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Some laboratories have implemented kit-free protocols, but many others do not have the capacity to develop these and\/or perform manual processing. We provide multiple workflows for SARS-CoV-2 nucleic acid detection in clinical samples by comparing several commercially available RNA extraction methods: QIAamp Viral RNA Mini Kit (QIAgen), RNAdvance Blood\/Viral (Beckman) and Mag-Bind Viral DNA\/RNA 96 Kit (Omega Bio-tek). We also compared One-step RT-qPCR reagents: TaqMan Fast Virus 1-Step Master Mix (FastVirus, ThermoFisher Scientific), qPCRBIO Probe 1-Step Go Lo-ROX (PCR Biosystems) and Luna\u00ae Universal Probe One-Step RT-qPCR Kit (Luna, NEB). We used primer-probes that detect viral N (EUA CDC) and RdRP. RNA extraction methods provided similar results, with Beckman performing better with our primer-probe combinations. Luna proved most sensitive although overall the three reagents did not show significant differences. N detection was more reliable than that of RdRP, particularly in samples with low viral titres. Importantly, we demonstrated that heat treatment of nasopharyngeal swabs at 70\u00b0C for 10 or 30 min, or 90\u00b0C for 10 or 30 min (both original variant and B 1.1.7) inactivated SARS-CoV-2 employing plaque assays, and had minimal impact on the sensitivity of the qPCR in clinical samples. These findings make SARS-CoV-2 testing portable in settings that do not have CL-3 facilities. In summary, we provide several testing pipelines that can be easily implemented in other laboratories and have made all our protocols and SOPs freely available at\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/osf.io\/uebvj\/\" xlink:type=\"simple\">https:\/\/osf.io\/uebvj\/<\/jats:ext-link>\n                    .\n                  <\/jats:p>","DOI":"10.1371\/journal.pone.0256813","type":"journal-article","created":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T13:42:55Z","timestamp":1631713375000},"page":"e0256813","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":25,"title":["Resilient SARS-CoV-2 diagnostics workflows including viral heat inactivation"],"prefix":"10.1371","volume":"16","author":[{"given":"Maria Jose","family":"Lista","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro M.","family":"Matos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1034-4926","authenticated-orcid":true,"given":"Thomas J. 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Preliminary genomic characterisation of an emergent SARS-CoV-2 lineage in the UK defined by a novel set of spike mutations. Available at: https:\/\/virological.org\/t\/preliminary-genomic-characterisation-of-an-emergent-sars-cov-2-lineage-in-the-uk-defined-by-a-novel-set-of-spike-mutations\/563 (2020)."},{"key":"pone.0256813.ref023","article-title":"The Architecture of SARS-CoV-2 Transcriptome","volume":"181","author":"D Kim","year":"2020","journal-title":"Cell"},{"key":"pone.0256813.ref024","unstructured":"England, P. H. Understanding cycle threshold (Ct) in SARS-CoV-2 RT-PCR. A guide for health protection teams. 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