Optimizing SARS-CoV-2 Surveillance in the United States: Insights From the National Football League Occupational Health Program
View abstract on PubMed
Summary
This summary is machine-generated.Daily COVID-19 testing in the NFL identified 2.4% of participants as positive. Routine RT-PCR enabled early detection, while antigen tests were less reliable for ruling out early infection.
Area Of Science
- Infectious Disease Epidemiology
- Public Health Surveillance
- Diagnostic Test Evaluation
Background
- Limited evidence exists on effective strategies for SARS-CoV-2 surveillance and early detection.
- Large-scale testing programs are crucial for managing infectious disease outbreaks in closed populations.
Purpose Of The Study
- To describe the outcomes of a comprehensive COVID-19 testing and monitoring program within the U.S. National Football League (NFL).
- To evaluate the effectiveness of different testing platforms for early SARS-CoV-2 detection.
Main Methods
- A large-scale monitoring program involving daily testing of NFL players and staff.
- Utilized multiple testing platforms: RT-PCR (Roche cobas, Thermo Fisher QuantStudio), Hologic Panther, and antigen point-of-care (aPOC) tests (Quidel Sofia).
- Testing conducted across 32 NFL clubs in 24 states during the 2020 NFL season.
Main Results
- A total of 632,370 tests were administered to 11,668 individuals, identifying 270 (2.4%) COVID-19 cases.
- RT-PCR platforms demonstrated positive predictive values ranging from 73.0% to 82.0%.
- High cycle threshold (Ct) values (33-37) often indicated early infection; 22% of positive results had Ct values >35. Antigen POC tests yielded negative results in 42.3% of confirmed COVID-19 cases.
Conclusions
- Routine RT-PCR testing facilitated early SARS-CoV-2 infection detection.
- Cycle threshold values served as a valuable indicator of infection stage.
- Antigen POC testing showed limitations in reliably ruling out early-stage COVID-19 infections.
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