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Performance of Oropharyngeal Swab Testing Compared With Nasopharyngeal Swab Testing for Diagnosis of Coronavirus Disease 2019—United States, January 2020–February 2020
Author(s) -
Monita R. Patel,
Darin S. Carroll,
Emily N. Ussery,
Hilary K. Whitham,
Christopher A. Elkins,
Judith NobleWang,
J. Kamile Rasheed,
Xiaoyan Lu,
Stephen Lindstrom,
Virginia B. Bowen,
Jessica L. Waller,
Gregory L. Armstrong,
Susan I. Gerber,
John T. Brooks
Publication year - 2020
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/ciaa759
Subject(s) - medicine , covid-19 , coronavirus , virology , polymerase chain reaction , diagnostic test , betacoronavirus , disease , biology , veterinary medicine , infectious disease (medical specialty) , outbreak , gene , biochemistry
Among 146 nasopharyngeal (NP) and oropharyngeal (OP) swab pairs collected ≤7 days after illness onset, Real-Time Reverse Transcriptase Polymerase Chain Reaction assay for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 RT-PCR) diagnostic results were 95.2% concordant. However, NP swab cycle threshold values were lower (indicating more virus) in 66.7% of concordant-positive pairs, suggesting NP swabs may more accurately detect the amount of SARS-CoV-2.

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