Using SCENTinel® to predict SARS-CoV-2 infection: insights from a community sample during dominance of Delta and Omicron variants

IntroductionBased on a large body of previous research suggesting that smell loss was a predictor of COVID-19, we investigated the ability of SCENTinel®, a newly validated rapid olfactory test that assesses odor detection, intensity, and identification, to predict SARS-CoV-2 infection in a community...

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Main Authors: Stephanie R. Hunter, Anne Zola, Emily Ho, Michael Kallen, Edith Adjei-Danquah, Chad Achenbach, G. Randy Smith, Richard Gershon, Danielle R. Reed, Benjamin Schalet, Valentina Parma, Pamela H. Dalton
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1322797/full
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author Stephanie R. Hunter
Anne Zola
Emily Ho
Michael Kallen
Edith Adjei-Danquah
Chad Achenbach
G. Randy Smith
Richard Gershon
Danielle R. Reed
Benjamin Schalet
Valentina Parma
Pamela H. Dalton
author_facet Stephanie R. Hunter
Anne Zola
Emily Ho
Michael Kallen
Edith Adjei-Danquah
Chad Achenbach
G. Randy Smith
Richard Gershon
Danielle R. Reed
Benjamin Schalet
Valentina Parma
Pamela H. Dalton
author_sort Stephanie R. Hunter
collection DOAJ
description IntroductionBased on a large body of previous research suggesting that smell loss was a predictor of COVID-19, we investigated the ability of SCENTinel®, a newly validated rapid olfactory test that assesses odor detection, intensity, and identification, to predict SARS-CoV-2 infection in a community sample.MethodsBetween April 5, 2021, and July 5, 2022, 1,979 individuals took one SCENTinel® test, completed at least one physician-ordered SARS-CoV-2 PCR test, and endorsed a list of self-reported symptoms.ResultsAmong the of SCENTinel® subtests, the self-rated odor intensity score, especially when dichotomized using a previously established threshold, was the strongest predictor of SARS-CoV-2 infection. SCENTinel® had high specificity and negative predictive value, indicating that those who passed SCENTinel® likely did not have a SARS-CoV-2 infection. Predictability of the SCENTinel® performance was stronger when the SARS-CoV-2 Delta variant was dominant rather than when the SARS-CoV-2 Omicron variant was dominant. Additionally, SCENTinel® predicted SARS-CoV-2 positivity better than using a self-reported symptom checklist alone.DiscussionThese results indicate that SCENTinel® is a rapid assessment tool that can be used for population-level screening to monitor abrupt changes in olfactory function, and to evaluate spread of viral infections like SARS-CoV-2 that often have smell loss as a symptom.
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spelling doaj.art-57843b1b3f83405db5d63985d520c1732024-04-10T13:15:27ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-04-011210.3389/fpubh.2024.13227971322797Using SCENTinel® to predict SARS-CoV-2 infection: insights from a community sample during dominance of Delta and Omicron variantsStephanie R. Hunter0Anne Zola1Emily Ho2Michael Kallen3Edith Adjei-Danquah4Chad Achenbach5G. Randy Smith6Richard Gershon7Danielle R. Reed8Benjamin Schalet9Valentina Parma10Pamela H. Dalton11Monell Chemical Senses Center, Philadelphia, PA, United StatesFeinberg School of Medicine, Northwestern University, Chicago, IL, United StatesFeinberg School of Medicine, Northwestern University, Chicago, IL, United StatesFeinberg School of Medicine, Northwestern University, Chicago, IL, United StatesMonell Chemical Senses Center, Philadelphia, PA, United StatesFeinberg School of Medicine, Northwestern University, Chicago, IL, United StatesFeinberg School of Medicine, Northwestern University, Chicago, IL, United StatesFeinberg School of Medicine, Northwestern University, Chicago, IL, United StatesMonell Chemical Senses Center, Philadelphia, PA, United StatesFeinberg School of Medicine, Northwestern University, Chicago, IL, United StatesMonell Chemical Senses Center, Philadelphia, PA, United StatesMonell Chemical Senses Center, Philadelphia, PA, United StatesIntroductionBased on a large body of previous research suggesting that smell loss was a predictor of COVID-19, we investigated the ability of SCENTinel®, a newly validated rapid olfactory test that assesses odor detection, intensity, and identification, to predict SARS-CoV-2 infection in a community sample.MethodsBetween April 5, 2021, and July 5, 2022, 1,979 individuals took one SCENTinel® test, completed at least one physician-ordered SARS-CoV-2 PCR test, and endorsed a list of self-reported symptoms.ResultsAmong the of SCENTinel® subtests, the self-rated odor intensity score, especially when dichotomized using a previously established threshold, was the strongest predictor of SARS-CoV-2 infection. SCENTinel® had high specificity and negative predictive value, indicating that those who passed SCENTinel® likely did not have a SARS-CoV-2 infection. Predictability of the SCENTinel® performance was stronger when the SARS-CoV-2 Delta variant was dominant rather than when the SARS-CoV-2 Omicron variant was dominant. Additionally, SCENTinel® predicted SARS-CoV-2 positivity better than using a self-reported symptom checklist alone.DiscussionThese results indicate that SCENTinel® is a rapid assessment tool that can be used for population-level screening to monitor abrupt changes in olfactory function, and to evaluate spread of viral infections like SARS-CoV-2 that often have smell loss as a symptom.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1322797/fullCOVIDpredictionolfactionanosmiatestinghyposmia
spellingShingle Stephanie R. Hunter
Anne Zola
Emily Ho
Michael Kallen
Edith Adjei-Danquah
Chad Achenbach
G. Randy Smith
Richard Gershon
Danielle R. Reed
Benjamin Schalet
Valentina Parma
Pamela H. Dalton
Using SCENTinel® to predict SARS-CoV-2 infection: insights from a community sample during dominance of Delta and Omicron variants
Frontiers in Public Health
COVID
prediction
olfaction
anosmia
testing
hyposmia
title Using SCENTinel® to predict SARS-CoV-2 infection: insights from a community sample during dominance of Delta and Omicron variants
title_full Using SCENTinel® to predict SARS-CoV-2 infection: insights from a community sample during dominance of Delta and Omicron variants
title_fullStr Using SCENTinel® to predict SARS-CoV-2 infection: insights from a community sample during dominance of Delta and Omicron variants
title_full_unstemmed Using SCENTinel® to predict SARS-CoV-2 infection: insights from a community sample during dominance of Delta and Omicron variants
title_short Using SCENTinel® to predict SARS-CoV-2 infection: insights from a community sample during dominance of Delta and Omicron variants
title_sort using scentinel r to predict sars cov 2 infection insights from a community sample during dominance of delta and omicron variants
topic COVID
prediction
olfaction
anosmia
testing
hyposmia
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1322797/full
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