Table 5 Evaluation of RT-LAMP assay without RNA extraction step. Dilution rate of virus Template 10−2 10−3 10−4 10−5 10−6 10−7 Water Direct RT-LAMP Swab solution Time (min) 5.5 6.0 6.8 7.5 10.5 - - 5.3 6.0 6.8 7.3 9.0 10.5 - 5.5 6.0 7.3 7.5 9.0 - - Average 5.4 6.0 6.9 7.4 9.5 - - SD 0.1 0.0 0.2 0.1 0.7 - - Positive 3/3 3/3 3/3 3/3 3/3 1/3 0/3 RT-LAMP RNA Time (min) 4.3 5.0 5.8 6.5 7.3 - - 5.5 6.0 7.3 7.5 9.0 - - 4.8 5.8 6.3 6.8 7.5 9.5 - Average 4.8 5.6 6.4 6.9 7.9 - - SD 0.5 0.4 0.6 0.4 0.8 - - Positive 3/3 3/3 3/3 3/3 3/3 1/3 0/3 Direct RT-qPCR Swab solution Ct value 23.14 26.47 29.86 33.43 36.40 - - 23.22 26.50 29.87 33.29 36.93 - - 23.01 26.46 29.75 33.28 36.96 - - Average 23.12 26.48 29.83 33.34 36.76 - - SD 0.09 0.02 0.05 0.07 0.26 - - copies/ reaction 1.14× 106 9.07×104 6.92×103 4.62×102 4.87×101 - - 1.06× 106 8.84×104 6.89×103 5.12×102 3.25×101 - - 1.25× 10−6 9.15×104 7.50×103 5.17×102 3.17×101 - - Average 1.15×106 9.02×104 7.10×104 4.97×102 3.77×101 - - SD 7.73×104 1.30×103 2.81×102 2.49×101 7.85×100 - - Positive 3/3 3/3 3/3 3/3 3/3 0/3 0/3 RT-qPCR RNA Ct value 20.89 24.29 27.76 31.13 34.70 38.95 - 20.97 24.34 27.80 31.18 34.35 37.66 - 20.75 24.28 27.65 31.00 34.51 38.16 - Average 20.87 24.30 27.74 31.10 34.52 38.26 - SD 0.09 0.03 0.07 0.07 0.14 0.53 - copies/ reaction 6.23×106 4.75×105 3.41×104 2.64×103 1.77×102 7.03×100 - 5.85×106 4.56×105 3.29×104 2.55×103 2.29×102 1.87×101 - 6.93×106 4.77×105 3.72×104 2.92×103 2.04×102 1.28×101 - Average 6.33×106 4.69×105 3.47×104 2.71×103 2.03×102 1.28×101 - SD 4.45×105 9.44×104 1.78×103 1.56×102 2.14×101 4.78×100 - Positive 3/3 3/3 3/3 3/3 3/3 3/3 0/3