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Head-to-head comparison of SARS-CoV-2 antigen-detecting rapid test with self-collected anterior nasal swab versus professional-collected nasopharyngeal swab

Andreas K. Lindner, Olga Nikolai, Franka Kausch, Mia Wintel, Franziska Hommes, Maximilian Gertler, Lisa J. Krüger, Mary Gaeddert, Frank Tobian, Federica Lainati, Lisa Köppel, Joachim Seybold, Victor M. Corman, Christian Drosten, Jörg Hofmann, Jilian A. Sacks, Frank P. Mockenhaupt, Claudia M. Denkinger
European Respiratory Journal 2020; DOI: 10.1183/13993003.03961-2020
Andreas K. Lindner
1Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt- Universität zu Berlin, and Berlin Institute of Health, Institute of Tropical Medicine and International Health, Berlin, Germany
8Authors contributed equally
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Olga Nikolai
1Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt- Universität zu Berlin, and Berlin Institute of Health, Institute of Tropical Medicine and International Health, Berlin, Germany
8Authors contributed equally
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Franka Kausch
1Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt- Universität zu Berlin, and Berlin Institute of Health, Institute of Tropical Medicine and International Health, Berlin, Germany
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Mia Wintel
1Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt- Universität zu Berlin, and Berlin Institute of Health, Institute of Tropical Medicine and International Health, Berlin, Germany
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Franziska Hommes
1Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt- Universität zu Berlin, and Berlin Institute of Health, Institute of Tropical Medicine and International Health, Berlin, Germany
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Maximilian Gertler
1Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt- Universität zu Berlin, and Berlin Institute of Health, Institute of Tropical Medicine and International Health, Berlin, Germany
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Lisa J. Krüger
2Division of Clinical Tropical Medicine, Center of Infectious Diseases, Heidelberg University Hospital, Germany
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Mary Gaeddert
2Division of Clinical Tropical Medicine, Center of Infectious Diseases, Heidelberg University Hospital, Germany
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  • ORCID record for Mary Gaeddert
Frank Tobian
2Division of Clinical Tropical Medicine, Center of Infectious Diseases, Heidelberg University Hospital, Germany
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Federica Lainati
2Division of Clinical Tropical Medicine, Center of Infectious Diseases, Heidelberg University Hospital, Germany
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Lisa Köppel
2Division of Clinical Tropical Medicine, Center of Infectious Diseases, Heidelberg University Hospital, Germany
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Joachim Seybold
3Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt- Universität zu Berlin, and Berlin Institute of Health; Medical Directorate, Berlin, Germany
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Victor M. Corman
4Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt- Universität zu Berlin, and Berlin Institute of Health, Institute of Virology, Berlin, Germany
5German Centre for Infection Research (DZIF), Berlin, Germany
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Christian Drosten
4Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt- Universität zu Berlin, and Berlin Institute of Health, Institute of Virology, Berlin, Germany
5German Centre for Infection Research (DZIF), Berlin, Germany
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Jörg Hofmann
6Labor Berlin - Charité Vivantes GmbH, Berlin, Germany
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Jilian A. Sacks
7Foundation for Innovative New Diagnostics, Geneva, Switzerland
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Frank P. Mockenhaupt
1Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt- Universität zu Berlin, and Berlin Institute of Health, Institute of Tropical Medicine and International Health, Berlin, Germany
9Authors contributed equally
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Claudia M. Denkinger
2Division of Clinical Tropical Medicine, Center of Infectious Diseases, Heidelberg University Hospital, Germany
9Authors contributed equally
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Extract

A number of antigen-detecting rapid diagnostic tests (Ag-RDTs) for SARS-CoV-2 are now commercially available and can result in rapid decisions on patient care, isolation and contact tracing at the point-of-care [1]. Two Ag-RDTs using nasopharyngeal (NP) swab samples meet WHO targets and are now approved through the WHO Emergency Use Listing procedure [2–4].

Acknowledgements

Heike Rössig, Chiara Manon Rohardt, Claudia Hülso, Elisabeth Linzbach, Susen Burock, Katja von dem Busche, Stephanie Padberg, Melanie Bothmann, Zümrüt Tuncer, Stefanie Lunow, Beate Zimmer, Astrid Barrera Pesek, Sabrina Pein, Nicole Buchholz, Verena Haack, Oliver Deckwart.

Footnotes

  • Data availability: Available data; - De-identified data that underlie the results in this paper - Study protocol- Analysis code Until 5 years after publication Available to: researchers who provide a sound proposal and all study sites agree to sharing the data Proposals should be directed towards the corresponding author

  • Author contributions: AKL, LJK, FL and CMD designed the study and developed standard operating procedures. AKL and ON implemented the study design, enrolled patients, performed laboratory work and led the writing of the manuscript. FPM and JS coordinated and supervised the study site. FK, MW, FH enrolled patients. MGe coordinated the testing facility. MGa, LK and FT led the data analysis. VC, JH and CD were responsible for PCR testing and contributed to the interpretation of the data. JAS supported the study design setup and the interpretation of the data. CMD was the principle investigator of the study. All authors have reviewed the manuscript.

  • Support statement: The study was supported by FIND, Heidelberg University Hospital and Charité University Hospital internal funds, as well as a grant of the Ministry of Science, Research and the Arts of Baden-Württemberg, Germany. FIND provided input on the study design, and data analysis in collaboration with the rest of the study team. Ministry of Science, Research and the Arts of Baden-Württemberg, Germany; FIND; Charité Universitätsmedizin Berlin; DOI: http://dx.doi.org/10.13039/501100002839; Grant: internal funds; Heidelberg University Hospital; Grant: internal funds.

  • Conflict of interest: Dr. Lindner has nothing to disclose.

  • Conflict of interest: Mrs. Nikolai has nothing to disclose.

  • Conflict of interest: Mrs. Kausch has nothing to disclose.

  • Conflict of interest: Mrs. Wintel has nothing to disclose.

  • Conflict of interest: Dr. Hommes has nothing to disclose.

  • Conflict of interest: Dr. Gertler has nothing to disclose.

  • Conflict of interest: Dr. Gaeddert has nothing to disclose.

  • Conflict of interest: Mr. Tobian has nothing to disclose.

  • Conflict of interest: Dr. Lainati has nothing to disclose.

  • Conflict of interest: Lisa Köppel has nothing to disclose.

  • Conflict of interest: Dr. Seybold has nothing to disclose.

  • Conflict of interest: Dr. Corman has nothing to disclose.

  • Conflict of interest: Dr. Drosten has nothing to disclose.

  • Conflict of interest: Dr. Hofmann has nothing to disclose.

  • Conflict of interest: Dr. Sacks reports grants from UK Department of International Development (DFID, recently replaced by FCMO), grants from World Health Organization (WHO), grants from Unitaid, during the conduct of the study.

  • Conflict of interest: Dr. Mockenhaupt has nothing to disclose.

  • Conflict of interest: Dr. Denkinger reports grants from Foundation of Innovative Diagnostics, grants from Ministry of Science, Research and Culture, State of Baden Wuerttemberg, Germany, during the conduct of the study.

  • Conflict of interest: Lisa J. Krüger has nothing to disclose.

  • Received October 26, 2020.
  • Accepted November 24, 2020.
  • Copyright ©ERS 2020
http://creativecommons.org/licenses/by-nc/4.0/

This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0.

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Head-to-head comparison of SARS-CoV-2 antigen-detecting rapid test with self-collected anterior nasal swab versus professional-collected nasopharyngeal swab
Andreas K. Lindner, Olga Nikolai, Franka Kausch, Mia Wintel, Franziska Hommes, Maximilian Gertler, Lisa J. Krüger, Mary Gaeddert, Frank Tobian, Federica Lainati, Lisa Köppel, Joachim Seybold, Victor M. Corman, Christian Drosten, Jörg Hofmann, Jilian A. Sacks, Frank P. Mockenhaupt, Claudia M. Denkinger
European Respiratory Journal Jan 2020, 2003961; DOI: 10.1183/13993003.03961-2020

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Head-to-head comparison of SARS-CoV-2 antigen-detecting rapid test with self-collected anterior nasal swab versus professional-collected nasopharyngeal swab
Andreas K. Lindner, Olga Nikolai, Franka Kausch, Mia Wintel, Franziska Hommes, Maximilian Gertler, Lisa J. Krüger, Mary Gaeddert, Frank Tobian, Federica Lainati, Lisa Köppel, Joachim Seybold, Victor M. Corman, Christian Drosten, Jörg Hofmann, Jilian A. Sacks, Frank P. Mockenhaupt, Claudia M. Denkinger
European Respiratory Journal Jan 2020, 2003961; DOI: 10.1183/13993003.03961-2020
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