Clinical validation of 3D-printed swabs in adults and children for SARS-CoV-2 detection.

Ana Laura Sanchez-Sandoval, Celia Sánchez-Pérez, José Antonio García-García, Silvia Plata Uriega-González, Guadalupe Mercedes Lucía Guerrero-Avendaño, Eira Valeria Barrón-Palma
Author Information
  1. Ana Laura Sanchez-Sandoval: Servicio de Medicina Genómica, Hospital General de México "Dr. Eduardo Liceaga", Mexico City, Mexico. ORCID
  2. Celia Sánchez-Pérez: Instituto de Ciencias Aplicadas y Tecnología de la Universidad Nacional Autónoma de México, Mexico City, Mexico. ORCID
  3. José Antonio García-García: Dirección de Educación y Capacitación en Salud. Hospital General de México "Dr. Eduardo Liceaga", Mexico City, Mexico.
  4. Silvia Plata Uriega-González: Servicio de Pediatría, Hospital General de México "Dr. Eduardo Liceaga", Mexico City, Mexico.
  5. Guadalupe Mercedes Lucía Guerrero-Avendaño: Dirección General, Hospital General de México "Dr. Eduardo Liceaga", Mexico City, Mexico.
  6. Eira Valeria Barrón-Palma: Servicio de Medicina Genómica, Hospital General de México "Dr. Eduardo Liceaga", Mexico City, Mexico. ORCID

Abstract

Throughout the entire coronavirus disease 19 (COVID-19) pandemic, there were disruptions in the supply chain of test materials around the world, primarily in poor- and middle-income countries. The use of 3D prints is an alternative to address swab supply shortages. In this study, the feasibility of the clinical use of 3D-printed swabs for oropharyngeal and nasopharyngeal sampling for the detection of SARS-CoV-2 infection was evaluated. For that purpose, paired samples with the 3D printed and the control swabs were taken from 42 adult patients and 10 pediatric patients, and the results obtained in the detection of SARS-CoV-2 by reverse transcription and quantitative polymerase chain reaction (RT-qPCR) were compared. Additionally, in those cases where the result was positive for SARS-CoV-2, the viral load was calculated by means of a mathematical algorithm proposed by us. For both adults and children, satisfactory results were obtained in the detection of SARS-CoV-2 by RT-qPCR; no significant differences were found in the quantification cycle values between the 3D-printed swab samples and the control samples. Furthermore, we corroborated that the 3D-printed swabs caused less discomfort and pain at the time of sampling. In conclusion, this study shows the feasibility of routinely using 3D-printed swabs for both adults and children. In this way, it is possible to maintain local and cheaper consumption along with fewer distribution difficulties.

Keywords

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