[Implementation of isotermic PCR for detection of SARS-CoV-2 virus].

Esmeralda Campos-Aguirre, Nelly Dávila-Estrella, Gamaliel Benítez-Arvizu
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Abstract

During the SARS CoV-2 pandemic, measures were implemented to reduce contagion in hospitals. Among those measures it was included RT-PCR (reverse transcriptose polymerase chain reaction) tests, with an estimated result delivery time of approximately 3 hours. The Abbott ID NOW™ COVID-19 assay (Abbott Laboratories Chicago, IL) is performed on a portable device using isothermal technology for nucleic acid amplification that can produce a qualitative result in 13 minutes. The purpose of this article was to determine if the concordance of isothermal PCR with RT-PCR is good for its implementation in hematopoietic stem cell (HSC) donors. To do this, the concordance of isothermal PCR with RT-PCR was determined using samples with both positive and negative results for the latter method. Follow-up was then carried out in the transplant program, using isothermal PCR to detect COVID-19 in HSC donors prior to collection. A comparison of opinions was made between other studies and what was observed in our hospital unit, contrasting firstly the concordance found (0.949) and secondly the experience with the implementation of isothermal PCR as a detection method, with which we conclude that the Abbott ID NOWTM COVID-19 assay is concordant with conventional RT-PCR for the detection of SARS-CoV-2, and it is useful when reducing response time is required.

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[采用等温 PCR 检测 SARS-CoV-2 病毒]。
在 SARS CoV-2 大流行期间,采取了一些措施来减少医院内的传染。这些措施中包括 RT-PCR(反转录聚合酶链反应)检测,预计结果交付时间约为 3 小时。雅培 ID NOW™ COVID-19 检测法(雅培实验室,芝加哥,伊利诺伊州)在便携式设备上使用等温核酸扩增技术进行检测,可在 13 分钟内得出定性结果。本文旨在确定等温 PCR 与 RT-PCR 的一致性是否适合在造血干细胞(HSC)捐献者中使用。为此,利用等温 PCR 与 RT-PCR 检测结果呈阳性和阴性的样本,确定了等温 PCR 与 RT-PCR 检测结果的一致性。然后在移植计划中进行了跟踪,在采集前使用等温 PCR 检测造血干细胞捐献者体内的 COVID-19。我们比较了其他研究和本医院的观察结果,首先对比了发现的一致性(0.949),其次对比了将等温 PCR 作为检测方法的实施经验,最后得出结论:在检测 SARS-CoV-2 时,雅培 ID NOWTM COVID-19 检测法与传统 RT-PCR 检测法具有一致性,在需要缩短反应时间时非常有用。
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