19/jun/2021 06:14PM 32 Yrs/Male 19/jun/2021 12:08PM Dr. G.H. 01190178

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ITDOSE INFOSYSTEMS PVT. LTD.

Lab No. 012106190178 Rep. Date 19/Jun/2021 06:14PM


Name Mr.NITIN Age / Gender 32 YRS/MALE
Reg. Date 19/Jun/2021 12:08PM Ref. Dr. Dr. G.H.
Barcode 01190178 Sample Drawn dt 19/Jun/2021 01:56PM

MOLECULAR BIOLOGY
SARS-CoV-2(COVID-19) Qualitative By Real Time PCR
ICMR Registration Number : NARDIACPLARH
SRF ID : 0607300376499

SPECIMEN : Oropharyngeal/Nasopharyngeal Swab


RESULT : SARS-CoV-2 RNA : Negative
Qrf1a Not Detected
N gene Not Detected
Internal Control Ct 24.83
Method :- Real Time PCR

INTERPRETATION
A. For result as “DETECTED”:
1) Detected result indicates presence of SARS-CoV-2.
2) Each “Detected” result has been verified using confirmatory test.
3) False positive is rare globally.
4) A repeat test of freshly collected specimen may give different result due to the following –
a. From appearance of symptoms, Viral load reduces day by day and one may clear virus as early as 4.3 days¹. As viral load
reduces during recovery/resolution, the result of repeat testing, even within hours or day/s, can yield different results.
b. The new sample may have low viral load due to varied shedding of the virus.
c. Inherent variability due to improper sample collection and inadequate storage while due care is taken at Metropolis.
5) 80% of patients with “Detected” result may be asymptomatic.
6) A detected result does not distinguish between a viable/replicating organism and a non-viable organism

Print DateTime: 20/06/2021 1:43 AM Printed By: Page 1 of 3


Lab No. 012106190178 Rep. Date 19/Jun/2021 06:14PM
Name Mr.NITIN Age / Gender 32 YRS/MALE
Reg. Date 19/Jun/2021 12:08PM Ref. Dr. Dr. G.H.
Barcode 01190178 Sample Drawn dt 19/Jun/2021 01:56PM

B. For result as “NOT DETECTED”:
1) “Not Detected” result indicates absence of SARS-CoV-2 in the given specimen. However, it does not rule out the infection
completely and should not be used as the sole basis for making decisions related to treatment and other patient management
decisions.
2) “Not detected” result may be seen due to -
a. RT PCR done on Nasopharyngeal swab having 44% false negativity.
b. Test done too early or too late where the virus load is below detection limit.
c. Improperly collected and stored specimen.
d. Viral mutations
3) If a subsequent test is tested positive (detected), it may indicate an infection acquired subsequently or increase in viral load to
detectable level after the first test.

Disclaimers:
1. RNA viruses like SARS-CoV-2 (COVID 19) have a lot of genetic variability and it’s possible that certain virus detection
kits test cannot detect some strains of the viruses. Although efforts were made by manufacturers of the diagnostic kits
to design the test assays that target the parts of viral genome which are shared by all the different circulating viral
strains, there still might be some mismatch between the primers and the probes used in the test and the target regions
within the viruses.
2. Sensitivity of this test results depends upon the quality of the sample submitted for testing, stage of infection,
type of the specimen collected for testing, medical history and clinical presentation.
3. All approved kits being used also may have different positive and negative predictive values leading to mismatch
of results.
4. A careful consideration to combination of epidemiological factors, stage of infection, clinical history, examination,
other relevant investigation findings and treatment history should be done when interpreting test results.
5. Current knowledge about novel coronaviruses is evolving and more studies may be required for further evaluation
and review of facts indicated in this report.
Patient Instructions:
• Kindly consult referring Physician/ Authorized Govt. hospital for appropriate follow up.
• Details of all the positive patients will be communicated to Epidemiology Cell whom you are requested to support.
• “Detected” status needs to be notified to the appropriate authorities as per the existing rules/regulations, while we
shall also be doing the same
Clinical Background:
COVID-19 is a new disease, caused by a novel (or new) coronavirus SARS-CoV-2. Reported illnesses have ranged from mild
symptoms to severe illness and death for confirmed COVID-19 cases. Symptoms like Fever, Cough, and Shortness of
breath may appear 2-14 days after exposure. The virus is thought to spread mainly from person-to-person, between
people who are in close contact and through respiratory droplets. It can also spread from contact with infected surfaces
or objects.

Print DateTime: 20/06/2021 1:43 AM Printed By: Page 2 of 3


Lab No. 012106190178 Rep. Date 19/Jun/2021 06:14PM
Name Mr.NITIN Age / Gender 32 YRS/MALE
Reg. Date 19/Jun/2021 12:08PM Ref. Dr. Dr. G.H.
Barcode 01190178 Sample Drawn dt 19/Jun/2021 01:56PM

*** End Of Report ***

Print DateTime: 20/06/2021 1:43 AM Printed By: Page 3 of 3

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