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. 2024 Jan 16;8(4):328–335. doi: 10.3138/jammi-2022-0039

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