Which COVID-19 tests are more accurate PCR or antigen tests?

"It's actually true for those who have—and who don't have—symptoms, but if you do have symptoms, a PCR test is more likely than an antigen test to pick up an infection accurately,” says Dr. Campbell.
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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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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 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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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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WHICH COVID-19 TEST IS THE MOST ACCURATE? [PCR, ANTIGEN, AND ANTIBODY TESTS EXPLAINED]



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 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 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 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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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 tests are used to diagnose 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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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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Are CT scans helpful for diagnosing COVID-19?

Along with laboratory testing, chest CT scans may be helpful to diagnose COVID-19 in individuals with a high clinical suspicion of infection.
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What is the difference between the IgM and IgG antibodies tests for COVID-19?

Both SARS-CoV-2 IgM and IgG antibodies may be detected around the same time after infection. However, while IgM is most useful for determining recent infection, it usually becomes undetectable weeks to months following infection; in contrast, IgG is usually detectable for longer periods.
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How accurate is the at-home QuickVue rapid COVID-19 test?


Quidel QuickVue rapid test Two lines mean a positive result. Accuracy: For people with symptoms, the QuickVue test correctly gave a positive result 83.5% of the time. It also correctly gave a negative result 99.2% of the time.

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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 could be the cause of a false negative COVID-19 antibody test result?

Having an antibody test too early can lead to false negative results. That’s because it takes a week or two after infection for your immune system to produce antibodies.
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Should I repeat the at-home COVID-19 test if it is negative?


Some self-tests are designed to be used in a series (also known as serial testing). Consider repeating the test 24 to 48 hours later. Multiple negative tests increases the confidence that you are not infected with the virus that causes COVID-19.

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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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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 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 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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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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