Journal of Shandong University (Health Sciences) ›› 2020, Vol. 58 ›› Issue (4): 28-31.doi: 10.6040/j.issn.1671-7554.0.2020.295

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Effect of sampling positions in nucleic acid test on the test result: a report from 47 confirmed COVID-19 cases in Jinan City

ZHAO Huailong, LÜ Yan, ZHAO Hong, ZHAO Baotian, HAN Ying, YANG Guoliang, WANG Chunrong, GUAN Hengyun, LIU Hui, LIU Lanzheng   

  1. Jinan Center for Disease Control and Prevention, Jinan 250021, Shandong, China
  • Published:2022-09-27

Abstract: Objective To investigate the effect of sampling positions in nucleic acid test for COVID-19 on test results. Methods Clinical specimens collected from 47 confirmed cases of COVID-19 in Jinan City during Jan. 22 and Feb. 11, 2020 were tested with real-time fluorescence quantitative RT-PCR to analyze the effect of different sampling positions on the test results. Statistical analysis was conducted with Fisher’s exact test. Results The 47 patients included 23 males and 24 females, age ranging from 11 months to 71 years, average 35 years. The positive rate of nasopharyngeal swabs and sputum samples was 91.11%(41/45)and 92.31%(13/14), respectively. There was no statistical difference between the results of the two types of samples(Fishers exact test, bilateral P>0.999). However, the Ct value was lower in sputum samples than in nasopharyngeal swabs. Conclusion The nasopharyngeal swabs can meet the requirements for screening and diagnosis of COVID-19, and deep-coughed sputum samples can be used to re-test the “false negative” nasopharyngeal swabs.

Key words: COVID-19, Nucleic acid test, Real-time fluorescence quantitative RT-PCR, False negative reaction

CLC Number: 

  • R563.1
[1] Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study[J]. Lancet, 2020, 395(10223):507-513. doi: 10.1016/S0140-6736(20)30211-7.
[2] Guan WJ, Ni ZY, Hu Y, et al. Clinical characteristics of coronavirus disease 2019 in China[J]. N Engl J Med, 2020, 28. doi: 10.1056/NEJMoa2002032.
[3] 国家卫生健康委员会. 截至3月28日24时新型冠状病毒肺炎疫情通报[EB/OL]. [2020-03-28]. http://www.nhc.gov.cn/xcs/yqtb/list_gzbd.shtml.
[4] World Health Organization.Coronavirus disease(COVID-19)situation reports [EB/OL].[2020-03-28]. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports.
[5] Xu X, Chen P, Wang J, et al. Evolution of the novel coronavirus from the ongoing Wuhan outbreak and modeling of its spike protein for risk of human transmission[J]. Sci China Life Sci, 2020, 63(3): 457-460. doi: 10.1007/s11427-020-1637-5.
[6] Li X, Zai J, Zhao Q, et al. Evolutionary history, potential intermediate animal host, and cross-species analyses of SARS-CoV-2[J]. J Med Virol,2020,27. doi: 10.1002/jmv.25731.
[7] 李士雪,单莹. 新型冠状病毒肺炎研究进展述评[J]. 山东大学学报(医学版), 2020, 58(3):19-25. LI Shixue, SHAN Ying. Latest research advances on novel coronavirus pneumonia[J]. Journal of Shandong University(Health Sciences), 2020, 58(3): 19-25.
[8] 国家卫生健康委员会.《新型冠状病毒肺炎诊疗方案(试行第七版)》. [EB/OL]. [2020-03-04]. http://www.nhc.gov.cn/xcs/zhengcwj/list_gzbd.shtml.
[9] 济南市卫生健康委员会. 新型冠状病毒肺炎疫情防控[EB/OL]. [2020-02-11]. http://jnmhc.jinan.gov.cn/col/col50366/index.html.
[10] 中华人民共和国国家卫生健康委员会办公厅. 新型冠状病毒实验室生物安全指南(第二版)[OB/OL].(2020-01-23)[2020-03-04]. http://www.nhc.gov.cn/xcs/zhengcwj/202001/0909555408d842a58828611dde2-e6a26.shtml.
[11] Corman VM, Landt O, Kaiser M. et al. Detection of 2019 novel coronavirus(2019-nCoV)by real-time RT-PCR[J]. Euro Surveill, 2020, 25(3). doi: 10.2807/1560-7917.
[12] 中华医学会.“全力抗击新型冠状病毒感染的肺炎疫情”方案指南与建议 [EB/OL].(2020-02-18)[2020-03-04]. https://www.cma.org.cn/art/2020/2/18/art_2928_32767.html.
[13] 里进, 叶光明, 陈良君, 等. 新型冠状病毒(2019-nCoV)核酸检测假阴性结果原因分析及对策[J]. 中华检验医学杂志,2020,43. http://rs.yiigle.com/yufabiao/1181137.htm.
[14] 张瑞, 李金明. 如何减少新型冠状病毒核酸检测的“假阴性”[J]. 中华医学杂志, 2020. http://rs.yiigle.com/yufabiao/1182268.htm.
[15] Tian S, Hu N, Lou J, et al. Characteristics of COVID-19 infection in Beijing[J]. J Infect, 2020,26. doi: 10.1016/j.jinf.2020.02.018.
[16] 崔亮亮, 耿兴义, 赵小冬, 等. 济南市现阶段新型冠状病毒肺炎的流行特征与思考[J]. 山东大学学报(医学版),2020, 58(3): 52-57. CUI Liangliang, GENG Xingyi, ZHAO Xiaodong, et al. Reflection and epidemiological characteristics of coronavirus disease 2019 in Jinan City[J]. Journal of Shandong University(Health Sciences), 2020, 58(3): 52-57.
[17] 莫茜, 秦炜, 傅启华, 等. 正确认识新冠病毒核酸检测的影响因素[J]. 中华检验医学杂志,2020. http://rs.yiigle.com/yufabiao/1180120.html.
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