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Tale of the Titers: Serologic Testing for SARS-CoV-2—Yes, No, and Maybe, With Clinical Examples From the IDSA Diagnostics Committee
Diagnosis of acute severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection relies on detection of viral antigens or amplified viral nucleic acids. Serology, although invaluable for epidemiology, is not routinely needed clinically. However, in some settings, serologic data may have dir...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9887253/ https://www.ncbi.nlm.nih.gov/pubmed/36726546 http://dx.doi.org/10.1093/ofid/ofac674 |
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author | Colgrove, Robert Bruno-Murtha, Lou Ann Chastain, Cody A Hanson, Kimberly E Lee, Francesca Odom John, Audrey R Humphries, Romney |
author_facet | Colgrove, Robert Bruno-Murtha, Lou Ann Chastain, Cody A Hanson, Kimberly E Lee, Francesca Odom John, Audrey R Humphries, Romney |
author_sort | Colgrove, Robert |
collection | PubMed |
description | Diagnosis of acute severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection relies on detection of viral antigens or amplified viral nucleic acids. Serology, although invaluable for epidemiology, is not routinely needed clinically. However, in some settings, serologic data may have direct clinical utility: for example, in evaluation of persistent symptoms in patients without a prior diagnosis of acute infection. In contrast, SARS-CoV-2 serologic testing is sometimes used or requested in situations in which existing data do not support it, such as determination of need for vaccination. In this study, we describe available methods of serologic testing and provide cases supported by clinical vignettes of where such tests can be helpful, as well as examples where they are not. These examples may help clarify clinical decision making in this rapidly evolving area. |
format | Online Article Text |
id | pubmed-9887253 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-98872532023-01-31 Tale of the Titers: Serologic Testing for SARS-CoV-2—Yes, No, and Maybe, With Clinical Examples From the IDSA Diagnostics Committee Colgrove, Robert Bruno-Murtha, Lou Ann Chastain, Cody A Hanson, Kimberly E Lee, Francesca Odom John, Audrey R Humphries, Romney Open Forum Infect Dis Review Article Diagnosis of acute severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection relies on detection of viral antigens or amplified viral nucleic acids. Serology, although invaluable for epidemiology, is not routinely needed clinically. However, in some settings, serologic data may have direct clinical utility: for example, in evaluation of persistent symptoms in patients without a prior diagnosis of acute infection. In contrast, SARS-CoV-2 serologic testing is sometimes used or requested in situations in which existing data do not support it, such as determination of need for vaccination. In this study, we describe available methods of serologic testing and provide cases supported by clinical vignettes of where such tests can be helpful, as well as examples where they are not. These examples may help clarify clinical decision making in this rapidly evolving area. Oxford University Press 2022-12-14 /pmc/articles/PMC9887253/ /pubmed/36726546 http://dx.doi.org/10.1093/ofid/ofac674 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of Infectious Diseases Society of America. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Review Article Colgrove, Robert Bruno-Murtha, Lou Ann Chastain, Cody A Hanson, Kimberly E Lee, Francesca Odom John, Audrey R Humphries, Romney Tale of the Titers: Serologic Testing for SARS-CoV-2—Yes, No, and Maybe, With Clinical Examples From the IDSA Diagnostics Committee |
title | Tale of the Titers: Serologic Testing for SARS-CoV-2—Yes, No, and Maybe, With Clinical Examples From the IDSA Diagnostics Committee |
title_full | Tale of the Titers: Serologic Testing for SARS-CoV-2—Yes, No, and Maybe, With Clinical Examples From the IDSA Diagnostics Committee |
title_fullStr | Tale of the Titers: Serologic Testing for SARS-CoV-2—Yes, No, and Maybe, With Clinical Examples From the IDSA Diagnostics Committee |
title_full_unstemmed | Tale of the Titers: Serologic Testing for SARS-CoV-2—Yes, No, and Maybe, With Clinical Examples From the IDSA Diagnostics Committee |
title_short | Tale of the Titers: Serologic Testing for SARS-CoV-2—Yes, No, and Maybe, With Clinical Examples From the IDSA Diagnostics Committee |
title_sort | tale of the titers: serologic testing for sars-cov-2—yes, no, and maybe, with clinical examples from the idsa diagnostics committee |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9887253/ https://www.ncbi.nlm.nih.gov/pubmed/36726546 http://dx.doi.org/10.1093/ofid/ofac674 |
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