The SARS-CoV-2 viral load in COVID-19 patients is lower on face mask filters than on nasopharyngeal swabs

Abstract Face masks and personal respirators are used to curb the transmission of SARS-CoV-2 in respiratory droplets; filters embedded in some personal protective equipment could be used as a non-invasive sample source for applications, including at-home testing, but information is needed about whet...

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Autores principales: Agnieszka Smolinska, David S. Jessop, Kirk L. Pappan, Alexandra De Saedeleer, Amerjit Kang, Alexandra L. Martin, Max Allsworth, Charlotte Tyson, Martine P. Bos, Matt Clancy, Mike Morel, Tony Cooke, Tom Dymond, Claire Harris, Jacqui Galloway, Paul Bresser, Nynke Dijkstra, Viresh Jagesar, Paul H. M. Savelkoul, Erik V. H. Beuken, Wesley H. V. Nix, Renaud Louis, Muriel Delvaux, Doriane Calmes, Benoit Ernst, Simona Pollini, Anna Peired, Julien Guiot, Sara Tomassetti, Andries E. Budding, Frank McCaughan, Stefan J. Marciniak, Marc P. van der Schee
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:c7a37bd15abe4d6ea9dd1420686639702021-12-02T14:33:51ZThe SARS-CoV-2 viral load in COVID-19 patients is lower on face mask filters than on nasopharyngeal swabs10.1038/s41598-021-92665-32045-2322https://doaj.org/article/c7a37bd15abe4d6ea9dd1420686639702021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92665-3https://doaj.org/toc/2045-2322Abstract Face masks and personal respirators are used to curb the transmission of SARS-CoV-2 in respiratory droplets; filters embedded in some personal protective equipment could be used as a non-invasive sample source for applications, including at-home testing, but information is needed about whether filters are suited to capture viral particles for SARS-CoV-2 detection. In this study, we generated inactivated virus-laden aerosols of 0.3–2 microns in diameter (0.9 µm mean diameter by mass) and dispersed the aerosolized viral particles onto electrostatic face mask filters. The limit of detection for inactivated coronaviruses SARS-CoV-2 and HCoV-NL63 extracted from filters was between 10 to 100 copies/filter for both viruses. Testing for SARS-CoV-2, using face mask filters and nasopharyngeal swabs collected from hospitalized COVID-19-patients, showed that filter samples offered reduced sensitivity (8.5% compared to nasopharyngeal swabs). The low concordance of SARS-CoV-2 detection between filters and nasopharyngeal swabs indicated that number of viral particles collected on the face mask filter was below the limit of detection for all patients but those with the highest viral loads. This indicated face masks are unsuitable to replace diagnostic nasopharyngeal swabs in COVID-19 diagnosis. The ability to detect nucleic acids on face mask filters may, however, find other uses worth future investigation.Agnieszka SmolinskaDavid S. JessopKirk L. PappanAlexandra De SaedeleerAmerjit KangAlexandra L. MartinMax AllsworthCharlotte TysonMartine P. BosMatt ClancyMike MorelTony CookeTom DymondClaire HarrisJacqui GallowayPaul BresserNynke DijkstraViresh JagesarPaul H. M. SavelkoulErik V. H. BeukenWesley H. V. NixRenaud LouisMuriel DelvauxDoriane CalmesBenoit ErnstSimona PolliniAnna PeiredJulien GuiotSara TomassettiAndries E. BuddingFrank McCaughanStefan J. MarciniakMarc P. van der ScheeNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Agnieszka Smolinska
David S. Jessop
Kirk L. Pappan
Alexandra De Saedeleer
Amerjit Kang
Alexandra L. Martin
Max Allsworth
Charlotte Tyson
Martine P. Bos
Matt Clancy
Mike Morel
Tony Cooke
Tom Dymond
Claire Harris
Jacqui Galloway
Paul Bresser
Nynke Dijkstra
Viresh Jagesar
Paul H. M. Savelkoul
Erik V. H. Beuken
Wesley H. V. Nix
Renaud Louis
Muriel Delvaux
Doriane Calmes
Benoit Ernst
Simona Pollini
Anna Peired
Julien Guiot
Sara Tomassetti
Andries E. Budding
Frank McCaughan
Stefan J. Marciniak
Marc P. van der Schee
The SARS-CoV-2 viral load in COVID-19 patients is lower on face mask filters than on nasopharyngeal swabs
description Abstract Face masks and personal respirators are used to curb the transmission of SARS-CoV-2 in respiratory droplets; filters embedded in some personal protective equipment could be used as a non-invasive sample source for applications, including at-home testing, but information is needed about whether filters are suited to capture viral particles for SARS-CoV-2 detection. In this study, we generated inactivated virus-laden aerosols of 0.3–2 microns in diameter (0.9 µm mean diameter by mass) and dispersed the aerosolized viral particles onto electrostatic face mask filters. The limit of detection for inactivated coronaviruses SARS-CoV-2 and HCoV-NL63 extracted from filters was between 10 to 100 copies/filter for both viruses. Testing for SARS-CoV-2, using face mask filters and nasopharyngeal swabs collected from hospitalized COVID-19-patients, showed that filter samples offered reduced sensitivity (8.5% compared to nasopharyngeal swabs). The low concordance of SARS-CoV-2 detection between filters and nasopharyngeal swabs indicated that number of viral particles collected on the face mask filter was below the limit of detection for all patients but those with the highest viral loads. This indicated face masks are unsuitable to replace diagnostic nasopharyngeal swabs in COVID-19 diagnosis. The ability to detect nucleic acids on face mask filters may, however, find other uses worth future investigation.
format article
author Agnieszka Smolinska
David S. Jessop
Kirk L. Pappan
Alexandra De Saedeleer
Amerjit Kang
Alexandra L. Martin
Max Allsworth
Charlotte Tyson
Martine P. Bos
Matt Clancy
Mike Morel
Tony Cooke
Tom Dymond
Claire Harris
Jacqui Galloway
Paul Bresser
Nynke Dijkstra
Viresh Jagesar
Paul H. M. Savelkoul
Erik V. H. Beuken
Wesley H. V. Nix
Renaud Louis
Muriel Delvaux
Doriane Calmes
Benoit Ernst
Simona Pollini
Anna Peired
Julien Guiot
Sara Tomassetti
Andries E. Budding
Frank McCaughan
Stefan J. Marciniak
Marc P. van der Schee
author_facet Agnieszka Smolinska
David S. Jessop
Kirk L. Pappan
Alexandra De Saedeleer
Amerjit Kang
Alexandra L. Martin
Max Allsworth
Charlotte Tyson
Martine P. Bos
Matt Clancy
Mike Morel
Tony Cooke
Tom Dymond
Claire Harris
Jacqui Galloway
Paul Bresser
Nynke Dijkstra
Viresh Jagesar
Paul H. M. Savelkoul
Erik V. H. Beuken
Wesley H. V. Nix
Renaud Louis
Muriel Delvaux
Doriane Calmes
Benoit Ernst
Simona Pollini
Anna Peired
Julien Guiot
Sara Tomassetti
Andries E. Budding
Frank McCaughan
Stefan J. Marciniak
Marc P. van der Schee
author_sort Agnieszka Smolinska
title The SARS-CoV-2 viral load in COVID-19 patients is lower on face mask filters than on nasopharyngeal swabs
title_short The SARS-CoV-2 viral load in COVID-19 patients is lower on face mask filters than on nasopharyngeal swabs
title_full The SARS-CoV-2 viral load in COVID-19 patients is lower on face mask filters than on nasopharyngeal swabs
title_fullStr The SARS-CoV-2 viral load in COVID-19 patients is lower on face mask filters than on nasopharyngeal swabs
title_full_unstemmed The SARS-CoV-2 viral load in COVID-19 patients is lower on face mask filters than on nasopharyngeal swabs
title_sort sars-cov-2 viral load in covid-19 patients is lower on face mask filters than on nasopharyngeal swabs
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/c7a37bd15abe4d6ea9dd142068663970
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