[Internal validity of a rapid test for COVID-19 antigens in a nursing home].

Semergen

Sanidad de Castilla y León (SACYL), Junta de Castilla y León, Valladolid, España; Universidad de Valladolid, Valladolid, España.

Published: August 2021

Introduction: RT-qPCR is the reference test for the detection of SARS-CoV-2 infection, however, rapid antigen detection tests (RADT) are now available. In this work, the internal validity of the RADT was evaluated in the context of an outbreak in a nursing home.

Methods: Nasopharyngeal exudate samples were analyzed by RADT and RT-qPCR from 61 residents of a nursing home. The sensitivity and specificity of RADT with respect to RT-qPCR was calculated.

Results: Specificity was 100% (95% CI 54.1-100.0), while sensitivity in asymptomatic people was 70.3% (95% CI 53.0-84.1) and in symptomatic people 83.3% (95% CI 51.6-97.9).

Conclusions: The RADTs are sufficiently sensitive and specific to be used as screening tests in nursing homes, especially in situations of outbreaks or suspected outbreaks due to the presence of symptoms.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8078913PMC
http://dx.doi.org/10.1016/j.semerg.2021.04.003DOI Listing

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