Are the COVID-19 PCR tests accurate?

RT-PCR tests are very accurate when properly performed by a health care professional, but the rapid test can miss some cases. Antigen test. This COVID-19 test detects certain proteins in the virus. Using a long nasal swab to get a fluid sample, some antigen tests can produce results in minutes.
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Which COVID-19 tests are more accurate PCR or antigen tests?


PCR tests are more accurate than antigen tests. "PCR tests are the gold standard for detecting SARS-CoV-2," says Dr. Broadhurst. "It is the most accurate testing modality that we have.

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Why PCR is better than the rapid COVID-19 test?


“PCR tests are more reliable and accurate due to testing the specific genetic material of the virus, eliminating the interference from other viruses,” said Heather Seyko, a Laboratory Services manager for OSF HealthCare.

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How long can you test positive on PCR for COVID-19?

According to the Centers for Disease Control and Prevention, some people who contract COVID-19 can have detectable virus for up to three months, but that doesnt mean they are contagious.
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What is a PCR test in the context of COVID-19 testing?

A PCR test stands for polymerase chain reaction test. This is a diagnostic test that determines if you are infected by analyzing a sample to see if it contains genetic material from the virus.
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What is the difference between a PCR test and a rapid COVID-19 test?


“Unlike the PCR test, the antigen test can only determine if you have an active virus in your body. The rapid test can't detect small amounts of the virus or asymptomatic cases as accurately as the PCR test can,” Heather said. The rapid test is less accurate and there is a greater chance for a false negative.

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What kind of tests are used to see if you have COVID-19?


Diagnostic tests can show if you currently are infected with SARS-CoV-2, the virus that causes COVID-19. There are two types of COVID-19 diagnostic tests: Molecular tests, such as polymerase chain reaction (PCR) tests. Antigen tests, often referred to as rapid tests.

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Why might someone continue to test positive for COVID-19 after isolation?


According to Benjamin tenOever, a microbiologist at the NYU Grossman School of Medicine, some people may continue to test positive because the weakened virus keeps replicating, or because of broken virus genomes.

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Are recovered persons with persistent positive test of COVID-19 infectious to others?

Persons who have tested persistently or recurrently positive for SARS-CoV-2 RNA have, in some cases, had their signs and symptoms of COVID-19 improve. When viral isolation in tissue culture has been attempted in such persons in South Korea and the United States, live virus has not been isolated. There is no evidence to date that clinically recovered persons with persistent or recurrent detection of viral RNA have transmitted SARS-CoV-2 to others.

Despite these observations, it’s not possible to conclude that all persons with persistent or recurrent detection of SARS-CoV-2 RNA are no longer infectious. There is no firm evidence that the antibodies that develop in response to SARS-CoV-2 infection are protective. If these antibodies are protective, it’s not known what antibody levels are needed to protect against reinfection.

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Can patients who have recovered from COVID-19 continue to have detectable SARS-CoV-2 RNA in upper respiratory specimens?

• Patients who have recovered from COVID-19 can continue to have detectable SARS-CoV-2 RNA in upper respiratory specimens for up to 3 months after illness onset in concentrations considerably lower than during illness; however, replication-competent virus has not been reliably recovered and infectiousness is unlikely.
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Are molecular or rapid COVID-19 tests more accurate?


Molecular tests are generally more accurate and mostly processed in a laboratory, which takes longer; antigen tests—or “rapid tests”—are processed pretty much anywhere, including at home, in doctors' offices, or in pharmacies.

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What is the most accurate diagnostic test to detect COVID-19?


Reverse transcription polymerase chain reaction (RT-PCR)-based diagnostic tests (which detect viral nucleic acids) are considered the gold standard for detecting current SARS-CoV-2 infection.

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How accurate are rapid COVID-19 tests?


Positive results are usually highly accurate but negative results may need to be confirmed with a PCR test. Rapid tests are most effective one to five days after symptoms start.

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Can you get a false negative COVID-19 antigen test?


The antigen level in specimens collected either before symptom onset, or late in the course of infection, may be below the tests' limit of detection, resulting in a false negative antigen test result, while a more sensitive test, such as most NAATs, may return a positive result.

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Are COVID-19 rapid antigen tests accurate if no symptoms are present?


Antigen tests are still fairly accurate, particularly when someone is experiencing symptoms and their viral load is very high. However, they can be less accurate when someone has a lower viral load, such as in someone without symptoms. This could lead to false negative test results.

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What can cause a false positive COVID-19 rapid antigen test?


The investigators also point out that false-positives are possible due to administering the test too early or late in the infectious stage, or from incorrectly performing the self-test.

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How long do COVID-19 antibodies last?

At this time, it is unknown for how long antibodies persist following infection and if the presence of antibodies confers protective immunity.
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How long are you contagious after being sick with COVID-19?


Most people with COVID-19 are no longer contagious 5 days after they first have symptoms and have been fever-free for at least three days.

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Can I still transmit the virus if I have had the COVID-19 vaccine?

Although it's possible that people who are fully vaccinated could still spread the virus, the vaccines are excellent at protecting you from severe illness, hospitalization, and death due to COVID-19.
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Should I isolate and get tested if I have recovered from COVID-19 but I have symptoms again?

If a previously infected person experiences new symptoms consistent with COVID-19 3 months or more after the date of the previous illness onset (or date of last positive viral diagnostic test [RT-PCR or antigen test] if the person never experienced symptoms), the person should undergo repeat viral diagnostic testing. However, serologic testing should not be used to establish the presence or absence of SARS-COV-2 infection or reinfection. These people who have a positive test result should be considered infectious and remain isolated until they again meet criteria for discontinuation of isolation or of transmission-based precautions. Contact tracing during the person’s second episode of symptoms is warranted.
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Should you get the COVID-19 vaccine if you already had COVID-19 and recovered?


If I already had COVID-19 and recovered, do I still need to get a COVID-19 vaccine? You should get a COVID-19 vaccine even if you already had COVID-19. Getting a COVID-19 vaccine after you recover from COVID-19 infection provides added protection to your immune system.

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Is it normal for COVID-19 symptoms to last more than 10 days?


People with post-COVID conditions can have a wide range of symptoms that can last more than four weeks or even months after infection. Sometimes the symptoms can even go away or come back again.

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What are the different types of viral tests?


Viral Test Types

  • Laboratory tests can take days to complete and include RT-“PCR” tests and other types of nucleic acid amplification tests (NAATs).
  • Rapid Point-of-Care tests can be performed in minutes and can include antigen tests, some NAATs, and other tests.



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Do the U.S. COVID-19 rapid antigen tests use a nasal swab?


The rapid antigen tests that most people are using in the U.S. are specifically designed for nasal swabs.

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What can I expect from a COVID-19 diagnostic test?

For a COVID-19 diagnostic test, a health care professional takes a sample of mucus from your nose or throat, or a sample of saliva. The sample needed for diagnostic testing may be collected at your doctor's office, a health care facility or a drive-up testing center.
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