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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Nature Portfolio
2021
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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) |
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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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