Performance and cost-effectiveness of a pooled testing strategy for SARS-CoV-2 using real-time polymerase chain reaction in Uganda

dc.contributor.authorBogerea, Naghib
dc.contributor.authorBongominb, Felix
dc.contributor.authorKatende, Andrew
dc.contributor.authorSsebambuliddee, Kenneth
dc.contributor.authorSsengooba, Willy
dc.contributor.authorSsenfuka, Henry
dc.contributor.authorKigozi, Edgar
dc.contributor.authorBiraro, Samuel
dc.contributor.authorKateete, David P.
dc.contributor.authorAndia-Biraro, Irene
dc.date.accessioned2023-11-25T08:48:52Z
dc.date.available2023-11-25T08:48:52Z
dc.date.issued2021-10-21
dc.description.abstractReal-time polymerase chain reaction (RT-PCR) remains the gold standard for detection of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). This study tested the performance of a pooled testing strategy for RT-PCR and its cost-effectiveness. In total, 1280 leftover respiratory samples collected be tween 19 April and 6 May 2021 were tested in 128 pools of 10 samples each, out of which 16 pools were positive. The positivity rate of the unpooled samples was 1.9% (24/1280). After parallel testing using the individual and pooled testing strategies, positive agreement was 100% and negative agree ment was 99.8%. The overall median cycle threshold (Ct) value of the unpooled samples was 29.8 (in terquartile range 22.3–34.3). Pools that remained positive when compared with the results of individ ual samples had lower median Ct values compared with those that turned out to be negative (28.8 versus 34.8; P=0.0.035). Pooled testing reduced the cost >4-fold. Pooled testing may be a more cost effective approach to diagnose SARS-CoV-2 in resource-limited settings without compromising diagnostic performance.en_US
dc.description.sponsorshipGovernment of Uganda through the Makerere University Research and Innovation Fund for COVID-19 researchen_US
dc.identifier.citationBogere, N., Bongomin, F., Katende, A., Ssebambulidde, K., Ssengooba, W., Ssenfuka, H., ... & Andia-Biraro, I. (2021). Performance and cost-effectiveness of a pooled testing strategy for SARS-CoV-2 using real-time polymerase chain reaction in Uganda. International Journal of Infectious Diseases, 113, 355-358.en_US
dc.identifier.otherhttps://doi.org/10.1016/j.ijid.2021.10.038
dc.identifier.urihttp://www.elsevier.com/locate/ijid
dc.identifier.urihttps://hdl.handle.net/20.500.14270/362
dc.language.isoenen_US
dc.publisherInternational Journal of Infectious Diseasesen_US
dc.subjectCOVID-19en_US
dc.subjectPooled testingen_US
dc.subjectRT-PCRen_US
dc.subjectSARS-CoV-2en_US
dc.subjectLMICen_US
dc.titlePerformance and cost-effectiveness of a pooled testing strategy for SARS-CoV-2 using real-time polymerase chain reaction in Ugandaen_US
dc.typeArticleen_US

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