Reliable and Scalable SARS-CoV-2 qPCR Testing at a High Sample Throughput: Lessons Learned from the Belgian Initiative

We present our approach to rapidly establishing a standardized, multi-site, nation-wide COVID-19 screening program in Belgium. Under auspices of a federal government Task Force responsible for upscaling the country’s testing capacity, we were able to set up a national testing initiative with readily...

Full description

Bibliographic Details
Main Authors: Steven Van Vooren, James Grayson, Marc Van Ranst, Elisabeth Dequeker, Lies Laenen, Reile Janssen, Laurent Gillet, Fabrice Bureau, Wouter Coppieters, Nathalie Devos, Benjamin Hengchen, Pierre Wattiau, Sibylle Méhauden, Yvan Verlinden, Kurt Van Baelen, Theresa Pattery, Jean-Pierre Valentin, Kris Janssen, Martine Geraerts, John Smeraglia, Jan Hellemans, Pieter Wytynck, Pieter Mestdagh, Nienke Besbrugge, René Höfer, Friedel Nollet, Jo Vandesompele, Pieter De Smet, John Lebon, Emmanuel Vandewynckele, Steven Verstrepen, Wouter Uten, Arnaud Capron, Hugues Malonne, Jeroen Poels, Emmanuel André
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/12/2/159
_version_ 1827654228810661888
author Steven Van Vooren
James Grayson
Marc Van Ranst
Elisabeth Dequeker
Lies Laenen
Reile Janssen
Laurent Gillet
Fabrice Bureau
Wouter Coppieters
Nathalie Devos
Benjamin Hengchen
Pierre Wattiau
Sibylle Méhauden
Yvan Verlinden
Kurt Van Baelen
Theresa Pattery
Jean-Pierre Valentin
Kris Janssen
Martine Geraerts
John Smeraglia
Jan Hellemans
Pieter Wytynck
Pieter Mestdagh
Nienke Besbrugge
René Höfer
Friedel Nollet
Jo Vandesompele
Pieter De Smet
John Lebon
Emmanuel Vandewynckele
Steven Verstrepen
Wouter Uten
Arnaud Capron
Hugues Malonne
Jeroen Poels
Emmanuel André
author_facet Steven Van Vooren
James Grayson
Marc Van Ranst
Elisabeth Dequeker
Lies Laenen
Reile Janssen
Laurent Gillet
Fabrice Bureau
Wouter Coppieters
Nathalie Devos
Benjamin Hengchen
Pierre Wattiau
Sibylle Méhauden
Yvan Verlinden
Kurt Van Baelen
Theresa Pattery
Jean-Pierre Valentin
Kris Janssen
Martine Geraerts
John Smeraglia
Jan Hellemans
Pieter Wytynck
Pieter Mestdagh
Nienke Besbrugge
René Höfer
Friedel Nollet
Jo Vandesompele
Pieter De Smet
John Lebon
Emmanuel Vandewynckele
Steven Verstrepen
Wouter Uten
Arnaud Capron
Hugues Malonne
Jeroen Poels
Emmanuel André
author_sort Steven Van Vooren
collection DOAJ
description We present our approach to rapidly establishing a standardized, multi-site, nation-wide COVID-19 screening program in Belgium. Under auspices of a federal government Task Force responsible for upscaling the country’s testing capacity, we were able to set up a national testing initiative with readily available resources, putting in place a robust, validated, high-throughput, and decentralized qPCR molecular testing platform with embedded proficiency testing. We demonstrate how during an acute scarcity of equipment, kits, reagents, personnel, protective equipment, and sterile plastic supplies, we introduced an approach to rapidly build a reliable, validated, high-volume, high-confidence workflow based on heterogeneous instrumentation and diverse assays, assay components, and protocols. The workflow was set up with continuous quality control monitoring, tied together through a clinical-grade information management platform for automated data analysis, real-time result reporting across different participating sites, qc monitoring, and making result data available to the requesting physician and the patient. In this overview, we address challenges in optimizing high-throughput cross-laboratory workflows with minimal manual intervention through software, instrument and assay validation and standardization, and a process for harmonized result reporting and nation-level infection statistics monitoring across the disparate testing methodologies and workflows, necessitated by a rapid scale-up as a response to the pandemic.
first_indexed 2024-03-09T21:35:26Z
format Article
id doaj.art-7a200fc5f8174981a15e82afbd3ce110
institution Directory Open Access Journal
issn 2075-1729
language English
last_indexed 2024-03-09T21:35:26Z
publishDate 2022-01-01
publisher MDPI AG
record_format Article
series Life
spelling doaj.art-7a200fc5f8174981a15e82afbd3ce1102023-11-23T20:45:01ZengMDPI AGLife2075-17292022-01-0112215910.3390/life12020159Reliable and Scalable SARS-CoV-2 qPCR Testing at a High Sample Throughput: Lessons Learned from the Belgian InitiativeSteven Van Vooren0James Grayson1Marc Van Ranst2Elisabeth Dequeker3Lies Laenen4Reile Janssen5Laurent Gillet6Fabrice Bureau7Wouter Coppieters8Nathalie Devos9Benjamin Hengchen10Pierre Wattiau11Sibylle Méhauden12Yvan Verlinden13Kurt Van Baelen14Theresa Pattery15Jean-Pierre Valentin16Kris Janssen17Martine Geraerts18John Smeraglia19Jan Hellemans20Pieter Wytynck21Pieter Mestdagh22Nienke Besbrugge23René Höfer24Friedel Nollet25Jo Vandesompele26Pieter De Smet27John Lebon28Emmanuel Vandewynckele29Steven Verstrepen30Wouter Uten31Arnaud Capron32Hugues Malonne33Jeroen Poels34Emmanuel André35UgenTec, Inc., Cambridge, MA 02138, USAUgenTec, Inc., Cambridge, MA 02138, USADepartment of Microbiology, Immunology and Transplantation, KU Leuven, B-3000 Leuven, BelgiumClinical Department of Laboratory medicine and National Reference Center for Respiratory Pathogens, University Hospitals Leuven, B-3000 Leuven, BelgiumDepartment of Microbiology, Immunology and Transplantation, KU Leuven, B-3000 Leuven, BelgiumClinical Department of Laboratory medicine and National Reference Center for Respiratory Pathogens, University Hospitals Leuven, B-3000 Leuven, BelgiumDepartment of Microbiology, University of Liège, B-4000 Liège, BelgiumDepartment of Microbiology, University of Liège, B-4000 Liège, BelgiumDepartment of Microbiology, University of Liège, B-4000 Liège, BelgiumGSK Vaccines, B-1330 Rixensart, BelgiumGSK Vaccines, B-1330 Rixensart, BelgiumGSK Vaccines, B-1330 Rixensart, BelgiumGSK Vaccines, B-1330 Rixensart, BelgiumJanssen Pharmaceutica N.V., Johnson & Johnson, B-2340 Beerse, BelgiumJanssen Pharmaceutica N.V., Johnson & Johnson, B-2340 Beerse, BelgiumJanssen Pharmaceutica N.V., Johnson & Johnson, B-2340 Beerse, BelgiumUCB Pharma, B-1420 Braine l’Alleud, BelgiumUCB Pharma, B-1420 Braine l’Alleud, BelgiumUCB Pharma, B-1420 Braine l’Alleud, BelgiumUCB Pharma, B-1420 Braine l’Alleud, BelgiumBiogazelle, Technologiepark Zwijnaarde, B-9052 Zwijnaarde, BelgiumBiogazelle, Technologiepark Zwijnaarde, B-9052 Zwijnaarde, BelgiumBiogazelle, Technologiepark Zwijnaarde, B-9052 Zwijnaarde, BelgiumBiogazelle, Technologiepark Zwijnaarde, B-9052 Zwijnaarde, BelgiumBiogazelle, Technologiepark Zwijnaarde, B-9052 Zwijnaarde, BelgiumBiogazelle, Technologiepark Zwijnaarde, B-9052 Zwijnaarde, BelgiumBiogazelle, Technologiepark Zwijnaarde, B-9052 Zwijnaarde, BelgiumCliniSys|MIPS, B-9000 Ghent, BelgiumCliniSys|MIPS, B-9000 Ghent, BelgiumCliniSys|MIPS, B-9000 Ghent, BelgiumCliniSys|MIPS, B-9000 Ghent, BelgiumUgenTec n.v., B-3500 Hasselt, BelgiumSciensano, Belgian Institute for Health, B-1050 Brussels, BelgiumFederal Agency for Medicines and Health Products (FAGG-AFMPS), B-1210 Brussels, BelgiumFederal Agency for Medicines and Health Products (FAGG-AFMPS), B-1210 Brussels, BelgiumDepartment of Microbiology, Immunology and Transplantation, KU Leuven, B-3000 Leuven, BelgiumWe present our approach to rapidly establishing a standardized, multi-site, nation-wide COVID-19 screening program in Belgium. Under auspices of a federal government Task Force responsible for upscaling the country’s testing capacity, we were able to set up a national testing initiative with readily available resources, putting in place a robust, validated, high-throughput, and decentralized qPCR molecular testing platform with embedded proficiency testing. We demonstrate how during an acute scarcity of equipment, kits, reagents, personnel, protective equipment, and sterile plastic supplies, we introduced an approach to rapidly build a reliable, validated, high-volume, high-confidence workflow based on heterogeneous instrumentation and diverse assays, assay components, and protocols. The workflow was set up with continuous quality control monitoring, tied together through a clinical-grade information management platform for automated data analysis, real-time result reporting across different participating sites, qc monitoring, and making result data available to the requesting physician and the patient. In this overview, we address challenges in optimizing high-throughput cross-laboratory workflows with minimal manual intervention through software, instrument and assay validation and standardization, and a process for harmonized result reporting and nation-level infection statistics monitoring across the disparate testing methodologies and workflows, necessitated by a rapid scale-up as a response to the pandemic.https://www.mdpi.com/2075-1729/12/2/159SARS-CoV-2qPCRlab automationqc monitoringhigh-throughput testingdata analysis
spellingShingle Steven Van Vooren
James Grayson
Marc Van Ranst
Elisabeth Dequeker
Lies Laenen
Reile Janssen
Laurent Gillet
Fabrice Bureau
Wouter Coppieters
Nathalie Devos
Benjamin Hengchen
Pierre Wattiau
Sibylle Méhauden
Yvan Verlinden
Kurt Van Baelen
Theresa Pattery
Jean-Pierre Valentin
Kris Janssen
Martine Geraerts
John Smeraglia
Jan Hellemans
Pieter Wytynck
Pieter Mestdagh
Nienke Besbrugge
René Höfer
Friedel Nollet
Jo Vandesompele
Pieter De Smet
John Lebon
Emmanuel Vandewynckele
Steven Verstrepen
Wouter Uten
Arnaud Capron
Hugues Malonne
Jeroen Poels
Emmanuel André
Reliable and Scalable SARS-CoV-2 qPCR Testing at a High Sample Throughput: Lessons Learned from the Belgian Initiative
Life
SARS-CoV-2
qPCR
lab automation
qc monitoring
high-throughput testing
data analysis
title Reliable and Scalable SARS-CoV-2 qPCR Testing at a High Sample Throughput: Lessons Learned from the Belgian Initiative
title_full Reliable and Scalable SARS-CoV-2 qPCR Testing at a High Sample Throughput: Lessons Learned from the Belgian Initiative
title_fullStr Reliable and Scalable SARS-CoV-2 qPCR Testing at a High Sample Throughput: Lessons Learned from the Belgian Initiative
title_full_unstemmed Reliable and Scalable SARS-CoV-2 qPCR Testing at a High Sample Throughput: Lessons Learned from the Belgian Initiative
title_short Reliable and Scalable SARS-CoV-2 qPCR Testing at a High Sample Throughput: Lessons Learned from the Belgian Initiative
title_sort reliable and scalable sars cov 2 qpcr testing at a high sample throughput lessons learned from the belgian initiative
topic SARS-CoV-2
qPCR
lab automation
qc monitoring
high-throughput testing
data analysis
url https://www.mdpi.com/2075-1729/12/2/159
work_keys_str_mv AT stevenvanvooren reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT jamesgrayson reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT marcvanranst reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT elisabethdequeker reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT lieslaenen reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT reilejanssen reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT laurentgillet reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT fabricebureau reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT woutercoppieters reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT nathaliedevos reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT benjaminhengchen reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT pierrewattiau reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT sibyllemehauden reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT yvanverlinden reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT kurtvanbaelen reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT theresapattery reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT jeanpierrevalentin reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT krisjanssen reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT martinegeraerts reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT johnsmeraglia reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT janhellemans reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT pieterwytynck reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT pietermestdagh reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT nienkebesbrugge reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT renehofer reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT friedelnollet reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT jovandesompele reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT pieterdesmet reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT johnlebon reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT emmanuelvandewynckele reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT stevenverstrepen reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT wouteruten reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT arnaudcapron reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT huguesmalonne reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT jeroenpoels reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative
AT emmanuelandre reliableandscalablesarscov2qpcrtestingatahighsamplethroughputlessonslearnedfromthebelgianinitiative