1. Saliva in the Diagnosis of COVID-19: A Review and New Research Directions.
- Author
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Fernandes, L.L., Pacheco, V.B., Borges, L., Athwal, H.K., de Paula Eduardo, F., Bezinelli, L., Correa, L., Jimenez, M., Dame-Teixeira, N., Lombaert, I.M.A., and Heller, D.
- Subjects
SALIVA analysis ,COVID-19 testing ,SARS-CoV-2 ,RNA ,NASOPHARYNX examination ,SURGICAL swabs ,THROAT examination - Abstract
This review presents literature that highlights saliva's utility as a biofluid in the diagnosis and monitoring of COVID-19. A systematic search was performed in 5 electronic databases (PubMed, Embase, LILACS, Scopus, and Web of Science). Studies were eligible for inclusion if they assessed the potential diagnostic value and/or other discriminatory properties of biological markers in the saliva of patients with COVID-19. As of July 22, 2020, a total of 28 studies have investigated the presence of SARS-CoV-2 RNA in saliva. Several of those studies confirmed reliable detection of SARS-CoV-2 in the saliva of patients with COVID-19. Saliva offered sensitivity and specificity for SARS-CoV-2 detection comparable to that of the current standard of nasopharyngeal and throat swabs. However, the utility of saliva in diagnosing COVID-19 infection remains understudied. Clinical studies with larger patient populations that measure recordings at different stages during the disease are still necessary to confirm the accuracy of COVID-19 diagnosis with saliva. Nevertheless, the utility of saliva as a diagnostic tool opens the possibility of using rapid and less invasive diagnostic strategies by targeting bioanalytes rather than the pathogen. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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