1. Diagnostic accuracy of Augurix COVID‐19 IgG serology rapid test
- Author
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Nicolas Vuilleumier, Lionel Fontao, Idris Guessous, Jérôme Stirnemann, Silvia Stringhini, Claire-Anne Siegrist, Isabelle Arm-Vernez, Isabella Eckerle, Laurent Kaiser, Patrick Cohen, Giulia Torriani, Benjamin Meyer, Pascale Roux-Lombard, Adrien Calame, Diego O. Andrey, Sabine Yerly, Jean-Luc Reny, Lena Mazza, and Thomas Agoritsas
- Subjects
Male ,Rapid immunoassay ,Clinical Biochemistry ,Fluorescent Antibody Technique ,Diagnostic accuracy ,030204 cardiovascular system & hematology ,ddc:616.07 ,Antibodies, Viral ,Gastroenterology ,Biochemistry ,Serology ,0302 clinical medicine ,COVID-19 Testing ,Clinical endpoint ,030212 general & internal medicine ,skin and connective tissue diseases ,Viral/immunology ,Immunoglobulin G/immunology ,Whole blood ,ddc:616 ,ddc:618 ,medicine.diagnostic_test ,Reverse Transcriptase Polymerase Chain Reaction ,General Medicine ,Middle Aged ,Spike Glycoprotein ,Spike Glycoprotein, Coronavirus ,Female ,Coronavirus Infections ,Immunoglobulin M/immunology ,medicine.medical_specialty ,COVID-19 Vaccines ,Coronavirus disease 2019 (COVID-19) ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Pneumonia, Viral ,Immunofluorescence ,Sensitivity and Specificity ,Antibodies ,03 medical and health sciences ,Betacoronavirus ,Internal medicine ,parasitic diseases ,medicine ,Humans ,Serologic Tests ,Pandemics ,ddc:613 ,Aged ,Betacoronavirus/immunology ,Coronavirus Infections/diagnosis ,business.industry ,Clinical Laboratory Techniques ,SARS-CoV-2 ,fungi ,COVID-19 ,Coronavirus/immunology ,Pneumonia ,body regions ,Immunoglobulin M ,Immunoglobulin G ,Case-Control Studies ,Viral/diagnosis ,business - Abstract
To validate the diagnostic accuracy of the Augurix SARS-CoV-2 IgM/IgG rapid immunoassay diagnostic test (RDT) for COVID-19.In this unmatched 1:1 case-control study, blood samples from 46 real-time RT-PCR-confirmed SARS-CoV-2 hospitalized cases and 45 healthy donors (negative controls) were studied. Diagnostic accuracy of the IgG RDT was assessed against both an in-house recombinant spike-expressing immunofluorescence assay (rIFA), as an established reference method (primary endpoint), and the Euroimmun SARS-CoV-2 IgG enzyme-linked immunosorbent assays (ELISA) (secondary endpoint).COVID-19 patients were more likely to be male (61% vs 20%; P = .0001) and older (median 66 vs 47 years old; P .001) than controls. Whole blood IgG-RDT results showed 86% and 93% overall Kendall concordance with rIFA and IgG ELISA, respectively. IgG RDT performances were similar between plasma and whole blood. Overall, RDT sensitivity was 88% (95% confidence interval [95%CI]: 70-96), specificity 98% (95%CI: 90-100), PPV 97% (95%CI: 80-100) and NPV 94% (95%CI: 84-98). The IgG-RDT carried out from 0 to 6 days, 7 to 14 days and 14 days after the SARS-CoV-2 RT-PCR test displayed 30%, 73% and 100% positivity rates in the COVID-19 group, respectively. When considering samples taken14 days after RT-PCR diagnosis, NPV was 100% (95%CI:90-100), and PPV was 100% (95%CI:72-100).The Augurix IgG-RDT done in whole blood displays a high diagnostic accuracy for SARS-CoV-2 IgG in high COVID-19 prevalence settings, where its use could be considered in the absence of routine diagnostic serology facilities.
- Published
- 2020
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