Strand-Specific Reverse Transcription PCR for Detection of Replicating SARS-CoV-2

Emerg Infect Dis. 2021 Feb;27(2):632-635. doi: 10.3201/eid2702.204168.

Abstract

We developed an assay that detects minus-strand RNA as a surrogate for actively replicating severe acute respiratory syndrome coronavirus 2. We detected minus-strand RNA in 41 persons with coronavirus disease up to 30 days after symptom onset. This assay might inform clinical decision-making about patient infectiousness.

Keywords: 2019 novel coronavirus disease; COVID-19; PCR; RNA; SARS-CoV-2; coronavirus; coronavirus disease; diagnosis; infection control; minus strand; respiratory infections; screening; severe acute respiratory syndrome coronavirus 2; testing; viruses; zoonoses.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • COVID-19 / diagnosis*
  • COVID-19 / transmission
  • COVID-19 Nucleic Acid Testing / methods
  • COVID-19 Nucleic Acid Testing / standards*
  • Clinical Decision-Making
  • Disease Transmission, Infectious
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • RNA, Viral / analysis*
  • RNA, Viral / physiology
  • Retrospective Studies
  • Reverse Transcriptase Polymerase Chain Reaction
  • SARS-CoV-2 / genetics*
  • SARS-CoV-2 / physiology
  • Virus Replication / genetics*

Substances

  • RNA, Viral