4.7 Article

Performance of Oropharyngeal Swab Testing Compared With Nasopharyngeal Swab Testing for Diagnosis of Coronavirus Disease 2019-United States, January 2020-February 2020

Journal

CLINICAL INFECTIOUS DISEASES
Volume 72, Issue 3, Pages 482-485

Publisher

OXFORD UNIV PRESS INC
DOI: 10.1093/cid/ciaa759

Keywords

coronavirus; nasopharyngeal; oropharyngcal; testing; SARS-CoV-2

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Among 146 pairs of nasopharyngeal and oropharyngeal swabs collected within 7 days after illness onset, Real-Time Reverse Transcriptase Polymerase Chain Reaction assay for SARS-CoV-2 showed a 95.2% concordance rate. However, in concordant-positive pairs, lower cycle threshold values were observed in nasopharyngeal swabs in 66.7% of cases, suggesting they may more accurately detect the amount of SARS-CoV-2.
Among 146 nasopharyngeal (NP) and oropharyngeal (OP) swab pairs collected <= 7 days after illness onset, Real-Time Reverse Transcriptase Polymerase Chain Reaction assay for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 RT-PCR) diagnostic results were 95.2% concordant. However, NP swab cycle threshold values were lower (indicating more virus) in 66.7% of concordant-positive pairs, suggesting NP swabs may more accurately detect the amount of SARS-CoV-2.

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