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Comparative sensitivity evaluation for 122 CE-marked SARS-CoV-2 antigen rapid tests
Heinrich Scheiblauer; Angela Filomena; Andreas Nitsche; Andreas Puyskens; Victor Corman; Christian Drosten; Katrin Zwirglmaier; Constanze Lange; Petra Emmerich; Michael Mueller; Olivia Knauer; Micha Nuebling.
Affiliation
  • Heinrich Scheiblauer; Paul-Ehrlich-Institute, Paul-Ehrlich-Str. 51-59, D-63225 Langen
  • Angela Filomena; Paul-Ehrlich-Institute, Paul-Ehrlich-Str. 51-59, D-63225 Langen
  • Andreas Nitsche; Robert Koch-Institute, Seestrasse 10, D-13353 Berlin
  • Andreas Puyskens; Robert Koch-Institute, Seestrasse 10, D-13353 Berlin
  • Victor Corman; Institute of Virology, Charite, Chariteplatz 1, D-10117 Berlin
  • Christian Drosten; Institute of Virology, Charite, Chariteplatz 1, D-10117 Berlin
  • Katrin Zwirglmaier; Bundeswehr Institute of Microbiology, Neuherbergstr 11, D-80937 Munich
  • Constanze Lange; LADR GmbH, Lauenburger Str. 67, D-21502 Geesthacht
  • Petra Emmerich; Bernhard-Nocht Institute, Dep.Virology, Bernhard-Nocht Str. 74, D-20359 Hamburg
  • Michael Mueller; MVZ Labor 28 GmbH, Mecklenburgische Str. 2, D-14197 Berlin
  • Olivia Knauer; Paul-Ehrlich-Institute, Paul-Ehrlich-Str. 51-59, D-63225 Langen
  • Micha Nuebling; Paul-Ehrlich-Institut
Preprint in English | medRxiv | ID: ppmedrxiv-21257016
ABSTRACT
ObjectiveIndependent evaluation of the sensitivity of CE-marked SARS-CoV-2 antigen rapid diagnostic tests (Ag RDT) offered in Germany. MethodThe sensitivity of 122 Ag RDT was adressed using a common evaluation panel. Minimum sensitivity of 75% for panel members with CT<25 was used for differentiation of devices eligible for reimbursement in in the German healthcare system. ResultsThe sensitivity of different SARS-CoV-2 Ag RDT varied over a wide range. The sensitivity limit of 75% for panel members with CT <25 was met by 96 of the 122 tests evaluated; 26 tests exhibited lower sensitivity, few of which were completely failing. Some devices exhibited high sensitivity, e.g. 100% for CT<30. ConclusionThis comparative evaluation succeeded to distinguish less sensitive from better performing Ag RDT. Most of the Ag RDT evaluated appear to be suitable for fast identification of acute infections associated with high viral loads. Market access of SARS-CoV-2 Ag RDT should be based on minimal requirements for sensitivity and specificity.
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Full text: Available Collection: Preprints Database: medRxiv Type of study: Diagnostic study / Experimental_studies Language: English Year: 2021 Document type: Preprint
Full text: Available Collection: Preprints Database: medRxiv Type of study: Diagnostic study / Experimental_studies Language: English Year: 2021 Document type: Preprint
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