I do not see in their methodology any controls for cross-reactivity to other coronaviruses. If I were reviewing the paper, I’d ask for those kinds of controls.
They will probably get it published due to the timeliness, but not sure it would be published otherwise.
“I do not see in their methodology any controls for cross-reactivity to other coronaviruses. If I were reviewing the paper, Id ask for those kinds of controls.”
From post 45 (copied from the article).
In the below, where do you see cross reactivity with Non SARS-Cov-2 as an issue?
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The test kit used in this study (Premier Biotech, Minneapolis, MN) was tested in a Stanford laboratory
prior to field deployment. Among 37 samples of known PCR-positive COVID-19 patients with positive
IgG or IgM detected on a locally-developed ELISA test, 25 were kit-positive. A sample of 30 pre-COVID
samples from hip surgery patients were also tested, and all 30 were negative. The manufacturers test
characteristics relied on samples from clinically confirmed COVID-19 patients as positive gold standard
and pre-COVID sera for negative gold standard. Among 75 samples of clinically confirmed COVID-19
patients with positive IgG, 75 were kit-positive, and among 85 samples with positive IgM, 78 were kitpositive. Among 371 pre-COVID samples, 369 were negative. Our estimates of sensitivity based on the
manufacturers and locally tested data were 91.8% (using the lower estimate based on IgM, 95 CI 83.8-
96.6%) and 67.6% (95 CI 50.2-82.0%), respectively. Similarly, our estimates of specificity are 99.5% (95
CI 98.1-99.9%) and 100% (95 CI 90.5-100%). A combination of both data sources provides us with a
combined sensitivity of 80.3% (95 CI 72.1-87.0%) and a specificity of 99.5% (95 CI 98.3-99.9%).