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The Journal of the Japanese Society for Clinical Microbiology

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[Vol.33 No.3 contents]
Japanese / English

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Article in Japanese

ArticleTitle Evaluation of guanidinium-based medium for GeneXpert and SmartGene to detection of SARS-CoV-2 RNA
Language J
AuthorList Yuzuka Kawamoto1), Daisuke Sakanashi1), Mina Takayama1), Narimi Miyazaki1), Tomoko Ohno1), Atsuko Yamada1), Akiko Nakamura1), Hirotoshi Ohta1), Hiroyuki Suematsu1), Sumie Chida2), Jun Hirai1,2), Yuka Yamagishi2,3), Hiroshige Mikamo1,2)
Affiliation 1) Department of Infection Control and Prevention, Aichi Medical University Hospital
2) Department of Clinical Infectious Diseases, Aichi Medical University Hospital
3) Department of Clinical Infectious Diseases, Kochi Medical School University
Publication J.J.C.M.: 33 (3), 201-205, 2023
Received December 23, 2022
Accepted March 16, 2023
Abstract The COVID-19 is diagnosed by reverse-transcription PCR in clinical laboratories. A medium containing guanidium thiocyanate is able to inactivate SARS-CoV-2 at the time of specimen collection, and it may reduce the risk of infection. In this study, we aimed to verify the suitability of guanidinium-based medium (GBM) for GeneXpert and SmartGene to detect SARS-CoV-2 RNA. The clinical specimens of nasopharyngeal swabs were collected from patients using a universal transport medium (UTM) or a GBM. The specimens were diagnosed by the reference method; cobas 8800. Thirty positive and fifteen negative specimens were selected from both group of UTM and GBM, and re-assayed in GeneXpert and SmartGene. As the result, no PCR inhibition result was observed for any specimen. The positive/negative agreement rates (%) of the combination settings using reference were as follows: GeneXpert-UTM 93/100; GeneXpert-GBM 100/100; SmartGene-UTM 80/100; and SmartGene-GBM 77/100. For the difference of the threshold cycle values with reference method, GBM-group was significantly lower (p < 0.01) than UTM-group, in both GeneXpert and SmartGene. In summary, our result suggested that the GBM can be an alternative tool to perform GeneXpert and SmartGene for the detection of SARS-CoV-2 RNA. We believe that GBM would provide a safety work-flow in the clinical laboratory.
Keywords GeneXpert, SmartGene
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