How accurate are home COVID-19 tests?

Even though demand for COVID-19 tests greatly overwhelmed supply earlier in the pandemic, rapid home tests are more available today. While home tests provide a quick, accurate result, the flip side is that many test results are no longer reported to health authorities.
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Can at-home COVID-19 tests give a false positive?


False positives—when someone receives a positive test result even though they are not infected—are rare occurrences. They are most likely to occur when an at-home test is not administered according to the manufacturer's instructions.

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Can I test negative for COVID-19 at home and still have the disease?

Simply put: Depending on when you take a test, if you have COVID symptoms and receive negative results from an at-home, rapid test, the level of virus in your body could be too low to be detected by the test, at least at first.
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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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How accurate is the At-home BinaxNOW COVID-19 test?

Accuracy: The BinaxNOW test correctly gave a positive result 84.6% of the time compared to PCR. In the same study, the test correctly gave a negative result 98.5% of the time. Availability: The BinaxNOW test costs $24 for two tests, which are meant to be used on the same person within three days (serial testing).

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How to Do an At-Home COVID-19 Rapid Antigen Test Correctly



Can someone get a false positive COVID-19 test result with BinaxNOW COVID-19 antigen test?


There is a very small chance that this test can give a positive result that is wrong (a false positive result). Your healthcare provider will work with you to determine how best to care for you based on your test result(s) along with your medical history, and your symptoms.

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How long can you test positive with an at-home COVID-19 rapid-antigen-test?

At-home antigen tests may return positive results for 10 days -- or even longer, up to 14 days, according to The New York Times. Public health experts have said its been difficult to understand what that means in terms of contagiousness since rapid tests cant always predict that with accuracy.
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Can you test negative on a rapid antigen at-home test and have COVID-19 symptoms?

Following the directions closely will ensure you"re getting as accurate results as possible. If your test is negative, but you have symptoms for the virus, you should isolate until you can do additional testing. Additional testing includes repeat at-home testing and seeking out a lab-based PCR test.
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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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Can a person test negative and later test positive for COVID-19?


It is possible for this test to give a negative result that is incorrect (false negative) in some people with COVID- 19. This means that you could possibly still have COVID- 19 even though the test is negative. The amount of antigen in a sample may decrease the longer you have symptoms of infection.

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What should I do if I still have symptoms after a negative COVID-19 test result?

If you use an at-home test that comes back negative, and you do have symptoms that persist or get worse, it's a good idea to get a lab-based PCR test for COVID-19 and influenza. You also should stay home and isolate until you get the PCR test results back. The antigen test may have missed an early infection.
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What are consequences of a false negative COVID-19 test?

Risks to a patient of a false negative test result include: delayed or lack of supportive treatment, lack of monitoring of infected individuals and their household or other close contacts for symptoms resulting in increased risk of spread of COVID-19 within the community, or other unintended adverse events.
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What does it mean if I test negative for COVID-19?

A negative test result means that the virus that causes COVID-19 was not found in your sample. However, it is possible for this test to give a negative result that is incorrect (false negative) in some people with COVID- 19. You might test negative if the sample was collected early during your infection.

You could also be exposed to COVID-19 after your sample was collected and then have become infected. In particular, people infected with COVID-19 but who have no symptoms may not shed enough virus to trigger a positive test. This means that you could possibly still have COVID-19 even though the test result is negative.

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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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Can you keep testing positive for COVID-19 and not be contagious?

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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Am I infectious if I have a positive COVID-19 test result?

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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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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When should you take a COVID-19 PCR test instead of a rapid antigen test?


“PCR would be chosen where there is a low likelihood of having the virus, but we want to be certain the patient doesn't have it. Antigen would be chosen if there is a high probability the patient has the virus (i.e. is experiencing symptoms), and we need to screen the patient as positive or negative,” Heather said.

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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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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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Does a negative COVID-19 rapid antigen test mean I don't have COVID-19?


If you have a negative test, but have symptoms of COVID-19: You may have COVID-19, but tested before the virus was detectable, or you may have another illness, such as the flu.

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What does it mean if I have a negative rapid test result?

What does it mean if I have a negative rapid test result? A negative test result means that proteins from the virus that causes COVID-19 were not found in your sample. It is possible for this test to give a negative result that is incorrect (false negative).

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How long do most people continue to test positive for COVID-19?

According to the New York Times, the omicron variant of the coronavirus moves quickly, with viral levels typically peaking less than five days after the virus is first detectable. However, some people will continue to test positive for the virus even up to 14 days later.
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Can you get a false positive with the QuickVue COVID-19 antigen test?


There is a very small chance that this test can give a positive result that is wrong (a false positive result). Your healthcare provider will work with you to determine how best to care for you based on your test result(s) along with your medical history, and your symptoms.

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How often can you take Paxlovid?

“With Paxlovid, you take three pills, twice a day, for a total of five days," says Rachel Kenney, a pharmacist at Henry Ford Health. "It helps your body fight off the virus, preventing it from replicating before it becomes serious.”
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