medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2022,
Volume and Issue:
unknown
Published: June 14, 2022
Abstract
Background
We
evaluate
the
diagnostic
performance
of
dried
blood
microsampling
combined
with
a
high-throughput
microfluidic
nano-immunoassay
(NIA)
for
identification
anti-SARS-CoV-2
Spike
IgG
seropositivity.
Methods
conducted
serological
study
among
192
individuals
documented
prior
SARS-CoV-2
infection
and
44
negative
individuals.
Participants
had
long
interval
11
months
since
their
qRT-PCR
positive
test.
Serum
was
obtained
after
venipuncture
tested
an
automated
electrochemiluminescence
S
total
Ig
reference
assay,
commercial
ELISA
anti-S1
index
test
NIA.
109
participants
from
cohort
also
participated
in
capillary
collection
using
three
devices:
Mitra,
repurposed
glucose
strips,
HemaXis.
Samples
were
dried,
shipped
by
regular
mail,
extracted,
measured
Findings
Using
serum
samples,
we
achieve
clinical
sensitivity
98·33%
specificity
97·62%
on
NIA,
affirming
high
NIA
post
infection.
Combining
obtain
95·05%
61·11%
83·16%
HemaXis,
91·49%
HemaXis
extraction,
without
any
drop
specificity.
Interpretation
High
demonstrated
when
testing
micro-volume
samples
which
is
expected
to
facilitate
its
use
large-scale
studies
home-based
sampling
or
collected
field.
Funding
Swiss
National
Science
Foundation
NRP
78
Covid-19
grant
198412
Private
Geneva
University
Hospital.
Research
context
Evidence
before
this
Serological
surveillance
importance
better
understand
evolution
spread
adapt
public
health
measures.
identified
multiple
conducting
such
surveys
decentralized
blood,
facilitating
logistics
reducing
burden
healthcare
facilities.
To
perform
detection
antibodies
at
low-cost,
developed
requires
ultra-low
sample
volumes
minimizes
reagent
consumption.
Added
value
In
showed
possibility
combining
validated
show
good
assay
waning
antibody
titers.
different
device,
namely
implemented
protocol
collection,
shipping,
assay.
The
are
presented
devices.
Implications
all
available
evidence
that
but
combination
microsampling.
Facilitated
increased
convenience
microsampling,
together
low-cost
should
conduction
surveys.
BMC Infectious Diseases,
Journal Year:
2021,
Volume and Issue:
21(1)
Published: Sept. 8, 2021
Abstract
Background
In
the
2nd
year
of
COVID-19
pandemic,
knowledge
about
dynamics
infection
in
general
population
is
still
limited.
Such
information
essential
for
health
planners,
as
many
those
infected
show
no
or
only
mild
symptoms
and
thus,
escape
surveillance
system.
We
therefore
aimed
to
describe
course
pandemic
Munich
living
private
households
from
April
2020
January
2021.
Methods
The
KoCo19
baseline
study
took
place
June
including
5313
participants
(age
14
years
above).
From
November
2021,
we
could
again
measure
SARS-CoV-2
antibody
status
4433
(response
83%).
Participants
were
offered
a
self-sampling
kit
take
capillary
blood
sample
(dry
spot;
DBS).
Blood
was
analysed
using
Elecsys
®
Anti-SARS-CoV-2
assay
(Roche).
Questionnaire
on
socio-demographics
potential
risk
factors
assessed
at
available
all
participants.
addition,
follow-up
health-risk
taking
behaviour
number
personal
contacts
outside
household
(N
=
2768)
well
leisure
time
activities
1263)
collected
summer
2020.
Results
Weighted
adjusted
(for
specificity
sensitivity)
sero-prevalence
3.6%
(95%
CI
2.9–4.3%)
compared
1.8%
1.3–3.4%)
baseline.
91%
tested
positive
also
antibody-positive
follow-up.
While
increased
early
indication
geospatial
clustering
across
city
found,
although
cases
clustered
within
households.
Taking
result
into
account,
men
age
group
20–34
highest
sero-positivity.
sensitivity
analyses,
differences
behaviour,
partly
explained
these
differences.
Conclusion
citizens
with
antibodies
below
5%
during
wave
pandemic.
Antibodies
remained
present
majority
sero-positive
Besides
sex,
potentially
confounded
by
major
be
identified.
Non-pharmaceutical
public
measures
are
thus
important.
Microbiology Spectrum,
Journal Year:
2024,
Volume and Issue:
12(4)
Published: March 1, 2024
ABSTRACT
SARS-CoV-2
spreads
pandemically
since
2020;
in
2021,
effective
vaccinations
became
available
and
vaccination
campaigns
commenced.
Still,
it
is
hard
to
track
the
spread
of
infection
or
assess
success
broader
population.
Measuring
specific
anti-SARS-CoV-2
antibodies
most
tool
successful
vaccinations.
The
need
for
venous-blood
sampling
however
poses
a
significant
barrier
large
studies.
Dried-blood-spots
on
filter-cards
(DBS)
have
been
used
serology
our
laboratory,
but
so
far
not
follow
quantitative
anti-spike
reactivity
longitudinal
cohort.
We
developed
semi-automated
protocol
from
self-sampled
DBS,
validating
cohort
matched
DBS
samples
(
n
=
825).
investigated
chromatographic
effects,
reproducibility,
carry-over
effects
calculated
positivity
threshold
as
well
conversion
formula
determine
binding
units
with
confidence
intervals.
Sensitivity
specificity
reached
96.63%
97.81%,
respectively,
compared
same
test
performed
paired
venous
samples.
Between
signal
0.018
250
U/mL,
we
correction
formula.
during
vaccinations,
demonstrated
relative
changes
titers
over
time
several
individuals
four
follow-ups.
has
proven
itself
anti-nucleocapsid
serosurveys
laboratory.
Similarly,
high-throughput
feasible
complementary
assay.
Quantitative
measurements
are
accurate
enough
titer
dynamics
populations
also
after
campaigns.
This
work
was
supported
by
Bavarian
State
Ministry
Science
Arts;
LMU
University
Hospital,
Munich;
Helmholtz
Center
Bonn;
Bielefeld;
German
Education
Research
(proj.
nr.:
01KI20271
others)
Medical
Biodefense
Program
Bundeswehr
Service.
Roche
Diagnostics
provided
kits
machines
analyses
at
discounted
rates.
project
funded
European-wide
Consortium
ORCHESTRA.
ORCHESTRA
received
funding
European
Union’s
Horizon
2020
research
innovation
program
under
grant
agreement
No
101016167.
views
expressed
this
publication
sole
responsibility
author,
Commission
responsible
any
use
that
may
be
made
information
contains.
IMPORTANCE
spreading
globally
pandemic
2020.
To
prevalence
among
populations,
public
health
measuring
induced
vaccination.
However,
conducting
large-scale
studies
involve
challenging
due
associated
feasibility
cost
issues.
A
more
cost-efficient
less
invasive
method
serological
testing
using
Dried-Blood-Spots
filter
cards
(DBS).
In
paper,
quantifying
self-collected
DBS.
Our
laboratory
previously
successfully
antibody
surveys.
Likewise,
an
additional
can
sample
preparation
analysis.
obtained
levels
even
Scientific Reports,
Journal Year:
2022,
Volume and Issue:
12(1)
Published: April 6, 2022
The
utilization
of
vaccines
to
fight
the
spread
SARS-CoV-2
has
led
a
growing
need
for
expansive
serological
testing.
To
address
this,
an
EUA
approved
immunoassay
detection
antibodies
in
venous
serum
samples
was
investigated
use
with
dried
blood
spot
(DBS)
samples.
Results
from
self-collected
DBS
demonstrated
98.1%
categorical
agreement
correlation
(R)
0.9600
while
professionally
collected
100.0%
0.9888
serum.
Additional
studies
were
performed
stress
different
aspects
at-home
collection,
including
shipping
stability,
effects
interferences,
and
other
sample-specific
robustness
studies.
These
at
least
95.0%
mean
bias
less
than
±
20.0%.
Furthermore,
ability
track
antibody
levels
following
vaccination
BioNTech/Pfizer
vaccine
serial
pre-dose
(Day
0)
out
19
weeks.
Microbiology Spectrum,
Journal Year:
2022,
Volume and Issue:
10(3)
Published: May 25, 2022
Serological
surveillance
studies
of
infectious
diseases
provide
population-level
estimates
infection
and
antibody
prevalence,
generating
crucial
insight
into
immunity,
risk
factors
leading
to
infection,
effectiveness
public
health
measures.
These
traditionally
rely
on
detection
pathogen-specific
antibodies
in
samples
derived
from
venipuncture,
an
expensive
logistically
challenging
aspect
serological
surveillance.
During
the
COVID-19
pandemic,
guidelines
implemented
prevent
spread
SARS-CoV-2
made
collection
venous
blood
difficult
at
a
time
when
serosurveillance
was
urgently
needed.
Dried
spots
(DBS)
have
generated
interest
as
alternative
for
applications
due
their
stability,
low
cost,
ease
collection;
DBS
can
be
self-generated
via
fingerprick
by
community
members
mailed
ambient
temperatures.
Here,
we
detail
development
four
DBS-based
methods
demonstrate
implementation
large
survey
12
cities
East
Bay
region
San
Francisco
metropolitan
area
using
at-home
collection.
We
find
that
perform
similarly
plasma/serum
enzyme-linked
immunosorbent
assays
commercial
assays.
In
addition,
show
reliably
detect
responses
months
postinfection
track
kinetics
after
vaccination.
Implementation
enabled
valuable
data
our
study
population
investigate
changes
seroprevalence
over
8-month
period.
Our
work
makes
strong
argument
studies,
not
just
SARS-CoV-2,
but
any
situation
where
phlebotomy
is
inaccessible.
IMPORTANCE
Estimation
community-level
or
vaccination
critical
inform
responses.
Traditional
invasive
procedure
amenable
pandemic-related
social-distancing
are
since
they
self-collected
participants
home
do
require
refrigeration
shipment
storage.
However,
measure
levels
been
widely
utilized.
comparable
sampling
method
measured
distinct
The
format
longitudinal
cohort
samples,
ensuring
participants'
safety
during
ongoing
pandemic.
demonstrates
excellent
measuring
whenever
venipuncture
impractical.
Heliyon,
Journal Year:
2022,
Volume and Issue:
8(9), P. e10270 - e10270
Published: Aug. 28, 2022
The
extent
of
the
COVID-19
pandemic
will
be
better
understood
through
serosurveys
and
SARS-CoV-2
antibody
testing.
Dried
blood
spot
(DBS)
samples
play
a
central
role
in
large
scale
serosurveillance
by
simplifying
biological
specimen
collection
transportation,
especially
Canada.
Direct
comparative
performance
data
on
multiplex
assays
resulting
from
identical
DBS
are
currently
lacking.
In
our
study,
we
aimed
to
provide
for
BioPlex
2200
IgG
(Bio-Rad),
V-PLEX
Panel
2
(MSD),
Elecsys
Anti-SARS-CoV-2
(Roche)
commercial
assays,
as
well
two
highly
scalable
in-house
(University
Ottawa
Mount
Sinai
Hospital
protocols)
assess
their
suitability
DBS-based
serosurveillance.
These
were
evaluated
against
panels
collected
convalescent
patients
(
Scientific Reports,
Journal Year:
2023,
Volume and Issue:
13(1)
Published: Sept. 11, 2023
Abstract
The
ongoing
SARS-CoV-2
pandemic
was
initially
managed
by
non-pharmaceutical
interventions
such
as
diagnostic
testing,
isolation
of
positive
cases,
physical
distancing
and
lockdowns.
advent
vaccines
has
provided
crucial
protection
against
SARS-CoV-2.
Neutralising
antibody
(nAb)
responses
are
a
key
correlate
protection,
therefore
measuring
nAb
is
essential
for
monitoring
vaccine
efficacy.
Fingerstick
dried
blood
spots
(DBS)
ideal
use
in
large-scale
sero-surveillance
because
they
inexpensive,
offer
the
option
self-collection
can
be
transported
stored
at
ambient
temperatures.
Such
advantages
also
make
DBS
appealing
to
resource-limited
settings
potential
future
pandemics.
In
this
study,
sera,
venous
fingerstick
on
filter
paper
were
measured.
Samples
collected
from
acutely
infected
individuals,
convalescent
individuals
vaccinated
individuals.
Good
agreement
observed
between
measured
eluted
paired
sera.
Stability
sera
room
temperature
28
days.
Overall,
study
provides
support
viable
sample
collection
method
responses.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2021,
Volume and Issue:
unknown
Published: April 29, 2021
Abstract
Background
In
the
2
nd
year
of
Covid-19
pandemic,
knowledge
about
dynamics
infection
in
general
population
is
still
limited.
Such
information
essential
for
health
planners,
as
many
those
infected
show
no
or
only
mild
symptoms
and
thus,
escape
surveillance
system.
We
therefore
aimed
to
describe
course
pandemic
Munich
living
private
households
from
April
2020
January
2021.
Methods
The
KoCo19
baseline
study
took
place
June
including
5313
participants
(age
14
years
above).
From
November
2021,
we
could
again
measure
SARS-CoV-2
antibody
status
4,433
(response
83%).
Participants
were
offered
a
self-sampling
kit
take
capillary
blood
sample
(dry
spot;
DBS).
Blood
was
analysed
using
Elecsys
®
Anti-SARS-CoV-2
assay
(Roche).
Questionnaire
on
socio-demographics
potential
risk
factors
assessed
at
available
all
participants.
addition,
follow-up
health-risk
taking
behaviour
number
personal
contacts
outside
household
(N=2768)
well
leisure
time
activities
(N=1263)
collected
summer
2020.
Results
Weighted
adjusted
(for
specificity
sensitivity)
sero-prevalence
3.6%
(95%
CI
2.9-4.3%)
compared
1.8%
1.3-3.4%)
baseline.
91%
tested
positive
also
antibody-positive
follow-up.
While
increased
early
2021
indication
geospatial
clustering
across
city
found,
although
cases
clustered
within
households.
Taking
result
into
account,
men
age
group
20-34
highest
sero-positivity.
sensitivity
analyses,
differences
behaviour,
partly
explained
these
differences.
Conclusion
citizens
with
antibodies
below
5%
during
wave
pandemic.
Antibodies
remained
present
majority
Besides
sex,
potentially
confounded
by
major
be
identified.
Non-pharmaceutical
public
measures
are
thus
important.
Eurosurveillance,
Journal Year:
2023,
Volume and Issue:
28(13)
Published: March 30, 2023
BackgroundThe
current
SARS-CoV-2
pandemic
has
highlighted
a
need
for
easy
and
safe
blood
sampling
in
combination
with
accurate
serological
methodology.
Venipuncture
testing
is
usually
performed
by
trained
staff
at
healthcare
centres.
Long
travel
distances
to
centres
rural
regions
may
introduce
bias
of
towards
relatively
large
communities
closer
access.
Rural
are
therefore
often
not
represented
population-based
data.AimThe
aim
this
retrospective
cohort
study
was
develop
implement
strategy
at-home
region
Sweden
during
spring
2021,
evaluate
its
role
provide
equal
health
care
inhabitants.MethodsWe
developed
sensitive
method
measure
antibodies
the
S-protein
optimised
assay
clinical
use
together
capillary
sampling.ResultsWe
demonstrated
that
our
ELISA
gave
comparable
results
after
analysis
or
serum
from
SARS-CoV-2-experienced
individuals.
We
stability
under
conditions
reflected
temperature
humidity
winter
summer.
By
assessment
samples
4,122
individuals,
we
could
show
both
feasibility
implementation
shifted
geographical
spread
favour
areas.ConclusionImplementation
enabled
citizens
living
remote
areas
access
centralised
laboratory
antibody
tests.
The
used
here
enable
disease
control
authorities
get
rapid
information
concerning
immunity
infectious
diseases,
even
across
vast
distance.