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Ramirez-Hinojosa JP, Rodriguez-Sanchez Y, Romero-Gonzalez AK, Chavez-Gutierrez M, Gonzalez-Arenas NR, Ibarra-Arce A, Arroyo-Escalante S, Zavaleta-Villa B, Leon-Juarez M, Cruz-Holguin VJ, Espinosa de Los Monteros-Perez LE, Olivo-Diaz A, Hernandez-Castro R, Suarez-Roa L, Prado-Calleros H, Sierra-Martinez O, Avila-Ramirez G, Flisser A, Maravilla P, Romero-Valdovinos M. Association between cycle threshold (C t ) values and clinical and laboratory data in inpatients with COVID-19 and asymptomatic health workers. J Med Virol 2021; 93:5969-5976. [PMID: 34196423 PMCID: PMC8427125 DOI: 10.1002/jmv.27170] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Accepted: 06/28/2021] [Indexed: 12/18/2022]
Abstract
In‐house assays for the diagnosis of severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) by quantitative reverse‐transcription polymerase chain reaction (qRT‐PCR), are feasible alternatives, particularly in developing countries. Cycle threshold (Ct) values obtained by qRT‐PCR were compared with clinical and laboratory data from saliva of inpatients with COVID‐19 and asymptomatic health workers (AHW) were studied. Saliva specimens from 58 inpatients confirmed by qRT‐PCR for SARS‐CoV‐2 using nasopharyngeal specimens, and 105 AHW were studied by qRT‐PCR using three sets of primers for the N (N1, N2, and N3) gene of SARS‐CoV‐2, according to the CDC Diagnostic Panel protocol, showing a positivity of 88% for inpatients and 8% for AHW. Bivariate analysis revealed an association between Ct < 38.0 values for N2 and mechanical ventilation assistance among patients (p = .013). In addition, values of aspartate‐transaminase, lactate dehydrogenase, and ferritin showed significant correlations with Ct values of N1 and N3 genes in inpatients. Therefore, our results show that Ct values correlate with some relevant clinical data for inpatients with COVID‐19.
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Affiliation(s)
| | | | | | | | | | - Aurora Ibarra-Arce
- División de Parasitología, Hospital General "Dr. Manuel Gea Gonzalez", Mexico City, Mexico
| | - Sara Arroyo-Escalante
- División de Parasitología, Hospital General "Dr. Manuel Gea Gonzalez", Mexico City, Mexico
| | - Beatriz Zavaleta-Villa
- División de Parasitología, Hospital General "Dr. Manuel Gea Gonzalez", Mexico City, Mexico
| | - Moises Leon-Juarez
- Departamento de Inmunobioquimica, Instituto Nacional de Perinatologia, Mexico City, Mexico
| | | | | | - Angelica Olivo-Diaz
- División de Parasitología, Hospital General "Dr. Manuel Gea Gonzalez", Mexico City, Mexico
| | | | - Lourdes Suarez-Roa
- División de Parasitología, Hospital General "Dr. Manuel Gea Gonzalez", Mexico City, Mexico
| | - Hector Prado-Calleros
- División de Parasitología, Hospital General "Dr. Manuel Gea Gonzalez", Mexico City, Mexico
| | | | - Guillermina Avila-Ramirez
- Microbiología y Parasitología, Facultad de Medicina, Universidad Nacional Autonoma de Mexico (UNAM), Mexico City, Mexico
| | - Ana Flisser
- Microbiología y Parasitología, Facultad de Medicina, Universidad Nacional Autonoma de Mexico (UNAM), Mexico City, Mexico
| | - Pablo Maravilla
- División de Parasitología, Hospital General "Dr. Manuel Gea Gonzalez", Mexico City, Mexico
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