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. 2021 May 4;152(7):514–525.e8. doi: 10.1016/j.adaj.2021.04.019

eTable 1.

Available POC molecular diagnostic tests for COVID-19.

PRODUCT TEST AT HOME ACCESSIBILITY MULTIANALYTE METHOD RESULTS REPRESENTATION§ SAMPLE TYPE TARGET PERFORMANCE EVIDENCE FOR SARS-CoV-2# TIME TO RESULSTS
Cue COVID-19 Test for Home and OTC∗∗Use Yes OTC home testing, health care provider†† at POC No RT,‡‡ isothermal amplification Qualitative, instrument read Anterior nasal swab in adults (self-swabbing) or children ≥ 2 y of age (swabbed by an adult) Nucleocapsid gene LoD§§: 20 genome copies/sample wand
PPA¶¶: 97.4% (95% CI, 86.5% to 99.5%)
NPA##: 99.1% (95% CI, 96.9% to 99.8%)
~ 20 min
Visby Medical COVID-19 POC Test No Health care provider No RT-PCR∗∗∗ Qualitative, visual read Nasopharyngeal, anterior nasal, or Midturbinate swabs collected by a health care provider or anterior nasal or mid-turbinate swabs self-collected (by people aged ≥ 18 y, under the supervision of a health care provider) Nucleocapsid gene LoD: 435 copies/swab
PPA: 100.0% (95% CI, 89.0% to 100.0%)
NPA: 95.3% (95% CI, 87.1% to 98.4%)
~ 30 min
Xpert Xpress SARS-CoV-2 Test No Health care provider No Real-time RT-PCR Qualitative, instrument read Nasopharyngeal, nasal, or mid-turbinate swab Nucleocapsid gene, envelope protein gene LoD: 5.4 x 103 RNA NAAT‡‡‡ detectable units/milliliter
PPA: 97.8% (95% CI, 88.4% to 99.6%)
NPA: 95.6% (95% CI, 85.2% to 98.8%)
30 min for positives and ~ 45 min for negatives
Accula SARS-Cov-2 Test No Health care provider No PCR and lateral flow Qualitative, visual read Clinician-collected nasal or nasal mid-turbinate swab samples or clinician-instructed self-collected (collected on site) nasal swab Nucleocapsid gene LoD: 200 copies/reaction.
PPA: 95.8% (95% CI, 78.88% to 99.89%)
NPA: 100% (95% CI, 86.77% to 100%)
~ 30 min
BioFire Respiratory Panel 2.1-EZ No Health care provider Yes,16 viruses and 4 bacteria Real-time, nested multiplexed PCR Qualitative, instrument read Nasopharyngeal swab Spike protein gene and membrane protein gene Overall, 97.1% sensitivity and 99.3% specificity (prospective specimens)
98.0% sensitivity and 100% specificity (archived specimens)
100% PPA and 100% NPA (contrived specimens)
~ 45 min
Cobas SARS-CoV-2 & Influenza A/B Nucleic Acid Test No Health care provider SARS-CoV-2, influenza A and influenza B virus Multiplexed real-time RT-PCR Qualitative, instrument read Health care provider-collected nasopharyngeal and nasal swabs and self-collected nasal swabs (collected in a health care setting with instruction by a health care provider) RdRp gene (ORF1ab) and nucleocapsid gene LoD: 12 copies/mL
PPA: 100%
NPA: 100%
~ 20 min
Lucira COVID-19 All-in-One Test Kit Yes Prescription home testing, health care provider at POC No RT-loop mediated isothermal amplification Qualitative, instrument read Self-collected nasal swab in people aged ≥14 y and in people aged ≤ 13 y when the specimen is collected by a health care provider at the POC 2 non overlapping regions of the nucleocapsid gene LoD: 900 copies/mL
PPA: 94.1% (95%CI, 85.5% to 98.4%
NPA: 98.0% (95%CI, 89.4% to 99.9%)
< 30 min
ID NOW COVID-19 No Health care provider No RT, isothermal amplification Qualitative, instrument read Direct nasal, nasopharyngeal or throat swabs RdRp LoD: 125 genome equivalents/mL ≤ 13 min
Xpert Xpress SARS-CoV-2/Flu/RSV††† No Health care provider SARS-CoV-2, influenza A and influenza B virus, RSV Multiplexed real-time RT-PCR Qualitative, instrument read Nasopharyngeal or nasal swab Envelope and N-nucleocapsid (N2) LoD:131 copies/mL for COVID-19
PPA and NPA of 97.9% and 100.0% for SARS-CoV-2, respectively;
100.0% and 100.0% for influenza A, respectively; 100.0% and 99.0% for influenza B, respectively
100.0% and 100.0% for RSV, respectively
25 min for positive COVID-19 results and 36 min for all 4 pathogens
Cue COVID-19 Test No Health care provider No RT, isothermal amplification Qualitative, instrument read Direct nasal swabs Nucleocapsid gene LoD: 1,300 copies/mL
PPA 100%
NPA 92%
25 min

POC: Point-of-care.

As of April 5, 2021. An up-to-date list of POC molecular diagnostic tests is available online at the US Food and Drug Administration’s “In Vitro Diagnostics EUAs: Molecular Diagnostic Tests for SARS-CoV-2.”7 Those tests that have W in the Authorized Setting column are authorized for POC use. The link for each product’s user instruction is provided in the Authorization Documents section.

Products are listed according to the authorization date.

§

All of the mentioned products automate all aspects of nucleic acid testing, from nucleic acid extraction to results.

Nasal and nasopharyngeal swabs are contraindicated in people who are susceptible to nosebleeds or have had recent facial or head injury or surgery.

#

SARS-CoV-2: Severe acute respiratory syndrome coronavirus 2.

∗∗

OTC: Over-the-counter.

††

A health care provider includes, but is not limited to, physicians, dentists, nurses, pharmacists, technologists, laboratory directors, epidemiologists, or any other practitioners or allied health care professionals. The Centers for Disease Control and Prevention provides an online guideline for the collecting and handling of clinical specimens for COVID-19 testing.36

‡‡

RT: Reverse transcription.

§§

LoD: Limit of detection.

¶¶

PPA: Positive percentage agreement.

##

NPA: Negative percentage agreement.

∗∗∗

PCR: Polymerase chain reaction.

†††

NAAT: Nucleic acid amplification test.

‡‡‡

RSV: Respiratory syncytial virus.