Infrared Based Saliva Screening Test for COVID-19

Angew Chem Int Ed Engl. 2021 Jul 26;60(31):17102-17107. doi: 10.1002/anie.202104453. Epub 2021 Jun 29.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has resulted in an unprecedented need for diagnostic testing that is critical in controlling the spread of COVID-19. We propose a portable infrared spectrometer with purpose-built transflection accessory for rapid point-of-care detection of COVID-19 markers in saliva. Initially, purified virion particles were characterized with Raman spectroscopy, synchrotron infrared (IR) and AFM-IR. A data set comprising 171 transflection infrared spectra from 29 subjects testing positive for SARS-CoV-2 by RT-qPCR and 28 testing negative, was modeled using Monte Carlo Double Cross Validation with 50 randomized test and model sets. The testing sensitivity was 93 % (27/29) with a specificity of 82 % (23/28) that included positive samples on the limit of detection for RT-qPCR. Herein, we demonstrate a proof-of-concept high throughput infrared COVID-19 test that is rapid, inexpensive, portable and utilizes sample self-collection thus minimizing the risk to healthcare workers and ideally suited to mass screening.

Keywords: COVID-19 diagnostic; Fourier transform infrared (FTIR) spectroscopy; Raman spectroscopy; SARS-CoV-2; saliva.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • COVID-19 / diagnosis*
  • COVID-19 Testing / methods*
  • Chlorocebus aethiops
  • Cohort Studies
  • Discriminant Analysis
  • Humans
  • Least-Squares Analysis
  • Monte Carlo Method
  • Point-of-Care Testing
  • Proof of Concept Study
  • SARS-CoV-2
  • Saliva / chemistry*
  • Sensitivity and Specificity
  • Specimen Handling
  • Spectrophotometry, Infrared
  • Vero Cells