Abstract

Corona virus disease (COVID-19) presents a serious threat to global health. A historical timeline of early molecular diagnostics from government alert (January 22) (D) was presented. After in silico analysis, Brazilian Army Institute of Biology (IBEx-RJ) tested samples in house using real-time reverse transcriptase polymerase chain reaction (RT-PCR) (fast mode) based on Centers for Disease Control and Prevention (CDC) recommendations. First cases from Brazil, Rio de Janeiro, IBEx, and diagnosis team were reported in D36, D44, D66, and D74 respectively. Therefore, after 1300 tests, we recommend N1/N2 primer sets (CDC) for preliminary and Charité protocol confirmation in case of positive results. Moreover, every professional should be tested before starting work, in addition to weekly tests for everyone involved.

Highlights

  • The tools used for the accurate diagnosis of these viral infections must have high sensitivity, specificity and preferably, affordability for the benefit of the entire population.[7]. The diagnosis of pathologies related to respiratory viruses in Brazil is mostly clinical, with low requisition of confirmatory laboratory tests, which results in the underreporting of these infections.[8]. Polymerase chain reaction (PCR) single plex tests have emerged in recent times, but they possess low resolvability due to the similarity in clinical signs and symptoms shared by many pathogens that cause respiratory viral infections

  • The new viral sequences were very different from all others, they were found to be closer to severe acute respiratory syndrome (SARS). [2] based on the limited information available regarding the primers of commercial respiratory panels, we concluded that it would not be possible to detect the new SARS-CoV-2 using these panels

  • Cycle conditions for SARS-Cov-2 real-time reverse transcriptase polymerase chain reaction (RT-PCR) detection based in Centers for Disease Control and Prevention (CDC) primers

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Summary

Introduction

The tools used for the accurate diagnosis of these viral infections must have high sensitivity, specificity and preferably, affordability for the benefit of the entire population.[7]. (2) based on the limited information available regarding the primers of commercial respiratory panels, we concluded that it would not be possible to detect the new SARS-CoV-2 using these panels.

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