Self-sampling of capillary blood for SARS-CoV-2 serology

Abstract Serological testing is emerging as a powerful tool to progress our understanding of COVID-19 exposure, transmission and immune response. Large-scale testing is limited by the need for in-person blood collection by staff trained in venepuncture, and the limited sensitivity of lateral flow te...

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Autores principales: Lottie Brown, Rachel L. Byrne, Alice Fraser, Sophie I. Owen, Ana I. Cubas-Atienzar, Christopher T. Williams, Grant A. Kay, Luis E. Cuevas, Joseph R. A. Fitchett, Tom Fletcher, Gala Garrod, Konstantina Kontogianni, Sanjeev Krishna, Stefanie Menzies, Tim Planche, Chris Sainter, Henry M. Staines, Lance Turtle, Emily R. Adams
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/9aa2f5d1ea794a83af7a2a1c7036d7bf
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spelling oai:doaj.org-article:9aa2f5d1ea794a83af7a2a1c7036d7bf2021-12-02T14:37:46ZSelf-sampling of capillary blood for SARS-CoV-2 serology10.1038/s41598-021-86008-52045-2322https://doaj.org/article/9aa2f5d1ea794a83af7a2a1c7036d7bf2021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-86008-5https://doaj.org/toc/2045-2322Abstract Serological testing is emerging as a powerful tool to progress our understanding of COVID-19 exposure, transmission and immune response. Large-scale testing is limited by the need for in-person blood collection by staff trained in venepuncture, and the limited sensitivity of lateral flow tests. Capillary blood self-sampling and postage to laboratories for analysis could provide a reliable alternative. Two-hundred and nine matched venous and capillary blood samples were obtained from thirty nine participants and analysed using a COVID-19 IgG ELISA to detect antibodies against SARS-CoV-2. Thirty eight out of thirty nine participants were able to self-collect an adequate sample of capillary blood (≥ 50 µl). Using plasma from venous blood collected in lithium heparin as the reference standard, matched capillary blood samples, collected in lithium heparin-treated tubes and on filter paper as dried blood spots, achieved a Cohen’s kappa coefficient of > 0.88 (near-perfect agreement, 95% CI 0.738–1.000). Storage of capillary blood at room temperature for up to 7 days post sampling did not affect concordance. Our results indicate that capillary blood self-sampling is a reliable and feasible alternative to venepuncture for serological assessment in COVID-19.Lottie BrownRachel L. ByrneAlice FraserSophie I. OwenAna I. Cubas-AtienzarChristopher T. WilliamsGrant A. KayLuis E. CuevasJoseph R. A. FitchettTom FletcherGala GarrodKonstantina KontogianniSanjeev KrishnaStefanie MenziesTim PlancheChris SainterHenry M. StainesLance TurtleEmily R. AdamsNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Lottie Brown
Rachel L. Byrne
Alice Fraser
Sophie I. Owen
Ana I. Cubas-Atienzar
Christopher T. Williams
Grant A. Kay
Luis E. Cuevas
Joseph R. A. Fitchett
Tom Fletcher
Gala Garrod
Konstantina Kontogianni
Sanjeev Krishna
Stefanie Menzies
Tim Planche
Chris Sainter
Henry M. Staines
Lance Turtle
Emily R. Adams
Self-sampling of capillary blood for SARS-CoV-2 serology
description Abstract Serological testing is emerging as a powerful tool to progress our understanding of COVID-19 exposure, transmission and immune response. Large-scale testing is limited by the need for in-person blood collection by staff trained in venepuncture, and the limited sensitivity of lateral flow tests. Capillary blood self-sampling and postage to laboratories for analysis could provide a reliable alternative. Two-hundred and nine matched venous and capillary blood samples were obtained from thirty nine participants and analysed using a COVID-19 IgG ELISA to detect antibodies against SARS-CoV-2. Thirty eight out of thirty nine participants were able to self-collect an adequate sample of capillary blood (≥ 50 µl). Using plasma from venous blood collected in lithium heparin as the reference standard, matched capillary blood samples, collected in lithium heparin-treated tubes and on filter paper as dried blood spots, achieved a Cohen’s kappa coefficient of > 0.88 (near-perfect agreement, 95% CI 0.738–1.000). Storage of capillary blood at room temperature for up to 7 days post sampling did not affect concordance. Our results indicate that capillary blood self-sampling is a reliable and feasible alternative to venepuncture for serological assessment in COVID-19.
format article
author Lottie Brown
Rachel L. Byrne
Alice Fraser
Sophie I. Owen
Ana I. Cubas-Atienzar
Christopher T. Williams
Grant A. Kay
Luis E. Cuevas
Joseph R. A. Fitchett
Tom Fletcher
Gala Garrod
Konstantina Kontogianni
Sanjeev Krishna
Stefanie Menzies
Tim Planche
Chris Sainter
Henry M. Staines
Lance Turtle
Emily R. Adams
author_facet Lottie Brown
Rachel L. Byrne
Alice Fraser
Sophie I. Owen
Ana I. Cubas-Atienzar
Christopher T. Williams
Grant A. Kay
Luis E. Cuevas
Joseph R. A. Fitchett
Tom Fletcher
Gala Garrod
Konstantina Kontogianni
Sanjeev Krishna
Stefanie Menzies
Tim Planche
Chris Sainter
Henry M. Staines
Lance Turtle
Emily R. Adams
author_sort Lottie Brown
title Self-sampling of capillary blood for SARS-CoV-2 serology
title_short Self-sampling of capillary blood for SARS-CoV-2 serology
title_full Self-sampling of capillary blood for SARS-CoV-2 serology
title_fullStr Self-sampling of capillary blood for SARS-CoV-2 serology
title_full_unstemmed Self-sampling of capillary blood for SARS-CoV-2 serology
title_sort self-sampling of capillary blood for sars-cov-2 serology
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/9aa2f5d1ea794a83af7a2a1c7036d7bf
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