Evaluation of saliva as an alternative to standard collection for detection of SARS-CoV-2
DOI:
https://doi.org/10.48797/sl.2023.20Keywords:
SARS-CoV-2, saliva, viral transport mediumAbstract
In December 2019, in Wuhan, an outbreak of a new coronavirus (SARS-CoV-2) began to spread rapidly, resulting in a potentially fatal viral respiratory disease. Since August 23, 2020, more than 679 million cases of COVID-19 and nearly 6.8 million deaths have been confirmed in more than 200 countries. This, in turn, had a severe impact on public health and the world economy. The SARS-CoV-2 pandemic also resulted in a shortage of viral transport medium and in the need to find different diagnostic means, such as saliva. To fill this gap in the market, a new viral transport medium was created and tested with samples collected from the nasopharynx and/or oropharynx using swabs and saliva samples. The specificity, sensitivity, and threshold cycles (Cts) of Real-Time PCR (RT-PCR) testing of the samples were compared, revealing concordant results with approximate sensitivity and specificity. Our study highlighted the need to optimize saliva sample collection and its potential use as a substitute for standard collection.
References
Ministério da Saúde. Perguntas Frequentes Categoria - COVID-19. Availabe online: https://covid19.min-saude.pt/category/perguntas-frequentes/ (accessed on 4 March 2021).
Hemmati, F.; Saedi, S.; Hemmati-Dinarvand, M.; Zarei, M.; Seghatoleslam, A. Mysterious Virus: A Review on Behavior and Treatment Approaches of the Novel Coronavirus, 2019-nCoV. Arch Med Res 2020, 51, 375-383, doi:10.1016/j.arcmed.2020.04.022.
Sandoiu, A. Why does SARS-CoV-2 spread so easily? Availabe online: https://www.medicalnewstoday.com/articles/why-does-sars-cov-2-spread-so-easily (accessed on 4 March 2021).
Astuti, I.; Ysrafil. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2): An overview of viral structure and host response. Diabetes Metab Syndr 2020, 14, 407-412, doi:10.1016/j.dsx.2020.04.020.
INFARMED, I.P. Testes Laboratoriais para SARS-CoV-2; Testes Rápidos. In 003/CD/100.20.200, INFARMED, I.P., Ed. Lisbon, 2020.
Aryal, S. Real Time PCR - Principle, Process, Markers, Advantages, Uses. Availabe online: https://microbenotes.com/real-time-pcr-principle-process-markers-advantages-applications/ (accessed on 4 March 2021).
Thermo Fisher Scientific Inc. Real-time PCR handbook; Life Technologies, Ed. Carlsbad, California, 2014.
Druce, J.; Garcia, K.; Tran, T.; Papadakis, G.; Birch, C. Evaluation of swabs, transport media, and specimen transport conditions for optimal detection of viruses by PCR. J Clin Microbiol 2012, 50, 1064-1065, doi:10.1128/JCM.06551-11.
Smith, K.P.; Cheng, A.; Chopelas, A.; DuBois-Coyne, S.; Mezghani, I.; Rodriguez, S.; Talay, M.; Kirby, J.E. Large-Scale, In-House Production of Viral Transport Media To Support SARS-CoV-2 PCR Testing in a Multihospital Health Care Network during the COVID-19 Pandemic. J Clin Microbiol 2020, 58, doi:10.1128/JCM.00913-20.
Sri Santosh, T.; Parmar, R.; Anand, H.; Srikanth, K.; Saritha, M. A Review of Salivary Diagnostics and Its Potential Implication in Detection of Covid-19. Cureus 2020, 12, e7708, doi:10.7759/cureus.7708.
Corstjens, P.L.; Abrams, W.R.; Malamud, D. Saliva and viral infections. Periodontol 2000 2016, 70, 93-110, doi:10.1111/prd.12112.
Corstjens, P.L.; Abrams, W.R.; Malamud, D. Detecting viruses by using salivary diagnostics. J Am Dent Assoc 2012, 143, 12S-18S, doi:10.14219/jada.archive.2012.0338.
Xu, R.; Cui, B.; Duan, X.; Zhang, P.; Zhou, X.; Yuan, Q. Saliva: potential diagnostic value and transmission of 2019-nCoV. Int J Oral Sci 2020, 12, 11, doi:10.1038/s41368-020-0080-z.
Wang, W.K.; Chen, S.Y.; Liu, I.J.; Chen, Y.C.; Chen, H.L.; Yang, C.F.; Chen, P.J.; Yeh, S.H.; Kao, C.L.; Huang, L.M., et al. Detection of SARS-associated coronavirus in throat wash and saliva in early diagnosis. Emerg Infect Dis 2004, 10, 1213-1219, doi:10.3201/eid1007.031113.
To, K.K.; Tsang, O.T.; Yip, C.C.; Chan, K.H.; Wu, T.C.; Chan, J.M.; Leung, W.S.; Chik, T.S.; Choi, C.Y.; Kandamby, D.H., et al. Consistent Detection of 2019 Novel Coronavirus in Saliva. Clin Infect Dis 2020, 71, 841-843, doi:10.1093/cid/ciaa149.
Sabino-Silva, R.; Jardim, A.C.G.; Siqueira, W.L. Coronavirus COVID-19 impacts to dentistry and potential salivary diagnosis. Clin Oral Investig 2020, 24, 1619-1621, doi:10.1007/s00784-020-03248-x.
To, K.K.; Tsang, O.T.; Leung, W.S.; Tam, A.R.; Wu, T.C.; Lung, D.C.; Yip, C.C.; Cai, J.P.; Chan, J.M.; Chik, T.S., et al. Temporal profiles of viral load in posterior oropharyngeal saliva samples and serum antibody responses during infection by SARS-CoV-2: an observational cohort study. Lancet Infect Dis 2020, 20, 565-574, doi:10.1016/S1473-3099(20)30196-1.
Chen, J.H.; Yip, C.C.; Poon, R.W.; Chan, K.H.; Cheng, V.C.; Hung, I.F.; Chan, J.F.; Yuen, K.Y.; To, K.K. Evaluating the use of posterior oropharyngeal saliva in a point-of-care assay for the detection of SARS-CoV-2. Emerg Microbes Infect 2020, 9, 1356-1359, doi:10.1080/22221751.2020.1775133.
Leung, E.C.; Chow, V.C.; Lee, M.K.; Lai, R.W. Deep throat saliva as an alternative diagnostic specimen type for the detection of SARS-CoV-2. J Med Virol 2021, 93, 533-536, doi:10.1002/jmv.26258.
Rao, M.; Rashid, F.A.; Sabri, F.; Jamil, N.N.; Zain, R.; Hashim, R.; Amran, F.; Kok, H.T.; Samad, M.A.A.; Ahmad, N. Comparing Nasopharyngeal Swab and Early Morning Saliva for the Identification of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Clin Infect Dis 2021, 72, e352-e356, doi:10.1093/cid/ciaa1156.
Altawalah, H.; AlHuraish, F.; Alkandari, W.A.; Ezzikouri, S. Saliva specimens for detection of severe acute respiratory syndrome coronavirus 2 in Kuwait: A cross-sectional study. J Clin Virol 2020, 132, 104652, doi:10.1016/j.jcv.2020.104652.
Khurshid, Z.; Asiri, F.Y.I.; Al Wadaani, H. Human Saliva: Non-Invasive Fluid for Detecting Novel Coronavirus (2019-nCoV). Int J Environ Res Public Health 2020, 17, doi:10.3390/ijerph17072225.
Azzi, L.; Carcano, G.; Gianfagna, F.; Grossi, P.; Gasperina, D.D.; Genoni, A.; Fasano, M.; Sessa, F.; Tettamanti, L.; Carinci, F., et al. Saliva is a reliable tool to detect SARS-CoV-2. J Infect 2020, 81, e45-e50, doi:10.1016/j.jinf.2020.04.005.
Iwasaki, S.; Fujisawa, S.; Nakakubo, S.; Kamada, K.; Yamashita, Y.; Fukumoto, T.; Sato, K.; Oguri, S.; Taki, K.; Senjo, H., et al. Comparison of SARS-CoV-2 detection in nasopharyngeal swab and saliva. J Infect 2020, 81, e145-e147, doi:10.1016/j.jinf.2020.05.071.
Wyllie, A.L.; Fournier, J.; Casanovas-Massana, A.; Campbell, M.; Tokuyama, M.; Vijayakumar, P.; Warren, J.L.; Geng, B.; Muenker, M.C.; Moore, A.J., et al. Saliva or Nasopharyngeal Swab Specimens for Detection of SARS-CoV-2. N Engl J Med 2020, 383, 1283-1286, doi:10.1056/NEJMc2016359.
Yokota, I.; Shane, P.Y.; Okada, K.; Unoki, Y.; Yang, Y.; Inao, T.; Sakamaki, K.; Iwasaki, S.; Hayasaka, K.; Sugita, J., et al. Mass Screening of Asymptomatic Persons for Severe Acute Respiratory Syndrome Coronavirus 2 Using Saliva. Clin Infect Dis 2021, 73, e559-e565, doi:10.1093/cid/ciaa1388.
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Copyright (c) 2023 Fernando Ferreira, Daniela Alves, Telma Oliveira, Silvia Coelho, Inês Oliveira, Paula de Melo Alves
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