reverse transcription-PCR. J Clin Microbiol 55:226–233CrossRef Kim YG, Yun SG, Kim MY, Park K, Cho CH, Yoon SY, Nsm MH, Lee CK, Cho YJLC (2017) Comparison between saliva and nasopharyngeal swab specimens for detection of respiratory viruses by multiplex reverse transcription-PCR. J Clin Microbiol 55:226–233CrossRef
16.
Zurück zum Zitat Azzi L, Carcano G, Gianfagna F et al (2020) Saliva is a reliable tool to detect SARS-CoV-2. J Infect 81:E45–E50CrossRef Azzi L, Carcano G, Gianfagna F et al (2020) Saliva is a reliable tool to detect SARS-CoV-2. J Infect 81:E45–E50CrossRef
17.
Zurück zum Zitat To KKW, Tsang OTY, Leung WS et al (2020) Temporal profiles of viral load in posterior oropharyngeal saliva samples and serum antibody responses during infection by SARS-CoV-2: an observational cohort study. Lancet Infect Dis 3099:1–10 To KKW, Tsang OTY, Leung WS et al (2020) Temporal profiles of viral load in posterior oropharyngeal saliva samples and serum antibody responses during infection by SARS-CoV-2: an observational cohort study. Lancet Infect Dis 3099:1–10
18.
Zurück zum Zitat Williams E, Bond K, Zhang B, Putland M, Williamson DA (2020) Saliva as a non-invasive specimen for detection of SARS-CoV-2. J Clin Microbiol 58:e00776–e00720PubMedPubMedCentral Williams E, Bond K, Zhang B, Putland M, Williamson DA (2020) Saliva as a non-invasive specimen for detection of SARS-CoV-2. J Clin Microbiol 58:e00776–e00720PubMedPubMedCentral
22.
Zurück zum Zitat Kinloch N, Shahid A, Ritchie G, Dong W, Lawson T, Montaner JSG, Romney MG, Stefanovic A, Matic N, Brumme CJ, Lowe CF, Brumme ZL, Leung V (2020) Evaluation of nasopharyngeal swab collection techniques for nucleic acid recovery and participant experience: recommendations for COVID-19 diagnostics. Open Forum Infect Dis 1–14 Kinloch N, Shahid A, Ritchie G, Dong W, Lawson T, Montaner JSG, Romney MG, Stefanovic A, Matic N, Brumme CJ, Lowe CF, Brumme ZL, Leung V (2020) Evaluation of nasopharyngeal swab collection techniques for nucleic acid recovery and participant experience: recommendations for COVID-19 diagnostics. Open Forum Infect Dis 1–14
24.
Zurück zum Zitat Lenander-Lumikari M, Johansson I, Vilja P, Samaranayake L (1995) Newer saliva collection methods and saliva composition: a study of two Salivette® kits. Oral Dis 1:86–91CrossRef Lenander-Lumikari M, Johansson I, Vilja P, Samaranayake L (1995) Newer saliva collection methods and saliva composition: a study of two Salivette® kits. Oral Dis 1:86–91CrossRef
25.
Zurück zum Zitat Fábryová H, Celec P (2014) On the origin and diagnostic use of salivary RNA. Oral Dis 20:146–152CrossRef Fábryová H, Celec P (2014) On the origin and diagnostic use of salivary RNA. Oral Dis 20:146–152CrossRef
26.
Zurück zum Zitat Park NJ, Li Y, Yu T, Brinkman BMN, Wong DT (2006) Characterization of RNA in saliva. Clin Chem 52:988–994CrossRef Park NJ, Li Y, Yu T, Brinkman BMN, Wong DT (2006) Characterization of RNA in saliva. Clin Chem 52:988–994CrossRef
27.
Zurück zum Zitat Rodríguez A, Vaneechoutte M (2019) Comparison of the efficiency of different cell lysis methods and different commercial methods for RNA extraction from Candida albicans stored in RNAlater. BMC Microbiol 19:1–10 Rodríguez A, Vaneechoutte M (2019) Comparison of the efficiency of different cell lysis methods and different commercial methods for RNA extraction from Candida albicans stored in RNAlater. BMC Microbiol 19:1–10
Metadaten
Titel
Practical challenges to the clinical implementation of saliva for SARS-CoV-2 detection
verfasst von
Nancy Matic
Aleksandra Stefanovic
Victor Leung
Tanya Lawson
Gordon Ritchie
Lynne Li
Sylvie Champagne
Marc G. Romney
Christopher F. Lowe
Publikationsdatum
25.11.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Clinical Microbiology & Infectious Diseases / Ausgabe 2/2021
Print ISSN: 0934-9723
Elektronische ISSN: 1435-4373
DOI
https://doi.org/10.1007/s10096-020-04090-5

Weitere Artikel der Ausgabe 2/2021

European Journal of Clinical Microbiology & Infectious Diseases 2/2021 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.