Research Article

Evaluation of the LumiraDx SARS-CoV-2 antigen assay for large-scale population testing in Senegal

Moustapha Mbow*, Ibrahima Diallo, Mamadou Diouf, Marouba Cissé#, Moctar Gningue#, Aminata Mboup, Nafissatou Leye, Gora Lo, Yacine Amet Dia, Abdou Padane, Djibril Wade, Josephine Khady Badiane, Oumar Diop, Aminata Dia, Ambroise Ahouidi, Doudou George Massar Niang, Babacar Mbengue, Maguette Dème Sylla Niang, Papa Alassane Diaw, Tandakha Ndiaye Dieye, Badara Cisé, El Hadj Mamadou Mbaye, Alioune Dieye and Souleymane Mboup

Published: 05 January, 2022 | Volume 6 - Issue 1 | Pages: 001-006

Purpose: Real-time reverse-transcription polymerase chain reaction (RT-PCR)-based testing remains the gold standard for the diagnosis of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Due to the high diagnosis demand of SARS-CoV-2 and the limited resources for RT-PCR testing, especially in Low-Income Countries (LICs), antigen-based methods are being considered as an option. The aim of this study was to assess the performance of LumiraDx SARS-CoV-2 antigen assay for large population screening compared to RT-PCR.
Methods: This evaluation was conducted on 4146 participants including travelers and participants under household survey and vaccine evaluation studies before injection of the first dose. Oropharyngeal and nasopharyngeal swaps were collected from each participant into 2 mL of viral transport medium (VTM) and 400 μl of VTM were used to assess the performance of LumiraDx SARS-CoV-2 antigen assay, compared to RT-PCR. 
Results: The prevalence of SARS-CoV-2 of the cohort was 4.5% with RT-PCR and 4.1% with LumiraDx antigen test. Compared to the RT-PCR, the sensitivity and specificity of the LumiraDx antigen SARS-CoV-2 test were 82,7% [95% CI 74.1-89,7] and 99.9% [95% CI 99.6-99.9] respectively. Given the RT-PCR threshold cycle (Ct) range, the sensitivity was 92.1% [95% CI 84.6-96.3] when the Ct value was below or equal 33 cycles, and 38.1% [95% CI 18.9-61.3] when it was above 33 cycles. The inter-rater reliability showed a kappa coefficient of 0.88 when considering all the patients and 0.94 for Ct values below 33 cycles. 
Conclusion: Our data have shown that the LumiraDx platform can be considered for large-scale testing of SARS-CoV-2.

Read Full Article HTML DOI: 10.29328/journal.ijcv.1001041 Cite this Article Read Full Article PDF


LumiraDx; SARS-CoV-2; Large-scale testing; RT-PCR; Senegal


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