Validez interna de una prueba rápida de detección de antígenos COVID-19 en una residencia de mayores

  1. C. Diez Flecha 1
  2. A.M. Rivero Rodríguez 1
  3. T. Fernández-Villa 2
  4. P. Fernández García 3
  5. J.L. Ferreira de Jesús 1
  6. G. Sánchez Antolín 4
  1. 1 Gerencia de Atención Primaria de León, León, España
  2. 2 Grupo de Investigación en Interacciones Gen-Ambiente-Salud (GIIGAS), Instituto de Biomedicina (IBIOMED), Universidad de León, León, España
  3. 3 Complejo Asistencial Universitario de León, León, España
  4. 4 Sanidad de Castilla y León (SACYL), Junta de Castilla y León, Valladolid, España
Revista:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Año de publicación: 2021

Número: 5

Páginas: 332-336

Tipo: Artículo

DOI: 10.1016/J.SEMERG.2021.04.003 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Semergen: revista española de medicina de familia

Objetivos de desarrollo sostenible

Resumen

Introduction RT-qPCR is the reference test for the detection of SARS-CoV-2 infection, however, rapid antigen detection tests (RADT) are now available. In this work, the internal validity of the RADT was evaluated in the context of an outbreak in a nursing home. Methods Nasopharyngeal exudate samples were analyzed by RADT and RT-qPCR from 61 residents of a nursing home. The sensitivity and specificity of RADT with respect to RT-qPCR was calculated. Results Specificity was 100% (95% CI 54.1-100.0), while sensitivity in asymptomatic people was 70.3% (95% CI 53.0-84.1) and in symptomatic people 83.3% (95% CI 51.6-97.9). Conclusions The RADTs are sufficiently sensitive and specific to be used as screening tests in nursing homes, especially in situations of outbreaks or suspected outbreaks due to the presence of symptoms.

Referencias bibliográficas

  • J.M. Bellmunt, J.A. Caylà, J.P. Millet Estudio de contactos en infectados por SARS-CoV-2. El papel fundamental de la Atención Primaria y de la Salud Pública Semergen., 46 (Supl 1) (2020), pp. 55-64, 10.1016/j.semerg.2020.06.001 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • E. Blanco-Tarrio, G. Blanco Sánchez Atención primaria y residencias de ancianos: a propósito de la COVID-19 Semergen, 46 (Supl 1) (2020), pp. 26-34, 10.1016/j.semerg.2020.06.003 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • H. Blain, Y. Rolland, J.M.G.A. Schols, A. Cherubini, S. Miot, D. O’Neill, et al. August 2020 Interim EuGMS guidance to prepare European Long-Term Care Facilities for COVID-19 Eur Geriatr Med., 11 (2020), pp. 899-913, 10.1007/s41999-020-00405-z CrossRefView Record in ScopusGoogle Scholar
  • T.D.A. Ly, D. Zanini, V. Laforge, S. Arlotto, S. Gentile, H. Mendizabal, et al. Pattern of SARS-CoV-2 infection among dependant elderly residents living in long-term care facilities in Marseille, France, March-June 2020 Int J Antimicrob Agents., 56 (2020), p. 106219, 10.1016/j.ijantimicag.2020.106219 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • M. Linares, R. Pérez-Tanoira, A. Carrero, J. Romanyk, F. Pérez-García, P. Gómez-Herruz, et al. Panbio antigen rapid test is reliable to diagnose SARS-CoV-2 infection in the first 7 days after the onset of symptoms J Clin Virol., 133 (2020), p. 104659, 10.1016/j.jcv.2020.104659 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • F. Fenollar, A. Bouam, M. Ballouche, L. Fuster, E. Prudent, P. Colson, et al. Evaluation of the Panbio Covid-19 rapid antigen detection test device for the screening of patients with Covid-19 J Clin Microbiol., 59 (2021), p. e02589-20, 10.1128/JCM.02589-20 View Record in ScopusGoogle Scholar
  • O. Bulilete, P. Lorente, A. Leiva, E. Carandell, A. Oliver, E. Rojo, et al. Panbio™ rapid antigen test for SARS-CoV-2 has acceptable accuracy in symptomatic patients in primary health care J Infect., 82 (2021), pp. 391-398, 10.1016/j.jinf.2021.02.014 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • E. Albert, I. Torres, F. Bueno, D. Huntley, E. Molla, M.A. Fernández-Fuentes, et al. Field evaluation of a rapid antigen test (Panbio™ COVID-19 Ag Rapid Test Device) for COVID-19 diagnosis in primary healthcare centres Clin Microbiol Infect., 27 (2021), pp. 472.e7-472.e10, 10.1016/j.cmi.2020.11.004 ArticleDownload PDFGoogle Scholar