The Detection of SARS-CoV2 Antigen in Wastewater Using an Automated Chemiluminescence Enzyme Immunoassay

Int J Environ Res Public Health. 2022 Jun 24;19(13):7783. doi: 10.3390/ijerph19137783.

Abstract

The SARS-CoV-2 virus, which is driving the current COVID-19 epidemic, has been detected in wastewater and is being utilized as a surveillance tool to establish an early warning system to aid in the management and prevention of future pandemics. qPCR is the method usually used to detect SARS-CoV-2 in wastewater. There has been no study using an immunoassay that is less laboratory-intensive than qPCR with a shorter turnaround time. Therefore, we aimed to evaluate the performance of an automated chemiluminescence enzyme immunoassay (CLEIA) for SARS-CoV-2 antigen in wastewater. The CLEIA assay achieved 100% sensitivity and 66.7% specificity in a field-captured wastewater sample compared to the gold standard RT-qPCR. Our early findings suggest that the SARS-CoV-2 antigen can be identified in wastewater samples using an automated CLEIA, reducing the turnaround time and improving the performance of SARS-CoV-2 wastewater monitoring during the pandemic.

Keywords: CLEIA; COVID-19; RT-qPCR; SARS-CoV-2 antigen; wastewater.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antigens, Viral / immunology
  • Antigens, Viral / isolation & purification
  • COVID-19* / epidemiology
  • COVID-19* / prevention & control
  • Humans
  • Immunoenzyme Techniques* / methods
  • Luminescent Measurements
  • SARS-CoV-2* / immunology
  • SARS-CoV-2* / isolation & purification
  • Sensitivity and Specificity
  • Wastewater* / virology
  • Wastewater-Based Epidemiological Monitoring

Substances

  • Antigens, Viral
  • Waste Water

Grants and funding

This study was supported by Ramathibodi Foundation.