Effectiveness and user experience of nose and throat swabbing techniques for SARS-CoV-2 detection: results from the UK COVID-19 National Testing Programme
BMC Global and Public Health,
Journal Year:
2025,
Volume and Issue:
3(1)
Published: Jan. 13, 2025
Abstract
Background
The
UK’s
National
Health
Service
Test
and
Trace
(NHSTT)
program
aimed
to
provide
the
most
effective
accessible
SARS-CoV-2
testing
approach
possible.
Early
user
feedback
indicated
that
there
were
accessibility
issues
associated
with
throat
swabbing.
We
report
results
of
service
evaluations
performed
by
NHSTT
assess
effectiveness
acceptance
swabbing
approaches,
as
well
qualitative
findings
experiences
from
research
reports,
surveys,
incident
reports.
Our
intent
is
present
summarize
our
about
application
alternative
approaches
during
COVID-19
pandemic
in
UK.
Methods
From
May
2020
December
2021,
conducted
a
series
assessing
self-swabbing
assisted
nose
throat,
only
(anterior
nares/mid-turbinate)
using
polymerase
chain
reaction
(PCR)
lateral
flow
devices
(LFDs),
for
diagnostic
suitability
within
Testing
Programme.
Outcomes
included
observational
on
quantitative
performance
(concordance,
sensitivity,
specificity).
A
post-hoc
indirect
comparison
was
also
performed.
Additionally,
an
analysis
existing
cross-service
April
2021
determine
regarding
approaches.
Results
Observational
data
preference
over
Significantly
more
users
reported
easier
perform
than
(50%
vs.
12%)
significantly
fewer
incidents.
In
evaluations,
while
reduced
sensitivity
nose-only
PCR
(88%)
compared
swabbing,
similar
sensitivities
observed
LFDs.
LFDs
higher
individuals
viral
concentrations.
Conclusions
User
experience
analyses
supported
Nose-only
provided
sufficient
accuracy,
supporting
its
use
viable
option
Less
invasive
are
important
maximize
alongside
other
behavioral
interventions,
increase
uptake.
Language: Английский
Multiplex lateral flow test sensitivity and specificity in detecting influenza A, B and SARS-CoV-2 in adult patients in a UK emergency department
Emergency Medicine Journal,
Journal Year:
2025,
Volume and Issue:
unknown, P. emermed - 214177
Published: Jan. 14, 2025
Background
Rapid
identification
of
individuals
with
acute
respiratory
infections
is
crucial
for
preventing
nosocomial
infections.
For
rapid
diagnosis,
especially
in
EDs,
lateral
flow
devices
(LFDs)
are
a
convenient,
inexpensive
option
turnaround.
Several
‘multiplex’
LFDs
(M-LFDs)
now
exist,
testing
multiple
pathogens
from
single
swab
sample.
We
evaluated
the
real-world
performance
M-LFD
versus
PCR
detecting
influenza
A,
B
and
SARS-CoV-2)
ED
setting.
Methods
After
preliminary
evaluation
an
(SureScreen)
laboratory-grown
virus
PCR-negative
clinical
samples,
it
was
setting
at
St
Thomas’
Hospital
(London,
UK)
1
December
2022
to
21
April
2023.
Eligible
participants
were
≥18
years
age,
admitted
symptoms
received
concurrent
tests.
Main
endpoints
sensitivity
detect
A/B
(primary)
SARS-CoV-2
(secondary)
PCR.
The
probability
true
positive
relation
viral
concentration
(expressed
as
cycle
threshold
(Ct))
analysed
using
logistic
regression.
Results
In
total,
808
symptomatic
included
(49.8%
female;
mean
age
46.9
years).
Test
(95%
CI)
67.0%
(56.9%
76.1%)
A
(n=100),
94.1%
(71.3%
99.9%)
(n=17)
48.2%
(39.7%
56.8%)
(n=141).
Sensitivity
significantly
lower
than
that
(p=0.0057
p=0.00088,
respectively).
98%
Ct<25
(influenza
non-evaluable).
No
co-infections
identified
by
or
M-LFD.
Conclusion
SureScreen
consistent
laboratory
achieved
high
concentration,
most
likely
be
infectious.
Given
representative
UK
population
sample,
results
could
generalised
use
other
settings.
Language: Английский
Association between confirmed COVID-19 cases at hospitals and SARS-CoV-2 levels in municipal wastewater during the pandemic and endemic phases
Environment International,
Journal Year:
2025,
Volume and Issue:
197, P. 109342 - 109342
Published: Feb. 20, 2025
Language: Английский
Key SARS-CoV-2 testing strategies implemented in the UK: rationale and impact
Tom Fowler,
No information about this author
Chris Kenny,
No information about this author
Sarah Tunkel
No information about this author
et al.
Journal of the Royal Society of Medicine,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 28, 2025
Language: Английский
Clinical Significance of Neutralizing Antibodies in COVID-19: Implications for Disease Prognosis
Life,
Journal Year:
2025,
Volume and Issue:
15(3), P. 429 - 429
Published: March 8, 2025
The
pathogenesis
of
COVID-19
highlights
a
complex
relationship
between
disease
severity
and
neutralizing
antibodies
(NAbs).
We
aimed
to
investigate
the
relationships
among
total
NAb
(tNAb)
levels,
presence
potential
neutralization
(pNAbs),
clinical
outcomes
patients.
Patients
aged
≥18
years
diagnosed
October
2021
September
2022
were
grouped
by
symptom
severity.
Blood
samples
taken
at
two
time
points
data
on
demographics,
epidemiology,
vaccination
recorded.
tNAbs
pNAbs
measured
an
enhanced
chemiluminescence
assay
surrogate
virus
test,
respectively.
68
52
patients
analyzed.
Twenty-six
(38.2%)
had
severe
infection.
28-day
mortality
rate
was
16.2%
(n
=
11).
tNAb
levels
in
control
blood
(CBSs)
significantly
higher
than
those
admission
(ABSs)
(p
<
0.001).
statistical
analysis
showed
no
pNAbs.
Vaccinated
ABSs
CBSs
0.001
p
0.001,
respectively).
correlated
with
lower
0.026)
milder
course
0.041).
Although
these
findings
support
correlation
mortality,
their
seems
be
unrelated
favorable
outcomes.
Language: Английский
Learn from the SARS-CoV-2 nucleic acid test to increase the experience of dealing with the “disease X “
BMC Infectious Diseases,
Journal Year:
2025,
Volume and Issue:
25(1)
Published: April 24, 2025
RT‒PCR
is
crucial
for
screening
epidemic
diseases
such
as
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2).
However,
false
positives
further
plague
prevention
and
control.
This
study
conducted
a
stratified
on
the
initial
Ct
values
positive
ratios,
providing
experience
reference
addressing
future
"Disease
X".
Data
from
1,255
or
suspected
results
were
obtained
eleven
laboratories
with
seven
different
reagents.
The
proportion
of
was
analyzed
basis
among
reagents
various
testing
institutions.
When
both
target
genes
in
detection
<
30,
considered
small
probability
event
(≤
1.72%).
when
30
≤
value
35,
significant
differences
noted
(0%,
1.41%,
7.69%,
9.14%,
P
0.001).
any
gene
>
15.58
-
24.22%
may
be
positive.
Among
samples,
53.23%
according
to
retesting.
After
separate
sampling,
4
tubes
(30
people
involved)
19
(133
negative.
In
summary,
strategies
should
adopted
primary
under
pandemic
control
conditions,
which
provide
better
rapid
diagnosis
next
Language: Английский
Diagnosis, Severity, and Prognosis from Potential Biomarkers of COVID-19 in Urine: A Review of Clinical and Omics Results
Metabolites,
Journal Year:
2024,
Volume and Issue:
14(12), P. 724 - 724
Published: Dec. 22, 2024
The
COVID-19
pandemic,
caused
by
the
SARS-CoV-2
virus,
has
spurred
an
extraordinary
scientific
effort
to
better
understand
disease’s
pathophysiology
and
develop
diagnostic
prognostic
tools
guide
more
precise
effective
clinical
management.
Among
biological
samples
analyzed
for
biomarker
identification,
urine
stands
out
due
its
low
risk
of
infection,
non-invasive
collection,
suitability
frequent,
large-volume
sampling.
Integrating
data
from
omics
studies
with
standard
biochemical
analyses
offers
a
deeper
comprehensive
understanding
COVID-19.
This
review
aims
provide
detailed
summary
published
date
that
have
applied
on
identify
potential
biomarkers
In
July
2024,
advanced
search
was
conducted
in
Web
Science
using
query:
“covid*
(Topic)
AND
metabol*
(Topic)”.
included
results
up
14
October
2024.
retrieved
this
digital
were
evaluated
through
two-step
screening
process:
first
reviewing
titles
abstracts
eligibility,
then
retrieving
assessing
full
texts
articles
met
specific
criteria.
initial
913
studies,
which
45
ultimately
review.
most
robust
identified
include
kynurenine,
neopterin,
total
proteins,
red
blood
cells,
ACE2,
citric
acid,
ketone
bodies,
hypoxanthine,
amino
acids,
glucose.
causes
underlying
these
alterations
reflect
multisystemic
impact
COVID-19,
highlighting
key
processes
such
as
systemic
inflammation,
renal
dysfunction,
critical
hypoxia,
metabolic
stress.
Language: Английский