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评估 15 分钟即时护理 DASH™ SARS-CoV-2 RT-qPCR 测试的分析性能。

Evaluation of the analytical performance of the 15-minute point-of-care DASH™ SARS-CoV-2 RT-qPCR test.

机构信息

Center for Innovation in Global Health Technologies (CIGHT), Robert J. Havey Institute for Global Health, Northwestern University Feinberg School of Medicine, Chicago, IL 60611 United States; Department of Biomedical Engineering, Northwestern University, Evanston, IL 60208 United States.

Center for Pathogen Genomics and Microbial Evolution (CPGME), Robert J. Havey Institute for Global Health, Northwestern University Feinberg School of Medicine, Chicago, IL 60611 United States; Division of Infectious Diseases, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611 United States.

出版信息

Diagn Microbiol Infect Dis. 2024 Jan;108(1):116120. doi: 10.1016/j.diagmicrobio.2023.116120. Epub 2023 Oct 21.

Abstract

Accurate and timely diagnosis for COVID-19 diagnosis allows highly effective antiviral medications to be prescribed. The DASH™ Rapid PCR System is a sample-to-answer point-of-care platform combining state-of-the-art PCR kinetics with sequence specific hybridization. The platform's first assay, the DASH™ SARS-CoV-2/S test for anterior nares direct swab specimens, received FDA Emergency Use Authorization in March 2022 for point-of-care use. Here we report the analytical characteristics of the assay including limit of detection, dynamic range, and robustness of SARS-CoV-2 variant detection. The limit of detection was determined by testing swabs contrived with one hundred copies of wild type or Omicron BA.5 virus and detecting 20/20 and 19/20, respectively. The dynamic range was assessed with contrived swabs containing 10-10 copies; the log-linear relationship between Cq and copy input was plotted, and the qPCR efficiency calculated from the slope of the line was 101.4%. Detection of seven SARS-CoV-2 variants was demonstrated.

摘要

准确及时的 COVID-19 诊断可以开出高效的抗病毒药物。DASH™ 快速 PCR 系统是一个样本到答案的即时护理平台,结合了最先进的 PCR 动力学和序列特异性杂交。该平台的第一个检测方法,DASH™ 用于前鼻直接拭子标本的 SARS-CoV-2/S 检测,于 2022 年 3 月获得 FDA 的紧急使用授权,可用于即时护理。在这里,我们报告了该检测方法的分析特性,包括检测限、动态范围和 SARS-CoV-2 变体检测的稳健性。通过测试含有一百个野生型或奥密克戎 BA.5 病毒拷贝的拭子来确定检测限,分别检测到 20/20 和 19/20。用含有 10-10 拷贝的模拟拭子评估动态范围;绘制 Cq 和拷贝输入之间的对数线性关系,并从直线斜率计算 qPCR 效率,计算得出的效率为 101.4%。检测到七种 SARS-CoV-2 变体。

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