Sensitivity analysis of rapid antigen tests for the Omicron SARS-CoV-2 variant detection from nasopharyngeal swab samples collected in Santiago of Chile

The COVID-19 pandemic continues to be a concern and keeps global health authorities on alert. The RT-PCR technique has been the gold-standard assay for detecting the SARS-CoV-2 virus. However, rapid antigen tests (RATs) have been widely used to increase the number of tests faster and more efficientl...

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Main Authors: Carlos Barrera-Avalos, Javier Mena, Roberto Luraschi, Patricio Rojas, Carlos Mateluna-Flores, Eva Vallejos-Vidal, Mónica Imarai, Ana María Sandino, Daniel Valdés, Rodrigo Vera, Iván Hernández, Felipe E. Reyes-López, Claudio Acuña-Castillo
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.976875/full
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author Carlos Barrera-Avalos
Javier Mena
Roberto Luraschi
Patricio Rojas
Carlos Mateluna-Flores
Eva Vallejos-Vidal
Mónica Imarai
Mónica Imarai
Ana María Sandino
Ana María Sandino
Daniel Valdés
Daniel Valdés
Rodrigo Vera
Iván Hernández
Felipe E. Reyes-López
Claudio Acuña-Castillo
Claudio Acuña-Castillo
author_facet Carlos Barrera-Avalos
Javier Mena
Roberto Luraschi
Patricio Rojas
Carlos Mateluna-Flores
Eva Vallejos-Vidal
Mónica Imarai
Mónica Imarai
Ana María Sandino
Ana María Sandino
Daniel Valdés
Daniel Valdés
Rodrigo Vera
Iván Hernández
Felipe E. Reyes-López
Claudio Acuña-Castillo
Claudio Acuña-Castillo
author_sort Carlos Barrera-Avalos
collection DOAJ
description The COVID-19 pandemic continues to be a concern and keeps global health authorities on alert. The RT-PCR technique has been the gold-standard assay for detecting the SARS-CoV-2 virus. However, rapid antigen tests (RATs) have been widely used to increase the number of tests faster and more efficiently in the population. Nevertheless, the appearance of new viral variants, with genomic mutations associated with greater contagiousness and immune evasion, highlights the need to evaluate the sensitivity of these RATs. This report evaluates the sensitivity of SD Biosensor-Roche, Panbio™, and Clinitest® RATs widely used in Santiago de Chile in the detection of the Omicron variant from Nasopharyngeal samples (NPSs), the most predominant SARS-CoV-2 variant in Chile and the world. SD Biosensor-Roche shows a detection sensitivity of 95.7% in the viral amplification range of 20 ≤ Cq < 25, while Panbio™ and Clinitest® show 100% and 91.3%, respectively. In the viral amplification ranges of 25 ≤ Cq < 30, the detection sensitivity decreased to 28% for SD Biosensor-Roche, 32% for Panbio™, and 72% for Clinitest®. This study indicates that the tested RATs have high sensitivity in detecting the Omicron variant of concern (VOC) at high viral loads. By contrast, its sensitivity decreases at low viral loads. Therefore, it is suggested to limit the use of RATs as an active search method, considering that infections in patients are increasingly associated with lower viral loads of SARS-CoV-2. These antecedents could prevent contagion outbreaks and reduce the underestimation of the current Omicron variant circulation at the local level.
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spelling doaj.art-12e9607aa6de4e4d85b5c9681f7044002022-12-22T03:25:18ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-10-011010.3389/fpubh.2022.976875976875Sensitivity analysis of rapid antigen tests for the Omicron SARS-CoV-2 variant detection from nasopharyngeal swab samples collected in Santiago of ChileCarlos Barrera-Avalos0Javier Mena1Roberto Luraschi2Patricio Rojas3Carlos Mateluna-Flores4Eva Vallejos-Vidal5Mónica Imarai6Mónica Imarai7Ana María Sandino8Ana María Sandino9Daniel Valdés10Daniel Valdés11Rodrigo Vera12Iván Hernández13Felipe E. Reyes-López14Claudio Acuña-Castillo15Claudio Acuña-Castillo16Centro de Biotecnología Acuícola, Facultad de Química y Biología, Universidad de Santiago de Chile, Santiago, ChileCentro de Biotecnología Acuícola, Facultad de Química y Biología, Universidad de Santiago de Chile, Santiago, ChileCentro de Biotecnología Acuícola, Facultad de Química y Biología, Universidad de Santiago de Chile, Santiago, ChileDepartamento de Biología, Facultad de Química y Biología, Universidad de Santiago de Chile, Santiago, ChileCentro de Biotecnología Acuícola, Facultad de Química y Biología, Universidad de Santiago de Chile, Santiago, ChileCentro de Biotecnología Acuícola, Facultad de Química y Biología, Universidad de Santiago de Chile, Santiago, ChileCentro de Biotecnología Acuícola, Facultad de Química y Biología, Universidad de Santiago de Chile, Santiago, ChileDepartamento de Biología, Facultad de Química y Biología, Universidad de Santiago de Chile, Santiago, ChileCentro de Biotecnología Acuícola, Facultad de Química y Biología, Universidad de Santiago de Chile, Santiago, ChileDepartamento de Biología, Facultad de Química y Biología, Universidad de Santiago de Chile, Santiago, ChileCentro de Biotecnología Acuícola, Facultad de Química y Biología, Universidad de Santiago de Chile, Santiago, ChileDepartamento de Biología, Facultad de Química y Biología, Universidad de Santiago de Chile, Santiago, ChileHospital de Urgencia Asistencia Pública (HUAP), Santiago, ChileHospital de Urgencia Asistencia Pública (HUAP), Santiago, ChileCentro de Biotecnología Acuícola, Facultad de Química y Biología, Universidad de Santiago de Chile, Santiago, ChileCentro de Biotecnología Acuícola, Facultad de Química y Biología, Universidad de Santiago de Chile, Santiago, ChileDepartamento de Biología, Facultad de Química y Biología, Universidad de Santiago de Chile, Santiago, ChileThe COVID-19 pandemic continues to be a concern and keeps global health authorities on alert. The RT-PCR technique has been the gold-standard assay for detecting the SARS-CoV-2 virus. However, rapid antigen tests (RATs) have been widely used to increase the number of tests faster and more efficiently in the population. Nevertheless, the appearance of new viral variants, with genomic mutations associated with greater contagiousness and immune evasion, highlights the need to evaluate the sensitivity of these RATs. This report evaluates the sensitivity of SD Biosensor-Roche, Panbio™, and Clinitest® RATs widely used in Santiago de Chile in the detection of the Omicron variant from Nasopharyngeal samples (NPSs), the most predominant SARS-CoV-2 variant in Chile and the world. SD Biosensor-Roche shows a detection sensitivity of 95.7% in the viral amplification range of 20 ≤ Cq < 25, while Panbio™ and Clinitest® show 100% and 91.3%, respectively. In the viral amplification ranges of 25 ≤ Cq < 30, the detection sensitivity decreased to 28% for SD Biosensor-Roche, 32% for Panbio™, and 72% for Clinitest®. This study indicates that the tested RATs have high sensitivity in detecting the Omicron variant of concern (VOC) at high viral loads. By contrast, its sensitivity decreases at low viral loads. Therefore, it is suggested to limit the use of RATs as an active search method, considering that infections in patients are increasingly associated with lower viral loads of SARS-CoV-2. These antecedents could prevent contagion outbreaks and reduce the underestimation of the current Omicron variant circulation at the local level.https://www.frontiersin.org/articles/10.3389/fpubh.2022.976875/fullrapid antigen testSARS-CoV-2Omicron detectionCOVID-19RT-qPCRdetection sensitivity
spellingShingle Carlos Barrera-Avalos
Javier Mena
Roberto Luraschi
Patricio Rojas
Carlos Mateluna-Flores
Eva Vallejos-Vidal
Mónica Imarai
Mónica Imarai
Ana María Sandino
Ana María Sandino
Daniel Valdés
Daniel Valdés
Rodrigo Vera
Iván Hernández
Felipe E. Reyes-López
Claudio Acuña-Castillo
Claudio Acuña-Castillo
Sensitivity analysis of rapid antigen tests for the Omicron SARS-CoV-2 variant detection from nasopharyngeal swab samples collected in Santiago of Chile
Frontiers in Public Health
rapid antigen test
SARS-CoV-2
Omicron detection
COVID-19
RT-qPCR
detection sensitivity
title Sensitivity analysis of rapid antigen tests for the Omicron SARS-CoV-2 variant detection from nasopharyngeal swab samples collected in Santiago of Chile
title_full Sensitivity analysis of rapid antigen tests for the Omicron SARS-CoV-2 variant detection from nasopharyngeal swab samples collected in Santiago of Chile
title_fullStr Sensitivity analysis of rapid antigen tests for the Omicron SARS-CoV-2 variant detection from nasopharyngeal swab samples collected in Santiago of Chile
title_full_unstemmed Sensitivity analysis of rapid antigen tests for the Omicron SARS-CoV-2 variant detection from nasopharyngeal swab samples collected in Santiago of Chile
title_short Sensitivity analysis of rapid antigen tests for the Omicron SARS-CoV-2 variant detection from nasopharyngeal swab samples collected in Santiago of Chile
title_sort sensitivity analysis of rapid antigen tests for the omicron sars cov 2 variant detection from nasopharyngeal swab samples collected in santiago of chile
topic rapid antigen test
SARS-CoV-2
Omicron detection
COVID-19
RT-qPCR
detection sensitivity
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.976875/full
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