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Healgen新冠病毒快速抗原检测作为即时诊断工具的临床评估

Clinical Evaluation of the Healgen Rapid COVID-19 Antigen Test as a Point-of-Care Diagnostic Tool.

作者信息

Young Stephen A, Zhang Hua, Rodriguez Jose, Mishkin David, Paine Ward, Seyfried Li, Hargrove LaTisha, Broyles Dennis L, Lindberg Chermaen, Purushothaman Anurag, House Stacey

机构信息

TriCore Reference Laboratories, Albuquerque, New Mexico, USA.

Zhejiang Orient Gene Biotech Co. Ltd., Zhejiang, China.

出版信息

Immun Inflamm Dis. 2025 Jul;13(7):e70228. doi: 10.1002/iid3.70228.

DOI:10.1002/iid3.70228
PMID:40728074
Abstract

BACKGROUND

Development of readily available Rapid COVID-19 Antigen tests essential for promptly identifying SARS-CoV2 infection and preventing its spread.

METHODS

This study evaluated the clinical performance of the Healgen Rapid COVID-19 antigen test as a point-of-care diagnostic tool with 806 evaluable subjects who were within 6 days post-symptom onset. The results from the Healgen test were compared to the results from Emergency Use Authorization (EUA) approved SARS-CoV-2 RT-PCR tests.

RESULTS

Out of the 806 evaluable subjects, 140 tested positive and 640 tested negative for SARS-CoV-2 with the Healgen COVID-19 test, showing good agreement with the EUA RT-PCR results. There were 26 subjects with discordant results, of which 24 were negative according to the Healgen test but positive according to the RT-PCR test, while 2 were positive by the Healgen test but negative by the EUA-PCR test. The positive percent agreement (PPA) and negative percent agreement (NPA) were 85.4% and 99.7%, respectively. Additionally, the Healgen COVID-19 test detected 34 cases (60.7%) out of 56 weak positive cases (based on Ct values of ≥ 30 by the EUA PCR test), demonstrating good detection capability of the test.

CONCLUSIONS

The Healgen Rapid COVID-19 antigen detection test demonstrated good performance in terms of PPA and NPA when compared to the EUA RT-PCR assays and has potential as a diagnostic tool for SARS-CoV-2.

摘要

背景

开发易于获得的新型冠状病毒快速抗原检测对于及时识别严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染并防止其传播至关重要。

方法

本研究评估了Healgen新型冠状病毒快速抗原检测作为即时诊断工具的临床性能,研究对象为806名症状出现后6天内的可评估受试者。将Healgen检测结果与紧急使用授权(EUA)批准的SARS-CoV-2逆转录聚合酶链反应(RT-PCR)检测结果进行比较。

结果

在806名可评估受试者中,Healgen新型冠状病毒检测结果显示,140人SARS-CoV-2检测呈阳性,640人检测呈阴性,与EUA RT-PCR结果显示出良好的一致性。有26名受试者结果不一致,其中24人Healgen检测为阴性,但RT-PCR检测为阳性,2人Healgen检测为阳性,但EUA-PCR检测为阴性。阳性百分一致性(PPA)和阴性百分一致性(NPA)分别为85.4%和99.7%。此外,Healgen新型冠状病毒检测在56例弱阳性病例(基于EUA PCR检测Ct值≥30)中检测出34例(60.7%),显示出该检测具有良好的检测能力。

结论

与EUA RT-PCR检测相比,Healgen新型冠状病毒抗原检测在PPA和NPA方面表现良好,具有作为SARS-CoV-2诊断工具的潜力。

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From Alpha to Omicron: How Different Variants of Concern of the SARS-Coronavirus-2 Impacted the World.从阿尔法到奥密克戎:严重急性呼吸综合征冠状病毒2的不同关注变异株如何影响世界
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Performance of Rapid Antigen Tests to Detect Symptomatic and Asymptomatic SARS-CoV-2 Infection : A Prospective Cohort Study.快速抗原检测对有症状和无症状 SARS-CoV-2 感染的检测性能:一项前瞻性队列研究。
Ann Intern Med. 2023 Jul;176(7):975-982. doi: 10.7326/M23-0385. Epub 2023 Jul 4.
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Patient-derived monoclonal antibodies to SARS-CoV-2 nucleocapsid protein N-terminal and C-terminal domains cross-react with their counterparts of SARS-CoV, but not other human betacoronaviruses.
针对严重急性呼吸综合征冠状病毒-2 核衣壳蛋白 N 端和 C 端结构域的患者源性单克隆抗体与严重急性呼吸综合征冠状病毒的相应抗体发生交叉反应,但与其他人类β冠状病毒不发生反应。
Front Immunol. 2023 Jan 31;14:1093709. doi: 10.3389/fimmu.2023.1093709. eCollection 2023.
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Viral cultures, cycle threshold values and viral load estimation for assessing SARS-CoV-2 infectiousness in haematopoietic stem cell and solid organ transplant patients: a systematic review.用于评估造血干细胞和实体器官移植患者中SARS-CoV-2传染性的病毒培养、循环阈值和病毒载量估计:一项系统综述
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Diagnostics (Basel). 2022 Nov 18;12(11):2854. doi: 10.3390/diagnostics12112854.
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Rapid, point-of-care antigen tests for diagnosis of SARS-CoV-2 infection.用于 SARS-CoV-2 感染诊断的快速、即时抗原检测。
Cochrane Database Syst Rev. 2022 Jul 22;7(7):CD013705. doi: 10.1002/14651858.CD013705.pub3.
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Covid-19 Vaccine Effectiveness against the Omicron (B.1.1.529) Variant.Covid-19 疫苗对奥密克戎(B.1.1.529)变异株的有效性。
N Engl J Med. 2022 Apr 21;386(16):1532-1546. doi: 10.1056/NEJMoa2119451. Epub 2022 Mar 2.
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Impaired detection of omicron by SARS-CoV-2 rapid antigen tests.SARS-CoV-2 快速抗原检测对 omicron 的检测能力受损。
Med Microbiol Immunol. 2022 Jun;211(2-3):105-117. doi: 10.1007/s00430-022-00730-z. Epub 2022 Feb 20.
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Relative sensitivity of anterior nares and nasopharyngeal swabs for initial detection of SARS-CoV-2 in ambulatory patients: Rapid review and meta-analysis.门急诊患者中前鼻拭子和鼻咽拭子用于 SARS-CoV-2 初始检测的相对敏感性:快速综述和荟萃分析。
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