Correlation of Rapid Antibody and RT-PCR Tests With Clinical and Radiological Findings in COVID-19 Patients Admitted to an Employee Health Outpatient Clinic


KÖSE Ş., ŞAMLIOĞLU P., DERVİŞ HAKİM G., Yiğitaslan M., Somay R., Tatar B., ...Daha Fazla

CYPRUS JOURNAL OF MEDICAL SCIENCES, cilt.7, 2022 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 7
  • Basım Tarihi: 2022
  • Doi Numarası: 10.4274/cjms.2021.2021-66
  • Dergi Adı: CYPRUS JOURNAL OF MEDICAL SCIENCES
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

BACKGROUND/AIM: To evaluate the results of simultaneous rapid antibody tests and Real-time polymerase chain reaction (RT-PCR) tests in patients diagnosed with coronavirus disease-2019 (COVID-19) retrospectively, and to evaluate the compatibility rates of these results with clinical and radiological findings. MATERIALS AND METHODS: Between March 31, 2020 and July 31, 2020, simultaneous COVID-19 RT-PCR and COVID-19 rapid antibody assay were applied to the health care personnel who were admitted to a healthcare personnel COVID-19 outpatient clinic with COVID-19 complaints. RESULTS: A total of 1010 healthcare personnel who were admitted to the healthcare personnel COVID-19 outpatient clinic were included in this study. One hundred and sixty-seven of them (16.54%) were doctors, and 363 (35.94%) were nurses or midwives. The most common symptoms were sore throat (27.92%), cough (25.94%) and weakness (14.75%). Throat nasal swab RT-PCR revealed that a total of 989 (98%) personnel had PCR negative, and 21 (2%) had PCR positive results. Sixteen (1.58%) personnel did not have a registered assay result. Rapid antibody test revealed that 1006 (99.6%) personnel had negative, and 4 (0.4%) personnel had positive results. When the assay results were evaluated with simultaneous computed tomography findings, 990 (98%) did not have any signs suggesting COVID-19. CONCLUSION: In serological rapid assays used to diagnose COVID-19, specific antibodies in the “window period” are at undetectable levels in the patient’s blood. Therefore, false negative results may be obtained. For this reason, serological tests cannot be used as the basic diagnostic tool for COVID-19 infections. Keywords: Coronavirus, pandemic, antibody tests, RT-PCR