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Table. 2.

Comparison of real-time PCR Ct values for respiratory viruses and human RNase P

Virus NPS (Noble Bio) in transport medium NPS (Copan) in transport medium Nasal swab in transport medium (five swab rubs) Saliva swab in transport medium Saliva (no transport medium) P (Friedman test)
SARS-CoV-2 (N = 34)
E gene 23.3 (21.5–27.7) 24.5 (21.6–31.1) 29.1 (25.9–34.1) 35.4 (29.6–40.0) 34.6 (28.3–36.6) < 0.00001
RdRP gene 25.8 (24.3–30.7) 27.6 (23.7–32.5) 32.1 (28.4–36.9) 37.4 (32.7–40.0) 33.5 (30.2–38.6) < 0.00001
N gene 23.5 (22.1–28.4) 25.4 (22.0–31.2) 30.7 (27.2–34.2) 36.0 (30.5–40.0) 31.0 (28.5–37.2) < 0.00001
HRV (N = 5) 24.7 (24.0–32.6) 25.1 (24.2–30.1) 27.8 (25.4–33.5) 38.0 (36.4–40.2) NA 0.00073
HEV (N = 2) 33.5 (33.4–33.6) 37.1 (24.2–40.0) 34.6 (30.3–38.8) 38.5 (38.0–39.0) NA 0.142
PIV3 (N = 2) 31.1 (26.2–36.1) 33.6 (29.3–38.0) 36.1 (32.3–40.0) 37.2 (34.3–40.0) NA 0.0079
PIV4 (N = 1) 28.9 30.7 29.8 34.0 NA
RSV B (N = 1) 28.7 25.3 29.6 38.9 NA
Adenovirus (N = 1) 22.3 28.2 29.7 40.0 NA
HBoV (N = 1) 22.41 13.7 27.49 36.9 NA
Influenza A virus (N = 1) 36.1 32.9 37.7 40.0 NA
No virus (N = 8) NA NA NA NA NA
RNase P (N = 56) 32.9 (32.1–34.7) 33.3 (31.8–34.7) 34.6 (32.7–36.3) 32.7 (31.0–34.2) 28.7 (27.6–31.2) < 0.00001

The bold text indicates the lowest median Ct value (highest viral load) of real-time PCR among the five collection methods. Tests with negative results were defined as Ct=40. Data are expressed as medians (first to third quartiles).

Abbreviations: Ct, cycle threshold of real-time PCR; HBoV, human bocavirus; HEV, human enterovirus; HRV, human rhinovirus; NA, not applicable; NPS, nasopharyngeal swab; PIV3, parainfluenza virus type 3; PIV4, parainfluenza virus type 4; RSV, respiratory syncytial virus; SARS-CoV-2, severe acute respiratory syndrome-coronavirus 2; RdRP, RNA-dependent RNA polymerase.

Ann Lab Med 2023;43:434~442 https://doi.org/10.3343/alm.2023.43.5.434

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