What is the COVID-19 PCR diagnostic test?

What is a COVID-19 PCR test? The polymerase chain reaction (PCR) test for COVID-19 is a molecular test that analyzes your upper respiratory specimen, looking for genetic material (ribonucleic acid or RNA) of SARS-CoV-2, the virus that causes COVID-19.
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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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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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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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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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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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How accurate are COVID-19 PCR tests?

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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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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What types of COVID-19 tests are available in the US?

Diagnostic tests can show if you have an active COVID-19 infection. Antibody or serology tests look for antibodies in a blood sample to determine if an individual has had a past infection with the virus that causes COVID-19 but cannot be used to diagnose current COVID-19 infection.
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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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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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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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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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Can the omicron variant be detected by an at-home COVID-19 rapid test?

Several widely used rapid antigen at-home COVID-19 tests are effective at detecting omicron, according to preliminary research published Feb. 28 in MedRxiv.
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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 a COVID-19 RT-PCR test be falsely negative?


RT-PCR tests are not perfect, Alland said. “After the first week of infection, there is a decline in virus shedding in the respiratory tract, where tests can become falsely negative,” he said.

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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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What is the difference between a molecular test and rapid antigen tests for COVID-19?


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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How accurate is the BinaxNOW rapid test compared to PCR?

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.

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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 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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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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Can you keep testing positive on PCR 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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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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What does a false positive COVID-19 test result mean?


False-positive results mean the test results show an infection when actually there isn't one. The risk of false-negative or false-positive test results depends on the type and sensitivity of the COVID-19 diagnostic test, thoroughness of the sample collection, and accuracy of the lab analysis.

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