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Article ; Online: Efficient and effective single-step screening of individual samples for SARS-CoV-2 RNA using multi-dimensional pooling and Bayesian inference.

Sobczyk, Juliana / Pyne, Michael T / Barker, Adam / Mayer, Jeanmarie / Hanson, Kimberly E / Samore, Matthew H / Noriega, Rodrigo

Journal of the Royal Society, Interface

2021  Volume 18, Issue 179, Page(s) 20210155

Abstract: ... screening protocol employs Bayesian inference to yield a reportable outcome for each individual sample ... for SARS-CoV-2. This screening protocol has substantial advantages for its implementation, including higher ... in a single testing step (no confirmation of positive results required). The proposed method is validated ...

Abstract Rapid and widespread implementation of infectious disease surveillance is a critical component in the response to novel health threats. Molecular assays are the preferred method to detect a broad range of viral pathogens with high sensitivity and specificity. The implementation of molecular assay testing in a rapidly evolving public health emergency, such as the ongoing COVID-19 pandemic, can be hindered by resource availability or technical constraints. We present a screening strategy that is easily scaled up to support a sustained large volume of testing over long periods of time. This non-adaptive pooled-sample screening protocol employs Bayesian inference to yield a reportable outcome for each individual sample in a single testing step (no confirmation of positive results required). The proposed method is validated using clinical specimens tested using a real-time reverse transcription polymerase chain reaction test for SARS-CoV-2. This screening protocol has substantial advantages for its implementation, including higher sample throughput, faster time to results, no need to retrieve previously screened samples from storage to undergo retesting, and excellent performance of the algorithm's sensitivity and specificity compared with the individual test's metrics.
MeSH term(s) Bayes Theorem ; COVID-19 ; Humans ; Pandemics ; RNA, Viral/genetics ; SARS-CoV-2 ; Sensitivity and Specificity
Chemical Substances RNA, Viral
Language English
Publishing date 2021-06-16
Publishing country England
Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID 2156283-0
ISSN 1742-5662 ; 1742-5689
ISSN (online) 1742-5662
ISSN 1742-5689
DOI 10.1098/rsif.2021.0155
Database MEDical Literature Analysis and Retrieval System OnLINE

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