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Am J Trop Med Hyg ; 111(2): 391-395, 2024 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-38917817

RESUMO

SARS-CoV-2 serological testing is useful to determine seroprevalence, epidemiological trends, and the extent of transmission. The collection and transport of serum samples can be logistically challenging, especially in remote underserved areas. Dried blood spots (DBSs) would allow easier sample collection and logistical handling compared with standard serum collection, particularly for extensive and repeated SARS-CoV-2 serosurveys. We evaluated the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the IgG ELISA (Wantai, Beijing, China) using DBSs against sera for the quantitative detection of SARS-CoV-2 IgG antibody. The IgG ELISA was used to test paired sera and DBSs obtained from individuals with recent virologically confirmed COVID-19 illness and banked paired sera and DBSs collected before the COVID-19 pandemic. We found that 100/100 (100%) seropositive samples were positive using DBSs, and 193/194 (99%) seronegative samples were negative using DBSs. Compared with sera, the DBS method had a 100% sensitivity, 99% specificity, 99% PPV, and 100% NPV. Use of DBSs for SARS-CoV-2 household or population serosurveys may be considered in situations with limitations in sample collection, shipment, and storage.


Assuntos
Anticorpos Antivirais , Teste Sorológico para COVID-19 , COVID-19 , Ensaio de Imunoadsorção Enzimática , Imunoglobulina G , SARS-CoV-2 , Sensibilidade e Especificidade , Humanos , Imunoglobulina G/sangue , SARS-CoV-2/imunologia , Anticorpos Antivirais/sangue , Ensaio de Imunoadsorção Enzimática/métodos , COVID-19/diagnóstico , COVID-19/epidemiologia , COVID-19/sangue , COVID-19/imunologia , Teste Sorológico para COVID-19/métodos , Teste em Amostras de Sangue Seco/métodos , Pessoa de Meia-Idade , Masculino , Feminino , Adulto , Estudos Soroepidemiológicos , Manejo de Espécimes
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