Validating Combination Throat-Nasal Swab Specimens for Coronavirus Disease 2019 Tests Would Improve Early Detection, Especially for the Most Vulnerable

Author:

Viloria Winnett Alexander123ORCID,Stenzel Timothy4ORCID,Ismagilov Rustem F12ORCID

Affiliation:

1. Division of Chemistry and Chemical Engineering, California Institute of Technology , Pasadena, California , USA

2. Division of Biology & Biological Engineering, California Institute of Technology , Pasadena, California , USA

3. California Institute of Technology Medical Scientist Training Program, University of California Los Angeles , Los Angeles, California , USA

4. Office of In Vitro Diagnostics, US Food and Drug Administration , Silver Spring, Maryland , USA

Abstract

Abstract Early detection of severe acute respiratory syndrome coronavirus 2 infection by diagnostic tests can prompt actions to reduce transmission and improve treatment efficacy, especially for vulnerable groups such as immunocompromised individuals. Recent evidence suggests that sampling the throat in addition to the nose improves clinical sensitivity during early infection for both antigen and molecular coronavirus disease 2019 tests. We urge test manufacturers to validate tests for use with throat swab, in combination with nasal swabs.

Funder

Bill & Melinda Gates Foundation

California Institute of Technology

Publisher

Oxford University Press (OUP)

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