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. 2021 Oct;166(10):2825-2828.
doi: 10.1007/s00705-021-05165-0. Epub 2021 Jul 24.

Evaluation of extraction-free RT-qPCR methods for SARS-CoV-2 diagnostics

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Evaluation of extraction-free RT-qPCR methods for SARS-CoV-2 diagnostics

Alexander Domnich et al. Arch Virol. 2021 Oct.

Abstract

Extraction-based real-time reverse transcription quantitative polymerase chain reaction (RT-qPCR) is currently the "gold standard" in SARS-CoV-2 diagnostics. However, some extraction-free RT-qPCR techniques have recently been developed. In this study, we compared the sensitivity of traditional extraction-based, heated extraction-free, and unheated extraction-free RT-qPCR methods for SARS-CoV-2 detection in nasopharyngeal swabs from symptomatic individuals. The unheated extraction-free method showed perfect agreement with the standard extraction-based RT-qPCR. By contrast, the heat-treated technique was associated with an 8.2% false negativity rate. Unheated extraction-free RT-qPCR for the molecular diagnosis of SARS-CoV-2 is a valuable alternative to the traditional extraction-based methods and may accelerate turnaround times by about two hours.

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Conflict of interest statement

The authors declare no conflict of interest regarding this publication.

Figures

Fig. 1
Fig. 1
Distribution of the cycle threshold values by method used and gene target

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