Standard SARS-CoV-2 testing protocols using nasopharyngeal/throat (NP/T) swabs are invasive and require trained medical staff for reliable sampling. In addition, it has been shown that PCR is more sensitive as compared to antigen-based tests. Here we describe the analytical and clinical evaluation of our in-house RNA extraction-free saliva-based molecular assay for the detection of SARS-CoV-2. Analytical sensitivity of the test was equal to the sensitivity obtained in other Dutch diagnostic laboratories that process NP/T swabs. In this study, 955 individuals participated and provided NP/T swabs for routine molecular analysis (with RNA extraction) and saliva for comparison. Our RT-qPCR resulted in a sensitivity of 82,86% and a specificity of 98,94% compared to the gold standard. A false-negative ratio of 1,9% was found. The SARS-CoV-2 detection workflow described here enables easy, economical, and reliable saliva processing, useful for repeated testing of individuals.
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This research is part of a project which has been initiated by the Indonesian province of West Java and the Dutch province of Gelderland. The overall aim of the project is to create a seamless multi-modal supply chain between the two provinces, whereby increasing the sustainability and (cost-)efficiency of logistics activities. It is expected that this can be achieved by means of a Dry port to Dry port-concept (DP2DP-concept). The study presented in this paper focuses on the (potential) added value of a DP2DP-concept. This contribution first provides insight into what a dry port to dry port (DP2DP) concept entails. In addition, it also provides an overview of the key logistics performance indicators in the context of this concept. Finally, the added value of a DP2DP concept is elaborated on for each of the identified performance indicators.
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This research is part of a project which has been initiated by the Indonesian province of West Java and the Dutch province of Gelderland. The overall aim of the project is to create a seamless multi-modal supply chain between the two provinces, whereby increasing the sustainability and (cost-)efficiency of logistics activities. It is expected that this can be achieved by means of a Dry port to Dry port-concept (DP2DP-concept). The study presented in this paper focuses on the (potential) added value of a DP2DP-concept. This contribution first provides insight into what a dry port to dry port (DP2DP) concept entails. In addition, it also provides an overview of the key logistics performance indicators in the context of this concept. Finally, the added value of a DP2DP concept is elaborated on for each of the identified performance indicators.
MULTIFILE