Yoo Ji Youn, De Sai Lata, Sarkar Anujit, Adams John H, Groer Maureen
College of Nursing, University of Tennessee, Knoxville, TN, 37996, USA.
Department of Infectious Diseases & Immunology, University of Florida, Gainesville, FL, 32611, USA.
Heliyon. 2023 Apr;9(4):e14729. doi: 10.1016/j.heliyon.2023.e14729. Epub 2023 Mar 21.
Underserved, low-income, rural and certain migrant populations have greater risks and higher incidences of Coronavirus disease 2019 (COVID-19) than more privileged populations. Current in-person testing methods have limitations, namely exposure risk, a requirement of accessible transportation to healthcare facilities, and economic barriers. Dried blood spots (DBS) samples are widely used for diagnostics in many infectious diseases including Rabies, HIV, Ebola viruses and newborn screening. Our goal was to determine the accuracy and reliability of measuring COVID-19 IgG in DBS compared to paired plasma samples in a population with known infection status and then apply this method to screen an underserved minority population with high risk for COVID-9 infection (unvaccinated, pregnant, low income, Hispanic women). To optimize the assay, we tested 22 nonpregnant women, 12 with positive prior PCR testing for SARS-CoV2 infection and 10 with negative PCR results. After the assay was optimized, we tested the assay in a vulnerable population with a high risk for infection, who were 52 Hispanic pregnant women without prior PCR testing or vaccination. DBS assay results in both groups showed an agreement of 100% with paired plasma samples. The availability of a DBS assay could enable people who may not have access or transportation to healthcare facilities to use DBS as a COVID-19 testing vehicle.
与享有更多特权的人群相比,未得到充分服务、低收入、农村和某些移民人群感染2019冠状病毒病(COVID-19)的风险更高,发病率也更高。目前的现场检测方法存在局限性,即存在暴露风险、需要有前往医疗机构的交通条件以及经济障碍。干血斑(DBS)样本广泛用于许多传染病的诊断,包括狂犬病、艾滋病毒、埃博拉病毒以及新生儿筛查。我们的目标是,在已知感染状况的人群中,确定与配对血浆样本相比,检测DBS中COVID-19 IgG的准确性和可靠性,然后应用该方法筛查COVID-19感染高风险的未得到充分服务的少数族裔人群(未接种疫苗、孕妇、低收入、西班牙裔女性)。为优化检测方法,我们对22名非孕妇进行了检测,其中12人之前SARS-CoV2感染的PCR检测呈阳性,10人PCR检测结果为阴性。检测方法优化后,我们在感染风险高的脆弱人群中进行了检测,这些人是52名未进行过PCR检测或接种疫苗的西班牙裔孕妇。两组的DBS检测结果与配对血浆样本的一致性均为100%。DBS检测方法的可用性可以使那些可能无法前往医疗机构或没有交通条件前往的人将DBS用作COVID-19检测手段。
J Immunol Methods. 2023-2
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