The implementation of a rapid sample preparation method for the detection of SARS-CoV-2 in a diagnostic laboratory in South Africa.
Journal:
PloS one
Published Date:
Jan 1, 2020
Abstract
The SARS-CoV-2 pandemic has resulted in shortages of both critical reagents for nucleic acid purification and highly trained staff as supply chains are strained by high demand, public health measures and frequent quarantining and isolation of staff. This created the need for alternate workflows with limited reliance on specialised reagents, equipment and staff. We present here the validation and implementation of such a workflow for preparing samples for downstream SARS-CoV-2 RT-PCR using liquid handling robots. The rapid sample preparation technique evaluated, which included sample centrifugation and heating prior to RT-PCR, showed a 97.37% (95% CI: 92.55-99.28%) positive percent agreement and 97.30% (95% CI: 90.67-99.52%) negative percent agreement compared to nucleic acid purification-based testing. This method was subsequently adopted as the primary sample preparation method in the Groote Schuur Hospital Virology Diagnostic Laboratory in Cape Town, South Africa.
Authors
Keywords
Betacoronavirus
Clinical Laboratory Techniques
Coronavirus Infections
COVID-19
COVID-19 Testing
Humans
Laboratories, Hospital
Pandemics
Pneumonia, Viral
Reproducibility of Results
Reverse Transcriptase Polymerase Chain Reaction
RNA, Viral
Robotics
SARS-CoV-2
Sensitivity and Specificity
South Africa
Specimen Handling