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Sniffing out safety : canine detection and identification of SARS-CoV-2 infection from armpit sweat

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Abstract
Detection dogs were trained to detect SARS-CoV-2 infection based on armpit sweat odor. Sweat samples were collected using cotton pads under the armpits of negative and positive human patients, confirmed by qPCR, for periods of 15-30 min. Multiple hospitals and organizations throughout Belgium participated in this study. The sweat samples were stored at -20 degrees C prior to being used for training purposes. Six dogs were trained under controlled atmosphere conditions for 2-3 months. After training, a 7-day validation period was conducted to assess the dogs' performances. The detection dogs exhibited an overall sensitivity of 81%, specificity of 98%, and an accuracy of 95%. After validation, training continued for 3 months, during which the dogs' performances remained the same. Gas chromatography/mass spectrometry (GC/MS) analysis revealed a unique sweat scent associated with SARS-CoV-2 positive sweat samples. This scent consisted of a wide variety of volatiles, including breakdown compounds of antiviral fatty acids, skin proteins and neurotransmitters/hormones. An acceptability survey conducted in Belgium demonstrated an overall high acceptability and enthusiasm toward the use of detection dogs for SARS-CoV-2 detection. Compared to qPCR and previous canine studies, the detection dogs have good performances in detecting SARS-CoV-2 infection in humans, using frozen sweat samples from the armpits. As a result, they can be used as an accurate pre-screening tool in various field settings alongside the PCR test.
Keywords
COVID-19, detection dogs, GC/MS (gas chromatograph/mass spectrometry), acceptability analysis, odor, axilla, vaccination, ACID, DOGS

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MLA
Callewaert, Chris, et al. “Sniffing out Safety : Canine Detection and Identification of SARS-CoV-2 Infection from Armpit Sweat.” FRONTIERS IN MEDICINE, vol. 10, 2023, doi:10.3389/fmed.2023.1185779.
APA
Callewaert, C., Pezavant, M., Vandaele, R., Meeus, B., Vankrunkelsven, E., Van Goethem, P., … Guyot, H. (2023). Sniffing out safety : canine detection and identification of SARS-CoV-2 infection from armpit sweat. FRONTIERS IN MEDICINE, 10. https://doi.org/10.3389/fmed.2023.1185779
Chicago author-date
Callewaert, Chris, Maria Pezavant, Rony Vandaele, Bart Meeus, Ellen Vankrunkelsven, Phaedra Van Goethem, Alain Plumacker, et al. 2023. “Sniffing out Safety : Canine Detection and Identification of SARS-CoV-2 Infection from Armpit Sweat.” FRONTIERS IN MEDICINE 10. https://doi.org/10.3389/fmed.2023.1185779.
Chicago author-date (all authors)
Callewaert, Chris, Maria Pezavant, Rony Vandaele, Bart Meeus, Ellen Vankrunkelsven, Phaedra Van Goethem, Alain Plumacker, Benoit Misset, Gilles Darcis, Sonia Piret, Lander De Vleeschouwer, Frank Staelens, Kristel Van Varenbergh, Sofie Tombeur, Anouck Ottevaere, Ilke Montag, Patricia Vandecandelaere, Stijn Jonckheere, Linos Vandekerckhove, Els Tobback, Gregoire Wieers, Jean-Christophe Marot, Kurt Anseeuw, Leen D’Hoore, Sebastiaan Tuyls, Brecht De Tavernier, Julie Catteeuw, Ali Lotfi, Alexey Melnik, Alexander Aksenov, Dominique Grandjean, Miguel Stevens, Frank Gasthuys, and Hugues Guyot. 2023. “Sniffing out Safety : Canine Detection and Identification of SARS-CoV-2 Infection from Armpit Sweat.” FRONTIERS IN MEDICINE 10. doi:10.3389/fmed.2023.1185779.
Vancouver
1.
Callewaert C, Pezavant M, Vandaele R, Meeus B, Vankrunkelsven E, Van Goethem P, et al. Sniffing out safety : canine detection and identification of SARS-CoV-2 infection from armpit sweat. FRONTIERS IN MEDICINE. 2023;10.
IEEE
[1]
C. Callewaert et al., “Sniffing out safety : canine detection and identification of SARS-CoV-2 infection from armpit sweat,” FRONTIERS IN MEDICINE, vol. 10, 2023.
@article{01HJ1BBWFBC3TY8MNT5H41WWPR,
  abstract     = {{Detection dogs were trained to detect SARS-CoV-2 infection based on armpit sweat odor. Sweat samples were collected using cotton pads under the armpits of negative and positive human patients, confirmed by qPCR, for periods of 15-30 min. Multiple hospitals and organizations throughout Belgium participated in this study. The sweat samples were stored at -20 degrees C prior to being used for training purposes. Six dogs were trained under controlled atmosphere conditions for 2-3 months. After training, a 7-day validation period was conducted to assess the dogs' performances. The detection dogs exhibited an overall sensitivity of 81%, specificity of 98%, and an accuracy of 95%. After validation, training continued for 3 months, during which the dogs' performances remained the same. Gas chromatography/mass spectrometry (GC/MS) analysis revealed a unique sweat scent associated with SARS-CoV-2 positive sweat samples. This scent consisted of a wide variety of volatiles, including breakdown compounds of antiviral fatty acids, skin proteins and neurotransmitters/hormones. An acceptability survey conducted in Belgium demonstrated an overall high acceptability and enthusiasm toward the use of detection dogs for SARS-CoV-2 detection. Compared to qPCR and previous canine studies, the detection dogs have good performances in detecting SARS-CoV-2 infection in humans, using frozen sweat samples from the armpits. As a result, they can be used as an accurate pre-screening tool in various field settings alongside the PCR test.}},
  articleno    = {{1185779}},
  author       = {{Callewaert, Chris and  Pezavant, Maria and  Vandaele, Rony and  Meeus, Bart and  Vankrunkelsven, Ellen and  Van Goethem, Phaedra and  Plumacker, Alain and  Misset, Benoit and  Darcis, Gilles and  Piret, Sonia and  De Vleeschouwer, Lander and  Staelens, Frank and  Van Varenbergh, Kristel and  Tombeur, Sofie and  Ottevaere, Anouck and  Montag, Ilke and  Vandecandelaere, Patricia and  Jonckheere, Stijn and Vandekerckhove, Linos and Tobback, Els and  Wieers, Gregoire and  Marot, Jean-Christophe and  Anseeuw, Kurt and  D'Hoore, Leen and  Tuyls, Sebastiaan and  De Tavernier, Brecht and  Catteeuw, Julie and  Lotfi, Ali and  Melnik, Alexey and  Aksenov, Alexander and  Grandjean, Dominique and  Stevens, Miguel and Gasthuys, Frank and  Guyot, Hugues}},
  issn         = {{2296-858X}},
  journal      = {{FRONTIERS IN MEDICINE}},
  keywords     = {{COVID-19,detection dogs,GC/MS (gas chromatograph/mass spectrometry),acceptability analysis,odor,axilla,vaccination,ACID,DOGS}},
  language     = {{eng}},
  pages        = {{14}},
  title        = {{Sniffing out safety : canine detection and identification of SARS-CoV-2 infection from armpit sweat}},
  url          = {{http://doi.org/10.3389/fmed.2023.1185779}},
  volume       = {{10}},
  year         = {{2023}},
}

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