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082 _ _ |a 610
100 1 _ |a Morales, Ivonne
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245 _ _ |a Performance and feasibility of self-microsampling of capillary blood and saliva for serological testing of SARS-CoV-2.
260 _ _ |a San Francisco, California, US
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520 _ _ |a Serology is a valuable tool to estimate infections, case-fatality rates, and immunity. However, venipuncture and clinical infrastructure hinder scalability. This study evaluated the performance, feasibility and user experience of using a microsampling device for self-collected capillary blood and saliva to determine total SARS-CoV-2 S RBD antibodies.It included 149 participants with (n = 48) or without (n = 101) a known history of SARS-CoV-2 infection and confirmed antibodies. Venous and capillary blood were self- or professionally collected from all, and saliva was self-collected by 46/48 participants with antibodies. The detection of SARS-CoV-2 S RBD antibodies in all sample types was tested using a high-throughput platform and agreement was calculated. Intra- and inter-rater agreement between serum and capillary blood in participants with an unknown antibody status was also assessed. Participants evaluated the device's user-friendliness through questionnaires.Among the 48 participants with known past infection and antibodies, agreement was 100% (95% CI: 92.6-100) between serum and capillary blood (self-collected or professionally collected). Self-collected saliva had slightly lower agreement with paired serum samples (95.7%, CI: 85.2-99.5). For the 101 participants without prior evidence of antibodies or infection, serum and self-collected capillary blood had good intra-rater agreement and serum and professionally collected capillary blood had almost perfect intra-rater agreement. Inter-rater agreement was also almost perfect. While 81.8% found the self-finger prick easy, 53.4% found using the microsampler easy. Among those who collected saliva, 84.8% found capillary blood easier to collect compared to saliva (52.2%).Our results show that detecting SARS-CoV-2 antibodies from capillary blood and saliva collected with the VAMS microsampling device is feasible and yields valid results. To ensure accuracy and reliability, additional training in self-sampling techniques may be essential. The positive user experience further underscores the microsampling device's potential for scalable serosurveillance and strengthening pandemic preparedness efforts.
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650 _ 7 |a Antibodies, Viral
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650 _ 2 |a Humans
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650 _ 2 |a Saliva: virology
|2 MeSH
650 _ 2 |a COVID-19: diagnosis
|2 MeSH
650 _ 2 |a COVID-19: blood
|2 MeSH
650 _ 2 |a COVID-19: virology
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a SARS-CoV-2: immunology
|2 MeSH
650 _ 2 |a SARS-CoV-2: isolation & purification
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Middle Aged
|2 MeSH
650 _ 2 |a Antibodies, Viral: blood
|2 MeSH
650 _ 2 |a Antibodies, Viral: analysis
|2 MeSH
650 _ 2 |a Adult
|2 MeSH
650 _ 2 |a Feasibility Studies
|2 MeSH
650 _ 2 |a COVID-19 Serological Testing: methods
|2 MeSH
650 _ 2 |a Aged
|2 MeSH
650 _ 2 |a Specimen Handling: methods
|2 MeSH
650 _ 2 |a Blood Specimen Collection: methods
|2 MeSH
650 _ 2 |a Capillaries
|2 MeSH
700 1 _ |a Bueggeln, Josh
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700 1 _ |a Denzler, Anna
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700 1 _ |a Sonntag-Buck, Vera
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700 1 _ |a Börner, Kathleen
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700 1 _ |a Chlanda, Petr
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700 1 _ |a Koeppel, Lisa
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700 1 _ |a Deckert, Andreas
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700 1 _ |a Bärnighausen, Till
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700 1 _ |a Knop, Michael
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700 1 _ |a Denkinger, Claudia M
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773 _ _ |a 10.1371/journal.pone.0327821
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