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. 2021 Jul;2(7):e311–e319. doi: 10.1016/S2666-5247(21)00056-2

Table 2.

Limits of detection

Number of tested samples 50% limit of detection*(log10 SARS-CoV-2 RNA copies per swab) 95% limit of detection*(log10 SARS-CoV-2 RNA copies per swab) Adjusted and converted 95% limit of detection*(SARS-CoV-2 RNA copies per swab§)
Abbott 105 5·61 (5·27–5·95) 7·45 (6·79–8·20) 3·52 × 106
RapiGEN 45 9·51 (8·84–12·26) 11·10 (9·71–17·01) 1·57 × 1010
Healgen 105 4·48 (3·41–5·32) 7·27 (6·27–8·40) 2·33 × 106
Coris BioConcept 105 7·60 (7·37–7·82) 8·36 (8·00–8·76) 2·86 × 107
R-Biopharm 105 5·40 (4·99–5·77) 7·22 (6·57–7·96) 2·07 × 106
nal von minden 105 7·19 (6·97–7·43) 7·87 (7·52–8·23) 9·27 × 106
Roche-SD Biosensor 115 5·64 (5·28–6·00) 7·68 (6·96–8·50) 5·98 × 106

AgPOCT=antigen point-of-care test.

*

Mean concentration that yields 50% or 95% positive AgPOCT results according to a binary logistic regression analysis; numbers in parentheses denote the 95% highest posterior density interval determined by the Bayesian binary logistic regression model.

Concentration per swab presumes that swabs are resuspended in 1 mL fluid during pre-analytical processes in RT-PCR used to measure viral loads.

Due to a systematic pre-analytical dilution factor in our AgPOCT evaluations, the projected mean concentrations at which 95% hit rates were achieved were corrected to be 8-fold lower (a cumulative correction factor representing all correction factors between the actual volume input in our validation studies and the volume input as per manufacturer's instructions); input volumes in all cases are subject to great variability due to the undefined volumes of viscous respiratory tract specimens taken up by swab sampling devices, and our statistical evaluation suggests a level of precision that does not reflect the clinical reality in AgPOCT use.

§

Values have been converted to non-logarithmic number, as normally reported in clinical practice.

Model fit was suboptimal due to a large difference in the number of positive and negative test results (figure 2).