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Table 1 General characteristics and outcomes related to saliva specimen of the included Studies

From: Saliva as a diagnostic specimen for detection of SARS-CoV-2 in suspected patients: a scoping review

Study team and reference

Sample

Method

Results

To KKW, et al., [9]

12 confirmed COVID-19 patients

Median age: 62.5 years

Age range: 37–75 years

Female: 5

Male: 7

Self-collected cough out-saliva

RT-PCR technique

Viral culture of SARS-CoV-2 was conducted: Virus-induced cytopathic effect was examined daily for up to 7 days.

The SARS-CoV-2 was detected in saliva specimens of 11 patients (91.7%).

Median viral load: 3.3 × 106 copies per ml.

Range of viral load: 9.9 × 102–1.2 × 108 copies per ml.

Viral cultures were positive for three patients.

Cheng VCC, et al., [17]

One confirmed SARS-CoV-2 patient

Self-collected saliva

Viral load of the pooled nasopharyngeal and throat swab: 3.3 × 106 copies per ml.

Viral load of self-collected saliva: 5.9 × 106 copies per ml.

Zheng S, et al., [18]

65 confirmed COVID-19 patients

Median age: 65 years

Male: 40 (61.5%)

Female: 25 (38.5%)

Self-collected cough out-saliva

RT-PCR technique

SARS-COV-2 detection rates were significantly higher in sputum (95.65%, 22/23) and saliva (88.09%, 37/42) than in throat swabs and nasal swabs (P < 0.001).

Viral load of sputum, saliva and nasal samples were significantly higher than that of throat swabs (P < 0.05).

No significant difference was between sputum and saliva samples regarding viral load (P < 0.05).

Chen L, et al., [19]

31 confirmed COVID-19 patients

Median age: 60.6 years

Age range: 18–86 years

Female: 15

Male: 16

Saliva was collected from the opening of the salivary gland canal of cleaned oral cavity.

RT-PCR technique

13 cases were tested positive for oropharyngeal swab detection.

Among these 13 patients, there were 4 cases with positive detection in saliva.

To KKW, et al., [20]

23 confirmed COVID-19 patients

Median age: 62 years

Age range: 37–75 years

Female: 10

Male: 13

Self-collected cough out-saliva

RT-PCR technique

The SARS-CoV-2 was detected in saliva specimens of 20 patients (87%).

The viral load in posterior oropharyngeal saliva samples was highest during the first week of symptom onset then gradually declined.

Williams E, et al., [21]

39 confirmed COVID-19 patients

50 PCR negative nasopharyngeal swabs

Self-collected saliva

RT-PCR technique

The SARS-CoV-2 was detected in saliva specimens of 33/39 patients (84.6%; 95% CI: 70.0–93.1%)

The SARS-CoV-2 was detected in 1 saliva specimen among 50 PCR negative nasopharyngeal swabs.

Zheng S, et al., [22]

96 confirmed COVID-19 patients

A total of 1846 respiratory (1178 saliva and 668 sputum) samples were collected.

Self-collected cough out-saliva was collected from patients without sputum

RT-PCR technique

The SARS-CoV-2 was detected in all 96 patients by testing respiratory samples.

Han MS, et al., [23]

A 27-day old neonate with COVID-19 who presented clinical symptoms

RT-PCR technique

The SARS-CoV-2 was detected in all of the neonate’s clinical specimens, including blood, urine, stool, and saliva along with the upper respiratory tract specimens.

Azzi L, et al., [24]

25 confirmed COVID-19 patients with severe or very severe disease

Mean age: 61.5 years

Age range: 39–85 years

Female: 8

Male: 17

Self-collected saliva (drooling technique)

RT-PCR technique

The SARS-CoV-2 was detected in all 25 patients’ first salivary swab

In two patients the salivary samples proved positive while their respiratory swabs showed negative results on the same days.

  1. RT-PCR Reverse transcription polymerase chain reaction, SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2