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. 2020 Jun 16;9(6):1871.
doi: 10.3390/jcm9061871.

Performance Assessment of SARS-CoV-2 PCR Assays Developed by WHO Referral Laboratories

Affiliations

Performance Assessment of SARS-CoV-2 PCR Assays Developed by WHO Referral Laboratories

Sibyle Etievant et al. J Clin Med. .

Abstract

A reliable diagnostic assay is crucial to early detect new COVID-19 cases and limit severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission. Since the onset of the COVID-19 pandemic, the World Health Organization has published several diagnostic molecular approaches developed by referral laboratories, including Charité (Germany), HKU (Hong Kong), China CDC (China), US CDC (United States), and Institut Pasteur, Paris (France). We aimed to compare the sensitivity and specificity of these different RT-PCR assays using SARS-CoV-2 cell culture supernatants and clinical respiratory samples. Overall, the different RT-PCR assays performed well for SARS-CoV-2 detection and were all specific except the N Charité (Germany), and N2 US CDC (United States) assays. RdRp Institut Pasteur (IP2, IP4), N China CDC, and N1 US CDC were found to be the most sensitive assays. The data presented herein are of prime importance to facilitate the equipment choice of diagnostic laboratories, as well as for the development of marketed tests.

Keywords: COVID-19; RT-PCR; SARS-CoV-2; diagnostics; sensitivity.

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Conflict of interest statement

S.E., V.E., M.B., G.D., G.B., L.J., E.F., F.M., and A.G. declare no conflict of interest. A.B has received a research grant from bioMérieux. K.B.-P., V.C., L.G., and G.O. are employees at bioMérieux. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

Figures

Figure 1
Figure 1
Mean Ct values and standard deviations obtained using five PCR-based methods for SARS-CoV-2 detection. Serial dilutions of SARS-CoV-2 cell culture supernatants were used and are represented by a single color (10−5 blue, 10−6 red, 10−7 pink, 10−8 green). A point in the ND (non-detected) column (Ct value axis) indicates a negative result for one replicate.
Figure 2
Figure 2
Ct values for 16 positive clinical samples using the three most sensitive assays. N China CDC is represented by green circles, N1 US CDC by purple squares, and RdRp IP2 Institut Pasteur, Paris, by orange triangles.

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