2020
DOI: 10.3389/fcimb.2020.00356
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Cotton-Tipped Plastic Swabs for SARS-CoV-2 RT-qPCR Diagnosis to Prevent Supply Shortages

Abstract: CDC and WHO guidelines for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) diagnosis only recommend synthetic fiber swabs for nasopharyngeal (NP) sampling. We show that cotton-tipped plastic swabs do not inhibit PCR and have equivalent performance to rayon swabs. Cotton-tipped plastic swabs are massively produced worldwide and would prevent swab supply shortages under the current high SARS-CoV-2 testing demands, particularly in developing countries.

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Cited by 39 publications
(38 citation statements)
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“…This report supports the use of PBS as a transport medium. Our results are supportive of those recently published, demonstrating the diagnostic reliability of cotton-tipped plastic swabs for NP sampling as compared to rayon-tipped swabs, transported in TRIS-EDTA ( Freire-Paspuel et al, 2020 ) Repurposed commonly used non-flocked swabs, paired with a readily available buffer provides a solution for COVID-19 testing during times of UTM and flocked NP swab shortages.…”
Section: Discussionsupporting
confidence: 91%
“…This report supports the use of PBS as a transport medium. Our results are supportive of those recently published, demonstrating the diagnostic reliability of cotton-tipped plastic swabs for NP sampling as compared to rayon-tipped swabs, transported in TRIS-EDTA ( Freire-Paspuel et al, 2020 ) Repurposed commonly used non-flocked swabs, paired with a readily available buffer provides a solution for COVID-19 testing during times of UTM and flocked NP swab shortages.…”
Section: Discussionsupporting
confidence: 91%
“…As we described above, we experienced a diagnosis disruption due to RNA extraction kits shortage. To prevent a new disruption due to the lack of swabs that Ecuador was experiencing, we carried out a validation study of cheap and locally produced cotton swabs for nasopharyngeal specimen collection prior to SARS-CoV-2 diagnosis [ 10 ]. Although CDC and WHO only endorse synthetic fiber swabs for SARS-CoV-2 diagnosis [ 11 , 12 ], our previous experience as ABG-One Health Research Group (UDLA) on zoonotic diseases surveillance supported our hypothesis that cotton swabs would be useful for sample collection prior to PCR based-diagnosis.…”
Section: Resultsmentioning
confidence: 99%
“…In addition, as seen, Ecuador experienced a supply shortage of synthetic fiber swabs that caused diagnosis disruption. 9…”
Section: Discussionmentioning
confidence: 99%