What are the different types of viral tests?

There are two types of viral tests: rapid tests and laboratory tests.
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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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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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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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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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Understanding Different COVID-19 Tests, Animation



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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Are the COVID-19 PCR tests accurate?

PCR tests are very accurate when properly performed by a health care professional, but the rapid test can miss some cases.
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What is the accuracy of the COVID-19 antigen test?


If possible, taking an at-home rapid COVID-19 test the day of the event is ideal. While these tests aren't 100% accurate, a negative result strongly suggests that you're not contagious at that particular time.

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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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How is the COVID-19 diagnostic RT-PCR test performed?


RT-PCR test. A health care professional collects a fluid sample by inserting a long nasal swab (nasopharyngeal swab) into your nostril and taking fluid from the back of your nose. A sample may be collected by using a shorter nasal swab (mid-turbinate swab) or a very short swab (anterior nares swab).

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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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Can a PCR test detect the COVID-19 Omicron variant?

The good news is that, according to the World Health Organization (WHO), PCR and rapid antigen tests can still detect Omicron as well as previous variants.
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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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How is COVID-19 diagnosed?


Viral Tests A viral test tells you if you are infected with SARS-CoV-2, the virus that causes COVID-19, using samples that come from your nose or mouth. There are two types of viral tests: rapid tests and laboratory tests.

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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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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 a negative COVID-19 antigen test result mean in asymptomatic persons?

Negative test results using a viral test (NAAT or antigen) in asymptomatic persons with recent known or suspected exposure suggest no current evidence of infection. These results represent a snapshot of the time around specimen collection and could change if tested again in one or more days.
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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 does it take to get results for a COVID-19 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. Others may be sent to a lab for analysis.
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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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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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Who needs Paxlovid?

Paxlovid is currently authorized for use in people ages 12 and up, weighing at least 88 pounds, who test positive for COVID-19 and are at high risk of developing severe illness. This includes individuals who have underlying conditions such as cancer or diabetes or who are 65 or older.
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What is a false positive rate for a virus test?

The false positive rate — that is, how often the test says you have the virus when you actually do not — should be close to zero. Most false-positive results are thought to be due to lab contamination or other problems with how the lab has performed the test, not limitations of the test itself.
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