Table 3:
All discordant results with cycle threshold (Ct) values among the multiplex assays in this study
SARS-CoV-2 | ||||||
---|---|---|---|---|---|---|
Reference test | cobas 6800 | GeneXpert | LDT | Liat | ||
E | Viral Load (log10 RNA copies/mL) | Orf1a | E | E & N2 | E | Orf1 ab & N |
32.94 | 1.693 | 34.76 | 33.98 | 35.2 | NEG * | - |
34.67 | 1.167 | 36.66 | 36.31 | - | NEG | - |
35.79 | 0.827 | 36.94 | 35.18 | 39.2 | NEG | POS |
36.27 | 0.681 | 37.44 | 35.48 | NEG † , ‡ | NEG ‡ | POS |
36.85 | 0.505 | 35.5 | 34.86 | 38.2 | NEG | POS |
NEG | NEG | 40.79 § | NEG | NEG | NEG | - |
NEG | NEG | NEG | NEG | - | 36.89 ¶ | - |
NEG | NEG | NEG | NEG | NEG | - | POS |
19.81 | 5.682 | 20.49 | 20.14 | - | 21.80 (plus Flu A detected with Ct 40.46)** |
- |
Influenza A | ||||||
---|---|---|---|---|---|---|
Reference Test | cobas 6800 | GeneXpert | LDT | Liat | ||
Flu A1 | Flu A2 | Flu A | Flu A1 | Flu A2 | Flu A | Flu A |
33.1 | 33.3 | 31.62 | 29.9 | 31.2 | NEG | POS |
Visual inspection revealed amplification at Ct >35, but not detected by instrument
SARS-CoV-2 endpoint reported by GeneXpert was 1
Sample collected from patient 1 day earlier was positive for SARS-CoV-2 by reference method (Ct 32.44); likely false negative by GeneXpert and LDT
Sample collected December 2018, prior to COVID-19 pandemic and was positive for parainfluenza 2 (Ct 25.3); likely false positive SARS-CoV-2 by cobas
Sample collected February 2020 and was positive for human metapneumovirus (Ct 29.21); likely false positive SARS-CoV-2 by LDT
Sample was highly positive for SARS-CoV-2 and no Influenza A was detected by reference method nor cobas; likely false positive Influenza A by LDT
LDT = Laboratory-developed test