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10.1080/23744235.2021.1914857

http://scihub22266oqcxt.onion/10.1080/23744235.2021.1914857
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suck abstract from ncbi


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pmid33985403      Infect+Dis+(Lond) 2021 ; 53 (9): 661-668
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  • Covid-19 antigen testing: better than we know? A test accuracy study #MMPMID33985403
  • Homza M; Zelena H; Janosek J; Tomaskova H; Jezo E; Kloudova A; Mrazek J; Svagera Z; Prymula R
  • Infect Dis (Lond) 2021[Sep]; 53 (9): 661-668 PMID33985403show ga
  • BACKGROUND: Antigen testing for SARS-CoV-2 is considered to be less sensitive than the standard reference method - real-time PCR (RT-PCR). It has been suggested that many patients with positive RT-PCR 'missed' by antigen testing might be non-infectious. METHODS: In a real-world high-throughput setting for asymptomatic or mildly symptomatic patients, 494 patients were tested using RT-PCR as well as a single lateral flow antigen test (Ecotest, AssureTech, China). Where the results differed, virus viability was evaluated by cell culture. The test parameters were calculated with RT-PCR and RT-PCR adjusted on viability as reference standards. RESULTS: The overall sensitivity of the used antigen test related to the RT-PCR only was 76.2%, specificity was 97.3%. However, 36 out of 39 patients 'missed' by the antigen test contained no viable virus. After adjusting on that, the sensitivity grew to 97.7% and, more importantly for disease control purposes, the negative predictive value reached 99.2%. CONCLUSIONS: We propose that viability testing should be always performed when evaluating a new antigen test. A well-chosen and validated antigen test provides excellent results in identifying patients who are shedding viable virus (although some caveats still remain) in the real-world high-throughput setting of asymptomatic or mildly symptomatic individuals.
  • |*COVID-19[MESH]
  • |Antigens, Viral[MESH]
  • |China[MESH]
  • |Humans[MESH]
  • |SARS-CoV-2[MESH]


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