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Routine blood analysis greatly reduces the false-negative rate of RT-PCR testing for Covid-19.

Identifieur interne : 000251 ( Main/Exploration ); précédent : 000250; suivant : 000252

Routine blood analysis greatly reduces the false-negative rate of RT-PCR testing for Covid-19.

Auteurs : Davide Ferrari [Italie] ; Eleonora Sabetta [Italie] ; Daniele Ceriotti [Italie] ; Andrea Motta [Italie] ; Marta Strollo [Italie] ; Giuseppe Banfi [Italie] ; Massimo Locatelli [Italie]

Source :

RBID : pubmed:32921701

Descripteurs français

English descriptors

Abstract

BACKGROUND

The COVID-19 outbreak is now a pandemic disease reaching as much as 210 countries worldwide with more than 2.5 million infected people and nearly 200.000 deaths. Amplification of viral RNA by RT-PCR represents the gold standard for confirmation of infection, yet it showed false-negative rates as large as 15-20% which may jeopardize the effect of the restrictive measures taken by governments. We previously showed that several hematological parameters were significantly different between COVID-19 positive and negative patients. Among them aspartate aminotransferase and lactate dehydrogenase had predictive values as large as 90%. Thus a combination of RT-PCR and blood tests could reduce the false-negative rate of the genetic test.

METHODS

We retrospectively analyzed 24 patients showing multiple and inconsistent RT-PCR, test during their first hospitalization period, and compared the genetic tests results with their AST and LDH levels.

RESULTS

We showed that when considering the hematological parameters, the RT-PCR false-negative rates were reduced by almost 4-fold.

CONCLUSIONS

The study represents a preliminary work aiming at the development of strategies that, by combining RT-PCR tests with routine blood tests, will lower or even abolish the rate of RT-PCR false-negative results and thus will identify, with high accuracy, patients infected by COVID-19.


DOI: 10.23750/abm.v91i3.9843
PubMed: 32921701


Affiliations:


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Le document en format XML

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<b>BACKGROUND</b>
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<p>The COVID-19 outbreak is now a pandemic disease reaching as much as 210 countries worldwide with more than 2.5 million infected people and nearly 200.000 deaths. Amplification of viral RNA by RT-PCR represents the gold standard for confirmation of infection, yet it showed false-negative rates as large as 15-20% which may jeopardize the effect of the restrictive measures taken by governments. We previously showed that several hematological parameters were significantly different between COVID-19 positive and negative patients. Among them aspartate aminotransferase and lactate dehydrogenase had predictive values as large as 90%. Thus a combination of RT-PCR and blood tests could reduce the false-negative rate of the genetic test.</p>
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<b>METHODS</b>
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<p>We retrospectively analyzed 24 patients showing multiple and inconsistent RT-PCR, test during their first hospitalization period, and compared the genetic tests results with their AST and LDH levels.</p>
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<b>RESULTS</b>
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<p>We showed that when considering the hematological parameters, the RT-PCR false-negative rates were reduced by almost 4-fold.</p>
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<b>CONCLUSIONS</b>
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<p>The study represents a preliminary work aiming at the development of strategies that, by combining RT-PCR tests with routine blood tests, will lower or even abolish the rate of RT-PCR false-negative results and thus will identify, with high accuracy, patients infected by COVID-19.</p>
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