Feasibility of large-scale population testing for SARS-CoV-2 detection by self-testing at home

Abstract The simplicity and low cost of rapid point-of-care tests greatly facilitate large-scale population testing, which can contribute to controlling the spread of the COVID-19 virus. We evaluated the applicability of a self-testing strategy for SARS-CoV2 in a population-based, cross-sectional st...

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Autores principales: Paula Iruzubieta, Tatiana Fernández-Lanas, Laura Rasines, Lorena Cayon, Ana Álvarez-Cancelo, Alvaro Santos-Laso, Agustín García-Blanco, Soraya Curiel-Olmo, Joaquín Cabezas, Reinhard Wallmann, Emilio Fábrega, Víctor M. Martínez-Taboada, José L. Hernández, Marcos López-Hoyos, Jeffrey V. Lazarus, Javier Crespo
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:7b9e4027475d423480ce024e071262c02021-12-02T14:35:33ZFeasibility of large-scale population testing for SARS-CoV-2 detection by self-testing at home10.1038/s41598-021-89236-x2045-2322https://doaj.org/article/7b9e4027475d423480ce024e071262c02021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89236-xhttps://doaj.org/toc/2045-2322Abstract The simplicity and low cost of rapid point-of-care tests greatly facilitate large-scale population testing, which can contribute to controlling the spread of the COVID-19 virus. We evaluated the applicability of a self-testing strategy for SARS-CoV2 in a population-based, cross-sectional study in Cantabria, Spain, between April and May 2020. For the self-testing strategy, participants received the necessary material for the self-collection of blood and performance of a rapid antibody test using lateral flow immunoassay at home without the supervision of healthcare personnel. A total of 1,022 participants were enrolled. Most participants correctly performed the COVID-19 self-test the first time (91.3% [95% CI 89.4–92.9]). Only a minority of the participants (0.7%) needed the help of healthcare personnel, while 6.9% required a second kit delivery, for a total valid test result in 96.9% of the participants. Incorrect use of the self-test was not associated with the educational level, age over 65, or housing area. Prevalence of IgG antibodies against SARS-CoV2 for subjects with a valid rapid test result was 3.1% (95% CI 2.2–4.4), similar to the seroprevalence result obtained using a conventional approach carried out by healthcare professionals. In conclusion, COVID-19 self-testing should be considered as a screening tool.Paula IruzubietaTatiana Fernández-LanasLaura RasinesLorena CayonAna Álvarez-CanceloAlvaro Santos-LasoAgustín García-BlancoSoraya Curiel-OlmoJoaquín CabezasReinhard WallmannEmilio FábregaVíctor M. Martínez-TaboadaJosé L. HernándezMarcos López-HoyosJeffrey V. LazarusJavier CrespoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Paula Iruzubieta
Tatiana Fernández-Lanas
Laura Rasines
Lorena Cayon
Ana Álvarez-Cancelo
Alvaro Santos-Laso
Agustín García-Blanco
Soraya Curiel-Olmo
Joaquín Cabezas
Reinhard Wallmann
Emilio Fábrega
Víctor M. Martínez-Taboada
José L. Hernández
Marcos López-Hoyos
Jeffrey V. Lazarus
Javier Crespo
Feasibility of large-scale population testing for SARS-CoV-2 detection by self-testing at home
description Abstract The simplicity and low cost of rapid point-of-care tests greatly facilitate large-scale population testing, which can contribute to controlling the spread of the COVID-19 virus. We evaluated the applicability of a self-testing strategy for SARS-CoV2 in a population-based, cross-sectional study in Cantabria, Spain, between April and May 2020. For the self-testing strategy, participants received the necessary material for the self-collection of blood and performance of a rapid antibody test using lateral flow immunoassay at home without the supervision of healthcare personnel. A total of 1,022 participants were enrolled. Most participants correctly performed the COVID-19 self-test the first time (91.3% [95% CI 89.4–92.9]). Only a minority of the participants (0.7%) needed the help of healthcare personnel, while 6.9% required a second kit delivery, for a total valid test result in 96.9% of the participants. Incorrect use of the self-test was not associated with the educational level, age over 65, or housing area. Prevalence of IgG antibodies against SARS-CoV2 for subjects with a valid rapid test result was 3.1% (95% CI 2.2–4.4), similar to the seroprevalence result obtained using a conventional approach carried out by healthcare professionals. In conclusion, COVID-19 self-testing should be considered as a screening tool.
format article
author Paula Iruzubieta
Tatiana Fernández-Lanas
Laura Rasines
Lorena Cayon
Ana Álvarez-Cancelo
Alvaro Santos-Laso
Agustín García-Blanco
Soraya Curiel-Olmo
Joaquín Cabezas
Reinhard Wallmann
Emilio Fábrega
Víctor M. Martínez-Taboada
José L. Hernández
Marcos López-Hoyos
Jeffrey V. Lazarus
Javier Crespo
author_facet Paula Iruzubieta
Tatiana Fernández-Lanas
Laura Rasines
Lorena Cayon
Ana Álvarez-Cancelo
Alvaro Santos-Laso
Agustín García-Blanco
Soraya Curiel-Olmo
Joaquín Cabezas
Reinhard Wallmann
Emilio Fábrega
Víctor M. Martínez-Taboada
José L. Hernández
Marcos López-Hoyos
Jeffrey V. Lazarus
Javier Crespo
author_sort Paula Iruzubieta
title Feasibility of large-scale population testing for SARS-CoV-2 detection by self-testing at home
title_short Feasibility of large-scale population testing for SARS-CoV-2 detection by self-testing at home
title_full Feasibility of large-scale population testing for SARS-CoV-2 detection by self-testing at home
title_fullStr Feasibility of large-scale population testing for SARS-CoV-2 detection by self-testing at home
title_full_unstemmed Feasibility of large-scale population testing for SARS-CoV-2 detection by self-testing at home
title_sort feasibility of large-scale population testing for sars-cov-2 detection by self-testing at home
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/7b9e4027475d423480ce024e071262c0
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