Biomics

The paper considers the problematic aspects of detecting a new coronavirus infection using RT-PCR, which often lead to false negative diagnostic results, which occur both at the preanalytic stage and during nucleic acid amplification, including the interpretation of the obtained data. The viral load in humans was evaluated and assumptions were made about the expected number of viral particles in the studied oropharyngeal and nasopharyngeal samples. The list of diagnostic test systems approved for use in the Russian Federation for detecting SARS-CoV-2 with their brief characteristics is given. The necessity of simultaneous use of several targets in the coronavirus genome in one test system detected by probes with the same fluorochrome is noted, which on the one hand increases the probability of detection by increasing the signal, and on the other hand eliminates the false negative results that could occur in the case of mutations in the virus genome at the sites of annealing primers and hybridization probes.

coronavirus, SARS-CoV-2, RNA, COVID-19, diagnostics, real-time RT-PCR, digital PCR, false negative result, nasopharyngeal swab

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