Performances of the VitaPCR™ SARS-CoV-2 Assay during the second wave of the COVID-19 epidemic in France

J Med Virol. 2021 Jul;93(7):4351-4357. doi: 10.1002/jmv.26950. Epub 2021 Apr 1.

Abstract

To assess the practicability (usability and satisfaction) and analytical performances of the VitaPCR™ SARS-CoV-2 Assay (Credo Diagnostics Biomedical Pte. Ltd.), a rapid point-of-care nucleic acid amplification test (NAAT), by reference to real-time reverse-transcription polymerase chain reaction (rRT-PCR) for respiratory viruses. The practicability of the VitaPCR™ Assay and Instrument was assessed from usability evaluation and a satisfaction questionnaire. Nasopharyngeal swabs were collected from 239 patients with coronavirus disease 2019 (COVID-19)-like illness during the second epidemic wave, in Paris, France. Overall, the usability of the VitaPCR™ Instrument was high. The satisfaction questionnaire indicated a high appreciation of the VitaPCR™ NAAT mainly for the short duration of analysis in only 20 min. A total of 140 and 99 samples were positive and negative for SARS-CoV-2 RNA by rRT-PCR, respectively. In the event of significant viral load (i.e., N gene Ct values 33), the platform's analytical performances dropped significantly, with lower sensitivity, concordance, and accuracy, while its specificity remained high. The VitaPCR™ SARS-CoV-2 Assay is an accurate rapid point-of-care NAAT, suitable for clinical practice for the rapid diagnosis of COVID-19, especially in patients with COVID-19-suspected symptoms.

Keywords: COVID-19; NAAT; PCR; SARS-CoV-2; VitaPCR™; bedside testing; innovative approach; point-of-care; practicability; sensitivity; specificity.

MeSH terms

  • COVID-19 / diagnosis*
  • COVID-19 / epidemiology
  • COVID-19 Testing / methods*
  • Coronavirus Envelope Proteins / genetics
  • Coronavirus Nucleocapsid Proteins / genetics
  • Coronavirus RNA-Dependent RNA Polymerase / genetics
  • France / epidemiology
  • Humans
  • Nucleic Acid Amplification Techniques / methods*
  • Phosphoproteins / genetics
  • Point-of-Care Testing
  • Prospective Studies
  • Reverse Transcriptase Polymerase Chain Reaction / methods*
  • SARS-CoV-2 / genetics*
  • Sensitivity and Specificity
  • Surveys and Questionnaires
  • Viral Load / methods

Substances

  • Coronavirus Envelope Proteins
  • Coronavirus Nucleocapsid Proteins
  • Phosphoproteins
  • envelope protein, SARS-CoV-2
  • nucleocapsid phosphoprotein, SARS-CoV-2
  • Coronavirus RNA-Dependent RNA Polymerase
  • NSP12 protein, SARS-CoV-2