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Table 1 Qualitative assessment of DBS testing; type of extraction, PCR protocol, DBS samples input and overall percentage of DBS punches that tested positive for CMV DNA

From: Diagnosing congenital Cytomegalovirus infection: don’t get rid of dried blood spots

DNA Extraction method

PCR protocol

DBS samples imput

% of CMV-positive DBS with low viral load (< 4 log10 copie/ml)

% of CMV-positive DBS with moderate-high viral load (> 4 log10 copie/ml)

References

QIAamp DNA Investigator Kit (QIAGEN)

Real-time PCR

3 punches of 3.2 mm

88%

97%

[15]

QIAamp DNA Investigator Kit on QIAcube (QIAGEN)

Real-time PCR

3 punches of 3.2 mm

79%

100%

QIAamp DNA Mini Kit (QIAGEN)

Real-time PCR

3 punches of 3.2 mm

46%

91%

Thermal shock (methods by Barbi et al.)

Real-time PCR

1 punches of 6 mm

100%

100%

Thermal shock (methods by Barbi et al.)

Real-time PCR

3 punches of 3.2 mm

60%

90%

[16]

KOH-Tris Extracta DBS (QuantaBio)

Real-time PCR

3 punches of 3.2 mm

80%

98%

DNA Extract All (Applied Biosystems)

Real-time PCR

3 punches of 3.2 mm

83%

98%

Gentra Puregene (QIAGEN)

Real-time PCR

3 punches of 3.2 mm

67%

100%

M48 MagAttract DNA Mini ki (QIAGEN)

Real-time PCR

3 punches of 3.2 mm

58%

85%

Manual phenol-chloroform method

Conventional PCR

1 whole Spot (Ø 1 cm)

66%*

[18]

Manual phenol-chloroform method

Real-time PCR

1 whole Spot (Ø1cm)

82%*

easyMAG (BioMérieux)

Conventional PCR

1 whole Spot (Ø 1 cm)

45%*

easyMAG (BioMerieux)

Real-time PCR

1 whole Spot (Ø 1 cm)

73%*

  1. * Viral load not provided