Author: Anne Louise Wyllie; John Fournier; Arnau Casanovas-Massana; Melissa Campbell; Maria Tokuyama; Pavithra Vijayakumar; Bertie Geng; M. Catherine Muenker; Adam J. Moore; Chantal B. F. Vogels; Mary E. Petrone; Isabel M. Ott; Peiwen Lu; Alice Lu-Culligan; Jonathan Klein; Arvind Venkataraman; Rebecca Earnest; Michael Simonov; Rupak Datta; Ryan Handoko; Nida Naushad; Lorenzo R. Sewanan; Jordan Valdez; Elizabeth B. White; Sarah Lapidus; Chaney C. Kalinich; Xiaodong Jiang; Daniel J. Kim; Eriko Kudo; Melissa Linehan; Tianyang Mao; Miyu Moriyama; Ji Eun Oh; Annsea Park; Julio Silva; Eric Song; Takehiro Takahashi; Manabu Taura; Orr-El Weizman; Patrick Wong; Yexin Yang; Santos Bermejo; Camila Odio; Saad B. Omer; Charles S. Dela Cruz; Shelli Farhadian; Richard A. Martinello; Akiko Iwasaki; Nathan D. Grubaugh; Albert I. Ko
Title: Saliva is more sensitive for SARS-CoV-2 detection in COVID-19 patients than nasopharyngeal swabs Document date: 2020_4_22
ID: lt7qsxxh_12
Snippet: Our limited data supports that saliva may be more sensitive for detecting asymptomatic or pre-symptomatic infections; however, a larger sample size is needed to confirm. As nasopharyngeal swab sampling inconsistency may be one of the potential issues for false negatives ( Fig. 2 ) , monitoring an internal control for proper sample collection, human RNase P, may provide an alternative evaluation technique. While human RNase P detection was better .....
Document: Our limited data supports that saliva may be more sensitive for detecting asymptomatic or pre-symptomatic infections; however, a larger sample size is needed to confirm. As nasopharyngeal swab sampling inconsistency may be one of the potential issues for false negatives ( Fig. 2 ) , monitoring an internal control for proper sample collection, human RNase P, may provide an alternative evaluation technique. While human RNase P detection was better from saliva in both the inpatient and healthcare worker cohorts ( Fig. 3b ) , this alone may not indicate better virus detection. More importantly, we found that human RNase P detection was more variable from nasopharyngeal swabs collected from inpatients ( p = 0.0001, F test for variances) and self-collected from healthcare workers ( p = 0.0002; Fig. 3b ). Our results suggest that saliva may also be an appropriate, and perhaps more sensitive, alternative to nasopharyngeal swabs for screening asymptomatic or pre-symptomatic SARS-CoV-2 infections.
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