Wastewater Surveillance of SARS-CoV-2: A Comparison of Two Concentration Methods

Author:

Diamanti Christina1,Nousis Lambros1,Bozidis Petros2ORCID,Koureas Michalis3,Kyritsi Maria3ORCID,Markozannes George1ORCID,Simantiris Nikolaos1,Panteli Eirini1,Koutsolioutsou Anastasia4,Tsilidis Konstantinos1,Hadjichristodoulou Christos34ORCID,Koutsotoli Alexandra1,Christaki Eirini5,Alivertis Dimitrios6,Bartzokas Aristides7ORCID,Gartzonika Konstantina2,Dovas Chrysostomos8ORCID,Ntzani Evangelia1910ORCID

Affiliation:

1. Department of Hygiene and Epidemiology, Faculty of Medicine, University of Ioannina, 45100 Ioannina, Greece

2. Department of Microbiology, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45110 Ioannina, Greece

3. Laboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 22 Papakyriazi Str., 41222 Larissa, Greece

4. National Public Health Organization, 15123 Athens, Greece

5. 1st Division of Internal Medicine & Infectious Diseases Unit, University Hospital of Ioannina, Faculty of Medicine, University of Ioannina, 45500 Ioannina, Greece

6. Department of Biological Applications and Technology, University of Ioannina, Ioannina 45110, Greece

7. Laboratory of Meteorology, Department of Physics, University of Ioannina, Ioannina, Greece

8. Diagnostic Laboratory, School of Veterinary Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54627 Thessaloniki, Greece

9. Center for Evidence Synthesis in Health, Department of Health Services, Policy and Practice, School of Public Health, Brown University, Providence, RI 02912, USA

10. Biomedical Research Institute, Foundation for Research and Technology, 45110 Ioannina, Greece

Abstract

Wastewater surveillance is crucial for the epidemiological monitoring of SARS-CoV-2. Various concentration techniques, such as skimmed milk flocculation (SMF) and polyethylene glycol (PEG) precipitation, are employed to isolate the virus effectively. This study aims to compare these two methods and determine the one with the superior recovery rates. From February to December 2021, 24-h wastewater samples were collected from the Ioannina Wastewater Treatment Plant’s inlet and processed using both techniques. Subsequent viral genome isolation and a real-time RT-qPCR detection of SARS-CoV-2 were performed. The quantitative analysis demonstrated a higher detection sensitivity with a PEG-based concentration than SMF. Moreover, when the samples were positive by both methods, PEG consistently yielded higher viral loads. These findings underscore the need for further research into concentration methodologies and the development of precise protocols to enhance epidemiological surveillance through wastewater analysis.

Publisher

MDPI AG

Reference62 articles.

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