Implementation of Antibody Rapid Diagnostic Testing versus Real-Time Reverse Transcription-PCR Sample Pooling in the Screening of COVID-19: a Case of Different Testing Strategies in Africa

ABSTRACT Coronavirus disease 2019 (COVID-19) has wreaked havoc across the globe; although the number of cases in Africa remains lower than in other regions, it is on a gradual upward trajectory. To date, COVID-19 cases have been reported in 54 out of 55 African countries. However, due to limited sev...

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Autores principales: Tinashe K. Nyazika, Rabelani Kaela, Mathias Mugoni, Kudakwashe Musomekwa, Eric Kyei-Baafour, Simbarashe Chiwanda, Prichard T. Mapondera, Tatenda S. Makawa, Elliot M. Sithole, George Mavunganidze, Justen Manasa, Kondwani C. Jambo, Cuthbert Musarurwa
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Publicado: American Society for Microbiology 2020
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spelling oai:doaj.org-article:57e592d6e77845ae91428a72e1600e292021-11-15T15:30:52ZImplementation of Antibody Rapid Diagnostic Testing versus Real-Time Reverse Transcription-PCR Sample Pooling in the Screening of COVID-19: a Case of Different Testing Strategies in Africa10.1128/mSphere.00524-202379-5042https://doaj.org/article/57e592d6e77845ae91428a72e1600e292020-08-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mSphere.00524-20https://doaj.org/toc/2379-5042ABSTRACT Coronavirus disease 2019 (COVID-19) has wreaked havoc across the globe; although the number of cases in Africa remains lower than in other regions, it is on a gradual upward trajectory. To date, COVID-19 cases have been reported in 54 out of 55 African countries. However, due to limited severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) real-time reverse transcription-PCR (rRT-PCR) testing capacity and scarcity of testing reagents, it is probable that the total number of cases could far exceed published statistics. In this viewpoint, using Ghana, Malawi, South Africa, and Zimbabwe as examples of countries that have implemented different testing strategies, we argue that the implementation of sample pooling for rRT-PCR over antibody rapid diagnostic testing could have a greater impact in assessing disease burden. Sample pooling offers huge advantages compared to single test rRT-PCR, as it reduces diagnostic costs, personnel time, burnout, and analytical run times. Africa is already strained in terms of testing resources for COVID-19; hence, cheaper alternative ways need to be implemented to conserve resources, maximize mass testing, and reduce transmission in the wider population.Tinashe K. NyazikaRabelani KaelaMathias MugoniKudakwashe MusomekwaEric Kyei-BaafourSimbarashe ChiwandaPrichard T. MaponderaTatenda S. MakawaElliot M. SitholeGeorge MavunganidzeJusten ManasaKondwani C. JamboCuthbert MusarurwaAmerican Society for Microbiologyarticleantibody rapid diagnostic testsample poolingrRT-PCRCOVID-19AfricaMicrobiologyQR1-502ENmSphere, Vol 5, Iss 4 (2020)
institution DOAJ
collection DOAJ
language EN
topic antibody rapid diagnostic test
sample pooling
rRT-PCR
COVID-19
Africa
Microbiology
QR1-502
spellingShingle antibody rapid diagnostic test
sample pooling
rRT-PCR
COVID-19
Africa
Microbiology
QR1-502
Tinashe K. Nyazika
Rabelani Kaela
Mathias Mugoni
Kudakwashe Musomekwa
Eric Kyei-Baafour
Simbarashe Chiwanda
Prichard T. Mapondera
Tatenda S. Makawa
Elliot M. Sithole
George Mavunganidze
Justen Manasa
Kondwani C. Jambo
Cuthbert Musarurwa
Implementation of Antibody Rapid Diagnostic Testing versus Real-Time Reverse Transcription-PCR Sample Pooling in the Screening of COVID-19: a Case of Different Testing Strategies in Africa
description ABSTRACT Coronavirus disease 2019 (COVID-19) has wreaked havoc across the globe; although the number of cases in Africa remains lower than in other regions, it is on a gradual upward trajectory. To date, COVID-19 cases have been reported in 54 out of 55 African countries. However, due to limited severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) real-time reverse transcription-PCR (rRT-PCR) testing capacity and scarcity of testing reagents, it is probable that the total number of cases could far exceed published statistics. In this viewpoint, using Ghana, Malawi, South Africa, and Zimbabwe as examples of countries that have implemented different testing strategies, we argue that the implementation of sample pooling for rRT-PCR over antibody rapid diagnostic testing could have a greater impact in assessing disease burden. Sample pooling offers huge advantages compared to single test rRT-PCR, as it reduces diagnostic costs, personnel time, burnout, and analytical run times. Africa is already strained in terms of testing resources for COVID-19; hence, cheaper alternative ways need to be implemented to conserve resources, maximize mass testing, and reduce transmission in the wider population.
format article
author Tinashe K. Nyazika
Rabelani Kaela
Mathias Mugoni
Kudakwashe Musomekwa
Eric Kyei-Baafour
Simbarashe Chiwanda
Prichard T. Mapondera
Tatenda S. Makawa
Elliot M. Sithole
George Mavunganidze
Justen Manasa
Kondwani C. Jambo
Cuthbert Musarurwa
author_facet Tinashe K. Nyazika
Rabelani Kaela
Mathias Mugoni
Kudakwashe Musomekwa
Eric Kyei-Baafour
Simbarashe Chiwanda
Prichard T. Mapondera
Tatenda S. Makawa
Elliot M. Sithole
George Mavunganidze
Justen Manasa
Kondwani C. Jambo
Cuthbert Musarurwa
author_sort Tinashe K. Nyazika
title Implementation of Antibody Rapid Diagnostic Testing versus Real-Time Reverse Transcription-PCR Sample Pooling in the Screening of COVID-19: a Case of Different Testing Strategies in Africa
title_short Implementation of Antibody Rapid Diagnostic Testing versus Real-Time Reverse Transcription-PCR Sample Pooling in the Screening of COVID-19: a Case of Different Testing Strategies in Africa
title_full Implementation of Antibody Rapid Diagnostic Testing versus Real-Time Reverse Transcription-PCR Sample Pooling in the Screening of COVID-19: a Case of Different Testing Strategies in Africa
title_fullStr Implementation of Antibody Rapid Diagnostic Testing versus Real-Time Reverse Transcription-PCR Sample Pooling in the Screening of COVID-19: a Case of Different Testing Strategies in Africa
title_full_unstemmed Implementation of Antibody Rapid Diagnostic Testing versus Real-Time Reverse Transcription-PCR Sample Pooling in the Screening of COVID-19: a Case of Different Testing Strategies in Africa
title_sort implementation of antibody rapid diagnostic testing versus real-time reverse transcription-pcr sample pooling in the screening of covid-19: a case of different testing strategies in africa
publisher American Society for Microbiology
publishDate 2020
url https://doaj.org/article/57e592d6e77845ae91428a72e1600e29
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