2021, Number 2
Use of Hank's salts, saline and phosphate buffer (PBS) as transport medium in the identification of SARS-CoV-2 by RT-PCR
Language: Spanish
References: 14
Page: 51-55
PDF size: 278.51 Kb.
ABSTRACT
Introduction: Early and timely detection of cases with the SARS-CoV-2 virus allows the implementation of isolation measures, which are aimed at mitigating the transmission of cases in this pandemic. Therefore, we show the evidence obtained in the handling of some alternatives as a means of transport for nasopharyngeal swab samples for the identification of SARS-CoV-2. Material and methods: Three transport media were prepared: 1) Hank's balanced salt solution, 2) 0.9% physiological saline, and 3) 1X phosphate buffer (PBS). The three media were supplemented with 5% heat inactivated fetal bovine serum and 1% penicillin/streptomycin. In the period May-July 2020, samples from all pediatric patients of the Hospital Infantil de México "Federico Gómez" who were tested for the detection of COVID-19 infection were included. In the analytical process of all cases, the values of the cycle threshold (Ct) of the viral genes and the internal control were recorded for the purposes of this study, only the value of the Ct of the human RNAase P gene (internal control) was used, to evaluate the presence of genetic material obtained in the sampling. Results: No differences were documented between the different means of viral transport, both in positive and negative cases. Conclusions: The use of viral transport media elaborated in diagnostic laboratories like ours are of great help for the identification of the SARS-CoV-2 virus without compromising the quality of the results, as long as the pertinent analysis and monitoring is carried out performance at all stages of the process and establish control points at each stage.REFERENCES
Parra-Ortega I, Carbajal-Franco E, Vilchis-Ordoñez A, Ángeles-Floriano T, Nieto-Rivera B, López-Martínez I et al. Distribución de los valores del Ct en la RT-PCR para SARS-CoV-2 al momento del diagnóstico en pacientes pediátricos mexicanos. Rev Mex Patol Clin Med Lab. 2020; 67 (4): 176-182. doi.org/10.35366/99463.
Heald-Sargent T, Muller WJ, Zheng X, Rippe J, Patel AB, Kociolek LK. Age-related differences in nasopharyngeal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) levels in patients with mild to moderate coronavirus disease 2019 (COVID-19). JAMA Pediatr. 2020; 174 (9): 902-903. doi: 10.1001/jamapediatrics.2020.3651.
Smith KP, Cheng A, Chopelas A, DuBois-Coyne S, Mezghani I, Rodriguez S et al. Large-scale, in-house production of viral transport media to support SARS-CoV-2 PCR testing in a multihospital health care network during the COVID-19 pandemic. J Clin Microbiol. 2020; 58 (8): e00913-e00920. doi: 10.1128/JCM.00913-20.
Rogers AA, Baumann RE, Borillo GA, Kagan RM, Batterman HJ, Galdzicki MM, Marlowe EM. Evaluation of transport media and specimen transport conditions for the detection of SARS-CoV-2 by use of real-time reverse transcription-PCR. J Clin Microbiol. 2020; 58 (8): e00708-e00720. doi: 10.1128/JCM.00708-20.
Rodino KG, Espy MJ, Buckwalter SP, Walchak RC, Germer JJ, Fernholz E et al. Evaluation of saline, phosphate-buffered saline, and minimum essential medium as potential alternatives to viral transport media for SARS-CoV-2 testing. J Clin Microbiol. 2020; 58 (6): e00590-e00520. doi: 10.1128/JCM.00590-20.