Evaluation of the analytical performance of the 15-minute point-of-care DASH™ SARS-CoV-2 RT-qPCR test

Diagn Microbiol Infect Dis. 2024 Jan;108(1):116120. doi: 10.1016/j.diagmicrobio.2023.116120. Epub 2023 Oct 21.

Abstract

Accurate and timely diagnosis for COVID-19 diagnosis allows highly effective antiviral medications to be prescribed. The DASH™ Rapid PCR System is a sample-to-answer point-of-care platform combining state-of-the-art PCR kinetics with sequence specific hybridization. The platform's first assay, the DASH™ SARS-CoV-2/S test for anterior nares direct swab specimens, received FDA Emergency Use Authorization in March 2022 for point-of-care use. Here we report the analytical characteristics of the assay including limit of detection, dynamic range, and robustness of SARS-CoV-2 variant detection. The limit of detection was determined by testing swabs contrived with one hundred copies of wild type or Omicron BA.5 virus and detecting 20/20 and 19/20, respectively. The dynamic range was assessed with contrived swabs containing 102-106 copies; the log-linear relationship between Cq and copy input was plotted, and the qPCR efficiency calculated from the slope of the line was 101.4%. Detection of seven SARS-CoV-2 variants was demonstrated.

Keywords: COVID-19; Diagnosis; Point-of-Care; Quantitative PCR.

MeSH terms

  • COVID-19 Testing
  • COVID-19* / diagnosis
  • Humans
  • Point-of-Care Systems*
  • SARS-CoV-2 / genetics
  • Sensitivity and Specificity

Supplementary concepts

  • SARS-CoV-2 variants