Efficient high-throughput SARS-CoV-2 testing to detect asymptomatic carriers

Recent reports suggest that 10 to 30% of severe acute respiratory syndrome coronavirus 2 (SARS- CoV-2) infected patients are asymptomatic and that viral shedding may occur before symptom onset. Therefore, there is an urgent need to increase diagnostic testing capabilities to prevent disease spread....

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Veröffentlicht in:Science advances 2020-09, Vol.6 (37)
Hauptverfasser: Shental, Noam, Levy, Shlomia, Wuvshet, Vered, Skorniakov, Shosh, Shalem, Bar, Ottolenghi, Aner, Greenshpan, Yariv, Steinberg, Rachel, Edri, Avishay, Gillis, Roni, Goldhirsh, Michal, Moscovici, Khen, Sachren, Sinai, Friedman, Lilach M, Nesher, Lior, Shemer-Avni, Yonat, Porgador, Angel, Hertz, Tomer
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container_end_page
container_issue 37
container_start_page
container_title Science advances
container_volume 6
creator Shental, Noam
Levy, Shlomia
Wuvshet, Vered
Skorniakov, Shosh
Shalem, Bar
Ottolenghi, Aner
Greenshpan, Yariv
Steinberg, Rachel
Edri, Avishay
Gillis, Roni
Goldhirsh, Michal
Moscovici, Khen
Sachren, Sinai
Friedman, Lilach M
Nesher, Lior
Shemer-Avni, Yonat
Porgador, Angel
Hertz, Tomer
description Recent reports suggest that 10 to 30% of severe acute respiratory syndrome coronavirus 2 (SARS- CoV-2) infected patients are asymptomatic and that viral shedding may occur before symptom onset. Therefore, there is an urgent need to increase diagnostic testing capabilities to prevent disease spread. We developed P-BEST, a method for Pooling-Based Efficient SARS-CoV-2 Testing, which identifies all positive subjects within a set of samples using a single round of testing. Each sample is assigned into multiple pools using a combinatorial pooling strategy based on compressed sensing. We pooled sets of 384 samples into 48 pools, providing both an eightfold increase in testing efficiency and an eightfold reduction in test costs, while identifying up to five positive carriers. We then used P-BEST to screen 1115 health care workers using 144 tests. P- BEST provides an efficient and easy-to-implement solution for increasing testing capacity that can be easily integrated into diagnostic laboratories.
doi_str_mv 10.1126/sciadv.abc5961
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subjects Asymptomatic Infections
Betacoronavirus - isolation & purification
Carrier State - diagnosis
Carrier State - virology
Clinical Laboratory Techniques - methods
Coronavirus
Coronavirus Infections - diagnosis
COVID-19
COVID-19 Testing
Health and Medicine
Humans
Pandemics
Pneumonia, Viral - diagnosis
SARS-CoV-2
SciAdv r-articles
Virology
Virus Shedding
title Efficient high-throughput SARS-CoV-2 testing to detect asymptomatic carriers
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