Reliability of RT-qPCR Pooling Method for COVID-19 Detection in Various Cycle Threshold Values

Muhammad Fauzan Alif Radjawali, M. Jihadah, L. Chaidir
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Abstract

Background: Reverse Transcriptase Quantitative Real-time Polymerase Chain Reaction (RT-qPCR) is a standard method to detect SARS-CoV-2, the cause of COVID-19 disease, albeit expensive for some laboratory settings. The pooling test is widely used for large-scale screening to speed up the turn-around time and reduce the cost of the RT-qPCR. However, the pooling test involves mixing a certain number of specimens which theoretically increases the possibility of false-negative results. This study aimed to evaluate the accuracy of the pooling test compared with the non-pooling test in different Ct values as a surrogate for viral load.Methods: RT-qPCR was performed in three groups of samples: non-pooling (individual samples), pooling of 5 samples and 11 samples, with various ranges of Ct value in the respective group: x<25 (n=4); 25
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RT-qPCR合并法在不同周期阈值下检测新冠肺炎的可靠性
背景:逆转录酶定量实时聚合酶链反应(RT-qPCR)是检测导致新冠肺炎疾病的SARS-CoV-2的标准方法,尽管在某些实验室环境中成本高昂。池化检测被广泛用于大规模筛查,以加快周转时间并降低RT-qPCR的成本。然而,汇集测试涉及混合一定数量的样本,这在理论上增加了假阴性结果的可能性。本研究旨在评估在不同Ct值下,作为病毒载量替代品的合并试验与非合并试验的准确性。方法:对三组样本进行RT-qPCR:非汇集(单个样本)、汇集5个样本和11个样本,各组的Ct值范围不同:x<25(n=4);25
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