Assessment of commercial SARS-CoV-2 antibody assays, Jamaica

Background: The performance of the Roche Elecsys® Anti-SARS-CoV-2, Abbott Architect SARS-CoV-2 IgM, Abbott Architect SARS-CoV-2 IgG, Euroimmun SARS-CoV-2 IgA, Euroimmun SARS-CoV-2 IgG ELISA, and Trillium IgG/IgM rapid assays was evaluated in Jamaica. Methods: Diagnostic sensitivities of the assays w...

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Main Authors: Tiffany R. Butterfield, Alrica Bruce-Mowatt, Yakima Z.R. Phillips, Nicole Brown, Keisha Francis, Jabari Brown, Jerome P. Walker, Niel A.L. McKnight, Kelvin Ehikhametalor, Devon K. Taylor, Carl A. Bruce, Donovan McGrowder, Gilian Wharfe, Simone L. Sandiford, Tamara K. Thompson, Joshua J. Anzinger
Format: Article
Language:English
Published: Elsevier 2021-04-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1201971221001454
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author Tiffany R. Butterfield
Alrica Bruce-Mowatt
Yakima Z.R. Phillips
Nicole Brown
Keisha Francis
Jabari Brown
Jerome P. Walker
Niel A.L. McKnight
Kelvin Ehikhametalor
Devon K. Taylor
Carl A. Bruce
Donovan McGrowder
Gilian Wharfe
Simone L. Sandiford
Tamara K. Thompson
Joshua J. Anzinger
author_facet Tiffany R. Butterfield
Alrica Bruce-Mowatt
Yakima Z.R. Phillips
Nicole Brown
Keisha Francis
Jabari Brown
Jerome P. Walker
Niel A.L. McKnight
Kelvin Ehikhametalor
Devon K. Taylor
Carl A. Bruce
Donovan McGrowder
Gilian Wharfe
Simone L. Sandiford
Tamara K. Thompson
Joshua J. Anzinger
author_sort Tiffany R. Butterfield
collection DOAJ
description Background: The performance of the Roche Elecsys® Anti-SARS-CoV-2, Abbott Architect SARS-CoV-2 IgM, Abbott Architect SARS-CoV-2 IgG, Euroimmun SARS-CoV-2 IgA, Euroimmun SARS-CoV-2 IgG ELISA, and Trillium IgG/IgM rapid assays was evaluated in Jamaica. Methods: Diagnostic sensitivities of the assays were assessed by testing serum samples from SARS-CoV-2 PCR-confirmed persons and diagnostic specificity was assessed by testing serum samples collected during 2018–2019 from healthy persons and from persons with antibodies to a wide range of viral infections. Results: Serum samples collected ≥14 days after onset of symptoms, or an initial SARS-CoV-2 RT-PCR positive test for asymptomatics, showed diagnostic sensitivities ranging from 67.9 to 75.0% when including all possible disease severities and increased to 90.0–95.0% when examining those with moderate to critical disease. Grouping moderate to critical disease showed a significant association with a SARS-CoV-2 antibody positive result for all assays. Diagnostic specificity ranged from 96.7 to 100.0%. For all assays examined, SARS-CoV-2 real-time PCR cycle threshold (Ct) values of the initial nasopharyngeal swab sample testing positive were significantly different for samples testing antibody positive versus negative. Conclusions: These data from a predominantly African descent Caribbean population show comparable diagnostic sensitivities and specificities for all testing platforms assessed and limited utility of these tests for persons with asymptomatic and mild infections.
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spelling doaj.art-6845cf11072c4856b2ab38ce7c4a4eb32022-12-21T20:44:14ZengElsevierInternational Journal of Infectious Diseases1201-97122021-04-01105333336Assessment of commercial SARS-CoV-2 antibody assays, JamaicaTiffany R. Butterfield0Alrica Bruce-Mowatt1Yakima Z.R. Phillips2Nicole Brown3Keisha Francis4Jabari Brown5Jerome P. Walker6Niel A.L. McKnight7Kelvin Ehikhametalor8Devon K. Taylor9Carl A. Bruce10Donovan McGrowder11Gilian Wharfe12Simone L. Sandiford13Tamara K. Thompson14Joshua J. Anzinger15The University of the West Indies, Department of Microbiology, Kingston, JamaicaThe University of the West Indies, Department of Microbiology, Kingston, JamaicaThe University of the West Indies, Department of Microbiology, Kingston, JamaicaThe University of the West Indies, Department of Microbiology, Kingston, JamaicaThe University of the West Indies, Department of Microbiology, Kingston, JamaicaThe University of the West Indies, Department of Pathology, Kingston, JamaicaThe University of the West Indies, Department of Microbiology, Kingston, JamaicaThe University of the West Indies, Department of Microbiology, Kingston, JamaicaThe University of the West Indies, Department of Anaesthesia and Intensive Care, Kingston, JamaicaAstraZeneca, Department of Oncology Research, Gaithersburg, MD, United StatesThe University of the West Indies, Department of Surgery, Kingston, JamaicaThe University of the West Indies, Department of Pathology, Kingston, JamaicaThe University of the West Indies, Department of Pathology, Kingston, JamaicaThe University of the West Indies, Department of Basic Medical Sciences, Kingston, JamaicaThe University of the West Indies, Department of Medicine, Kingston, JamaicaThe University of the West Indies, Department of Microbiology, Kingston, Jamaica; Global Virus Network, Baltimore, MD, United States; Corresponding author.Background: The performance of the Roche Elecsys® Anti-SARS-CoV-2, Abbott Architect SARS-CoV-2 IgM, Abbott Architect SARS-CoV-2 IgG, Euroimmun SARS-CoV-2 IgA, Euroimmun SARS-CoV-2 IgG ELISA, and Trillium IgG/IgM rapid assays was evaluated in Jamaica. Methods: Diagnostic sensitivities of the assays were assessed by testing serum samples from SARS-CoV-2 PCR-confirmed persons and diagnostic specificity was assessed by testing serum samples collected during 2018–2019 from healthy persons and from persons with antibodies to a wide range of viral infections. Results: Serum samples collected ≥14 days after onset of symptoms, or an initial SARS-CoV-2 RT-PCR positive test for asymptomatics, showed diagnostic sensitivities ranging from 67.9 to 75.0% when including all possible disease severities and increased to 90.0–95.0% when examining those with moderate to critical disease. Grouping moderate to critical disease showed a significant association with a SARS-CoV-2 antibody positive result for all assays. Diagnostic specificity ranged from 96.7 to 100.0%. For all assays examined, SARS-CoV-2 real-time PCR cycle threshold (Ct) values of the initial nasopharyngeal swab sample testing positive were significantly different for samples testing antibody positive versus negative. Conclusions: These data from a predominantly African descent Caribbean population show comparable diagnostic sensitivities and specificities for all testing platforms assessed and limited utility of these tests for persons with asymptomatic and mild infections.http://www.sciencedirect.com/science/article/pii/S1201971221001454COVID-19SARS-CoV-2AntibodySerologyCaribbeanJamaica
spellingShingle Tiffany R. Butterfield
Alrica Bruce-Mowatt
Yakima Z.R. Phillips
Nicole Brown
Keisha Francis
Jabari Brown
Jerome P. Walker
Niel A.L. McKnight
Kelvin Ehikhametalor
Devon K. Taylor
Carl A. Bruce
Donovan McGrowder
Gilian Wharfe
Simone L. Sandiford
Tamara K. Thompson
Joshua J. Anzinger
Assessment of commercial SARS-CoV-2 antibody assays, Jamaica
International Journal of Infectious Diseases
COVID-19
SARS-CoV-2
Antibody
Serology
Caribbean
Jamaica
title Assessment of commercial SARS-CoV-2 antibody assays, Jamaica
title_full Assessment of commercial SARS-CoV-2 antibody assays, Jamaica
title_fullStr Assessment of commercial SARS-CoV-2 antibody assays, Jamaica
title_full_unstemmed Assessment of commercial SARS-CoV-2 antibody assays, Jamaica
title_short Assessment of commercial SARS-CoV-2 antibody assays, Jamaica
title_sort assessment of commercial sars cov 2 antibody assays jamaica
topic COVID-19
SARS-CoV-2
Antibody
Serology
Caribbean
Jamaica
url http://www.sciencedirect.com/science/article/pii/S1201971221001454
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