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- Title
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Qualitative Immunoglobulin G Assays: The Value of Numeric Reporting.
- Authors
Forest, Stefanie K.; Orner, Erika P.; Goldstein, D. Yitzchak; Wirchnianski, Ariel S.; Bortz III, Robert H.; Laudermilch, Ethan; Florez, Catalina; Malonis, Ryan J.; Georgiev, George I.; Vergnolle, Olivia; Yungtai Lo; Campbell, Sean T.; Barnhill, Jason; Cadoff, Evan M.; Lai, Jonathan R.; Chandran, Kartik; Weiss, Louis M.; Fox, Amy S.; Prystowsky, Michael B.; Wolgast, Lucia R.
- Abstract
* Context.--Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) immunoglobulin G (IgG) testing is used for serosurveillance and will be important to evaluate vaccination status. Given the urgency to release coronavirus disease 2019 (COVID-19) serology tests, most manufacturers have developed qualitative tests. Objective.--To evaluate clinical performance of 6 different SARS-CoV-2 IgG assays and their quantitative results to better elucidate the clinical role of serology testing in COVID-19. Design.--Six SARS-CoV-2 IgG assays were tested using remnant specimens from 190 patients. Sensitivity and specificity were evaluated for each assay with the current manufacturer's cutoff and a lower cutoff. A numeric result analysis and discrepancy analysis were performed. Results.--Specificity was higher than 93% for all assays, and sensitivity was higher than 80% for all assays (≥7 days post--polymerase chain reaction testing). Inpatients with more severe disease had higher numeric values compared with health care workers with mild or moderate disease. Several discrepant serology results were those just below the manufacturers' cutoff. Conclusions.--Severe acute respiratory syndrome coronavirus 2 IgG antibody testing can aid in the diagnosis of COVID-19, especially with negative polymerase chain reaction. Quantitative COVID-19 IgG results are important to better understand the immunologic response and disease course of this novel virus and to assess immunity as part of future vaccination programs.
- Subjects
COVID-19; SARS-CoV-2; IMMUNOGLOBULINS; PREDICTIVE tests; SICK people; COVID-19 vaccines; MEDICAL personnel; IMMUNOASSAY; SEVERITY of illness index; DESCRIPTIVE statistics; VIRAL antibodies; COVID-19 testing; POLYMERASE chain reaction
- Publication
Archives of Pathology & Laboratory Medicine, 2021, Vol 145, Issue 8, p929
- ISSN
0003-9985
- Publication type
Article
- DOI
10.5858/arpa.2020-0851-SA