Author: Matic, Nancy; Stefanovic, Aleksandra; Leung, Victor; Lawson, Tanya; Ritchie, Gordon; Li, Lynne; Champagne, Sylvie; Romney, Marc G.; Lowe, Christopher F.
                    Title: Practical challenges to the clinical implementation of saliva for SARS-CoV-2 detection  Cord-id: eyocjd5f  Document date: 2020_11_25
                    ID: eyocjd5f
                    
                    Snippet: Due to global shortages of flocked nasopharyngeal swabs and appropriate viral transport media during the COVID-19 pandemic, alternate diagnostic specimens for SARS-CoV-2 detection are sought. The accuracy and feasibility of saliva samples collected and transported without specialized collection devices or media were evaluated. Saliva demonstrated good concordance with paired nasopharyngeal swabs for SARS-CoV-2 detection in 67/74 cases (90.5%), though barriers to saliva collection were observed i
                    
                    
                    
                     
                    
                    
                    
                    
                        
                            
                                Document: Due to global shortages of flocked nasopharyngeal swabs and appropriate viral transport media during the COVID-19 pandemic, alternate diagnostic specimens for SARS-CoV-2 detection are sought. The accuracy and feasibility of saliva samples collected and transported without specialized collection devices or media were evaluated. Saliva demonstrated good concordance with paired nasopharyngeal swabs for SARS-CoV-2 detection in 67/74 cases (90.5%), though barriers to saliva collection were observed in long-term care residents and outbreak settings. SARS-CoV-2 RNA was stable in human saliva at room temperature for up to 48 h after initial specimen collection, informing appropriate transport time and conditions.
 
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