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- Diagnosis of SARS-CoV-2 infection by RT-PCR using specimens other than naso- and oropharyngeal swabs: a systematic review and meta-analysisPublication . Moreira, Vânia M.; Mascarenhas, Paulo; Machado, Vanessa; Botelho, João; Mendes, José João; Taveira, Nuno; Almeida, M. GabrielaThe rapid and accurate testing of SARS-CoV-2 infection is still crucial to mitigate, and eventually halt, the spread of this disease. Currently, nasopharyngeal swab (NPS) and oropharyngeal swab (OPS) are the recommended standard sampling techniques, yet, these have some limitations such as the complexity of collection. Hence, several other types of specimens that are easier to obtain are being tested as alternatives to nasal/throat swabs in nucleic acid assays for SARS-CoV-2 detection. This study aims to critically appraise and compare the clinical performance of RT-PCR tests using oral saliva, deep-throat saliva/posterior oropharyngeal saliva (DTS/POS), sputum, urine, feces, and tears/conjunctival swab (CS) against standard specimens (NPS, OPS, or a combination of both). In this systematic review and meta-analysis, five databases (PubMed, Scopus, Web of Science, ClinicalTrial.gov and NIPH Clinical Trial) were searched up to the 30th of December, 2020. Case-control and cohort studies on the detection of SARS-CoV-2 were included. The methodological quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS 2). We identified 1560 entries, 33 of which (1.1%) met all required criteria and were included for the quantitative data analysis. Saliva presented the higher accuracy, 92.1% (95% CI: 70.0-98.3), with an estimated sensitivity of 83.9% (95% CI: 77.4-88.8) and specificity of 96.4% (95% CI: 89.5-98.8). DTS/POS samples had an overall accuracy of 79.7% (95% CI: 43.3-95.3), with an estimated sensitivity of 90.1% (95% CI: 83.3-96.9) and specificity of 63.1% (95% CI: 36.8-89.3). The remaining index specimens could not be adequately assessed given the lack of studies available. Our meta-analysis shows that saliva samples from the oral region provide a high sensitivity and specificity; therefore, these appear to be the best candidates for alternative specimens to NPS/OPS in SARS-CoV-2 detection, with suitable protocols for swab-free sample collection to be determined and validated in the future. The distinction between oral and extra-oral salivary samples will be crucial, since DTS/POS samples may induce a higher rate of false positives. Urine, feces, tears/CS and sputum seem unreliable for diagnosis. Saliva testing may increase testing capacity, ultimately promoting the implementation of truly deployable COVID-19 tests, which could either work at the point-of-care (e.g. hospitals, clinics) or at outbreak control spots (e.g., schools, airports, and nursing homes).
- Characterization of plasmonic effects in AuNP+rGO composite as a sensing layer for a low-cost lab-on-chip biosensorPublication . Fantoni, Alessandro; Stojkovic, Vladan; Fernandes, Miguel; Louro, Paula; Vieira, Manuela; Alegria, Elisabete; Da Costa Ribeiro, Ana Paula; Carvalho, Ana; Almeida, M. GabrielaThis work deals with the production of a low-cost disposable biosensor for point of care applications. The proposed sensor is a plasmonic structure based on the Localized Surface Plasmon Resonance (LSPR) interaction of metal nanoparticles (MNPs), embedded into a matrix of reduced Graphene Oxide (rGO). After proper functionalization with selective antibodies (Ab), the efficiency of light extinction is controlled by slight changes of the refractive coefficient induced by the concentration of biomarkers trapped by the antibodies on the sensor surface. This work reports a study about the applicability of rGO as a support for gold nanoparticles (AuNPs) for preparing the functionalized LSPR sensing layer. AuNPs are prepared with an economic and eco-friendly method using phytochemicals present in tea extract at room temperature, while a modified Hummer’s method is used to synthesize rGO. The resulting AuNPs-rGO composites are studied in terms of UV-VIS spectroscopy spectral light transmission and plasmonic resonance. The overall analysis is supported by simulation results, obtained by Mie analysis, about the LSPR effect in AuNPs-rGO and its dependence on the biomarker concentration.
- Characterization of plasmonic effects in AuNP+rGO composite as a sensing layer for a low-cost lab-on-chip biosensorPublication . Fantoni, Alessandro; Stojkovic, Vladan; Fernandes, Miguel; Louro, Paula; Vieira, Manuela; Alegria, Elisabete; Da Costa Ribeiro, Ana Paula; Carvalho, Ana; Almeida, M. GabrielaThis work deals with the production of a low-cost disposable biosensor for point of care applications. The proposed sensor is a plasmonic structure based on the Localized Surface Plasmon Resonance (LSPR) interaction of metal nanoparticles (MNPs), embedded into a matrix of reduced Graphene Oxide (rGO). After proper functionalization with selective antibodies (Ab), the efficiency of light extinction is controlled by slight changes of the refractive coefficient induced by the concentration of biomarkers trapped by the antibodies on the sensor surface. This work reports a study about the applicability of rGO as a support for gold nanoparticles (AuNPs) for preparing the functionalized LSPR sensing layer. AuNPs are prepared with an economic and eco-friendly method using phytochemicals present in tea extract at room temperature, while a modified Hummer’s method is used to synthesize rGO. The resulting AuNPs-rGO composites are studied in terms of UV-VIS spectroscopy spectral light transmission and plasmonic resonance. The overall analysis is supported by simulation results, obtained by Mie analysis, about the LSPR effect in AuNPs-rGO and its dependence on the biomarker concentration.