Saliva or Nasopharyngeal Swab Specimens for Detection of SARS-CoV-2

In this letter, the investigators report that saliva specimens and nasopharyngeal swab specimens had similar sensitivity in the detection of SARS-CoV-2 RNA in both symptomatic and asymptomatic persons.

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Bibliographic Details
Published inThe New England journal of medicine Vol. 383; no. 13; pp. 1283 - 1286
Main Authors Wyllie, Anne L, Fournier, John, Casanovas-Massana, Arnau, Campbell, Melissa, Tokuyama, Maria, Vijayakumar, Pavithra, Warren, Joshua L, Geng, Bertie, Muenker, M. Catherine, Moore, Adam J, Vogels, Chantal B.F, Petrone, Mary E, Ott, Isabel M, Lu, Peiwen, Venkataraman, Arvind, Lu-Culligan, Alice, Klein, Jonathan, Earnest, Rebecca, Simonov, Michael, Datta, Rupak, Handoko, Ryan, Naushad, Nida, Sewanan, Lorenzo R, Valdez, Jordan, White, Elizabeth B, Lapidus, Sarah, Kalinich, Chaney C, Jiang, Xiaodong, Kim, Daniel J, Kudo, Eriko, Linehan, Melissa, Mao, Tianyang, Moriyama, Miyu, Oh, Ji E, Park, Annsea, Silva, Julio, Song, Eric, Takahashi, Takehiro, Taura, Manabu, Weizman, Orr-El, Wong, Patrick, Yang, Yexin, Bermejo, Santos, Odio, Camila D, Omer, Saad B, Dela Cruz, Charles S, Farhadian, Shelli, Martinello, Richard A, Iwasaki, Akiko, Grubaugh, Nathan D, Ko, Albert I
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 24.09.2020
Subjects
Asymptomatic
Betacoronavirus - isolation & purification
Clinical Laboratory Techniques
Coronavirus Infections - diagnosis
Coronaviruses
Correspondence
COVID-19
COVID-19 Testing
Humans
Laboratories
Nasopharynx - virology
Nosocomial infections
Pandemics
Pneumonia, Viral - diagnosis
Ribonucleic acid
RNA
Saliva
Saliva - virology
SARS-CoV-2
Sensitivity and Specificity
Severe acute respiratory syndrome coronavirus 2
Specimen Handling
Standard deviation
Time Factors
Online AccessGet full text

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Abstract In this letter, the investigators report that saliva specimens and nasopharyngeal swab specimens had similar sensitivity in the detection of SARS-CoV-2 RNA in both symptomatic and asymptomatic persons.
AbstractList In this letter, the investigators report that saliva specimens and nasopharyngeal swab specimens had similar sensitivity in the detection of SARS-CoV-2 RNA in both symptomatic and asymptomatic persons.
Author Wyllie, Anne L
Wong, Patrick
Linehan, Melissa
Kim, Daniel J
Naushad, Nida
Weizman, Orr-El
Moriyama, Miyu
Lapidus, Sarah
Moore, Adam J
Geng, Bertie
Earnest, Rebecca
Campbell, Melissa
Ko, Albert I
Venkataraman, Arvind
Mao, Tianyang
Valdez, Jordan
White, Elizabeth B
Simonov, Michael
Sewanan, Lorenzo R
Petrone, Mary E
Ott, Isabel M
Dela Cruz, Charles S
Taura, Manabu
Song, Eric
Grubaugh, Nathan D
Warren, Joshua L
Casanovas-Massana, Arnau
Park, Annsea
Farhadian, Shelli
Klein, Jonathan
Omer, Saad B
Handoko, Ryan
Lu, Peiwen
Muenker, M. Catherine
Bermejo, Santos
Lu-Culligan, Alice
Iwasaki, Akiko
Kalinich, Chaney C
Datta, Rupak
Jiang, Xiaodong
Yang, Yexin
Takahashi, Takehiro
Silva, Julio
Kudo, Eriko
Oh, Ji E
Tokuyama, Maria
Vijayakumar, Pavithra
Fournier, John
Martinello, Richard A
Odio, Camila D
Vogels, Chantal B.F
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/32857487$$D View this record in MEDLINE/PubMed
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Cites_doi 10.1128/JCM.00776-20
10.1056/NEJMc2001737
10.1016/j.cmi.2020.05.001
10.1101/2020.04.11.20062372
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Drs. Grubaugh and Ko contributed equally to this letter.
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References Kojima, N, Turner, F, Slepnev, V (r001) 2020
Williams, E, Bond, K, Zhang, B, Putland, M, Williamson, DA (r002) 2020; 58
Vogels, CBF, Brackney, D, Wang, J (r004)
Zou, L, Ruan, F, Huang, M (r005) 2020; 382
Pasomsub, E, Watcharananan, SP, Boonyawat, K (r003)
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33534973 - N Engl J Med. 2021 Mar 4;384(9):e31. doi: 10.1056/NEJMc2032165
33534974 - N Engl J Med. 2021 Mar 4;384(9):e31. doi: 10.1056/NEJMc2032165
33338623 - Pharmacol Res. 2021 Mar;165:105380. doi: 10.1016/j.phrs.2020.105380
References_xml – volume: 58
  start-page: e00776-20
  issue: 8
  year: 2020
  end-page: e00776-20
  ident: r002
  article-title: Saliva as a non-invasive specimen for detection of SARS-CoV-2.
  publication-title: J Clin Microbiol
– year: 2020
  ident: r001
  article-title: Self-collected oral fluid and nasal swabs demonstrate comparable sensitivity to clinician collected nasopharyngeal swabs for Covid-19 detection ;(https://www.medrxiv.org/content/10.1101/2020.04.11.20062372v1)
– ident: r004
  article-title: SalivaDirect: simple and sensitive molecular diagnostic test for SARS-CoV-2 surveillance ;(https://www.medrxiv.org/content/10.1101/2020.08.03.20167791v1)
– ident: r003
  article-title: Saliva sample as a non-invasive specimen for the diagnosis of coronavirus disease 2019: a cross-sectional study.
  publication-title: Clin Microbiol Infect
– volume: 382
  start-page: 1177
  year: 2020
  end-page: 1179
  ident: r005
  article-title: SARS-CoV-2 viral load in upper respiratory specimens of infected patients.
  publication-title: N Engl J Med
– ident: e_1_3_4_3_2
  doi: 10.1128/JCM.00776-20
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  doi: 10.1056/NEJMc2001737
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  doi: 10.1016/j.cmi.2020.05.001
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  doi: 10.1101/2020.04.11.20062372
– reference: 33338623 - Pharmacol Res. 2021 Mar;165:105380. doi: 10.1016/j.phrs.2020.105380
– reference: 33534973 - N Engl J Med. 2021 Mar 4;384(9):e31. doi: 10.1056/NEJMc2032165
– reference: 33534974 - N Engl J Med. 2021 Mar 4;384(9):e31. doi: 10.1056/NEJMc2032165
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Snippet In this letter, the investigators report that saliva specimens and nasopharyngeal swab specimens had similar sensitivity in the detection of SARS-CoV-2 RNA in...
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StartPage 1283
SubjectTerms Asymptomatic
Betacoronavirus - isolation & purification
Clinical Laboratory Techniques
Coronavirus Infections - diagnosis
Coronaviruses
Correspondence
COVID-19
COVID-19 Testing
Humans
Laboratories
Nasopharynx - virology
Nosocomial infections
Pandemics
Pneumonia, Viral - diagnosis
Ribonucleic acid
RNA
Saliva
Saliva - virology
SARS-CoV-2
Sensitivity and Specificity
Severe acute respiratory syndrome coronavirus 2
Specimen Handling
Standard deviation
Time Factors
Title Saliva or Nasopharyngeal Swab Specimens for Detection of SARS-CoV-2
URI https://nejm.org/doi/full/10.1056/NEJMc2016359
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