Evaluation of the Usability of a Rapid Antigen Test for the Diagnosis of COVID-19 Disease in Comparison with the Molecular Method

Introduction: Rapid testing of patients with suspected COVID-19 disease is critical so that those infected can self-isolate and reduce the risk of SARS-CoV-2 spreading to the community. Our study aimed to assess the usability of a rapid antigen test kit for the diagnosis of COVID-19 by comparing it...

Full description

Bibliographic Details
Main Authors: Fatih ÇUBUK, Ayşe Hümeyra TAŞKIN KAFA, Hatice Şeyma BAYKUŞ, Mürşit HASBEK
Format: Article
Language:English
Published: Bilimsel Tip Yayinevi 2023-09-01
Series:Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi
Subjects:
Online Access:http://www.floradergisi.org/managete/fu_folder/2023-03/2023-28-03-433-439.pdf
_version_ 1797676958917591040
author Fatih ÇUBUK
Ayşe Hümeyra TAŞKIN KAFA
Hatice Şeyma BAYKUŞ
Mürşit HASBEK
author_facet Fatih ÇUBUK
Ayşe Hümeyra TAŞKIN KAFA
Hatice Şeyma BAYKUŞ
Mürşit HASBEK
author_sort Fatih ÇUBUK
collection DOAJ
description Introduction: Rapid testing of patients with suspected COVID-19 disease is critical so that those infected can self-isolate and reduce the risk of SARS-CoV-2 spreading to the community. Our study aimed to assess the usability of a rapid antigen test kit for the diagnosis of COVID-19 by comparing it with the molecular method. Materials and Methods: Our study was planned retrospectively between 14 March and 14 August 2022. COVID-19 rapid antigen test and COVID-19 RT qPCR test results of patients who applied to our hospital with complaints compatible with COVID-19 disease during this period were included in the study. Results: A total of 268 patients were included in the study. According to the PCR test, the sensitivity was 92.6%, the specificity was 96.5%, and the accuracy was 95.1% for the rapid antigen test. Seven (2.6%) samples were identified as positive by the PCR test but negative by the rapid antigen test. The mean Ct value of these samples was detected as 26.38. According to the PCR test, the rapid antigen test positivity rate was 100% for 78 samples with a Ct value of 30. Conclusion: COVID-19 rapid antigen test kits can be utilized to rapidly detect and isolate symptomatic individuals, particularly during periods when there is a high number of cases. However, the sensitivity of the rapid antigen test is affected by the viral load of the sample. With rapid antigen test kits, there is a possibility of obtaining false negative results in samples with high Ct values or low viral loads. Therefore, we believe it would be beneficial to evaluate symptomatic individuals with negative rapid antigen test results using PCR.
first_indexed 2024-03-11T22:38:00Z
format Article
id doaj.art-6bfc6f2e7b8b4adc98646a9433733399
institution Directory Open Access Journal
issn 1300-932X
language English
last_indexed 2024-03-11T22:38:00Z
publishDate 2023-09-01
publisher Bilimsel Tip Yayinevi
record_format Article
series Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi
spelling doaj.art-6bfc6f2e7b8b4adc98646a94337333992023-09-22T12:08:00ZengBilimsel Tip YayineviFlora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi1300-932X2023-09-0128343343910.5578/flora.20239713Evaluation of the Usability of a Rapid Antigen Test for the Diagnosis of COVID-19 Disease in Comparison with the Molecular MethodFatih ÇUBUK0https://orcid.org/0000-0002-8976-7691Ayşe Hümeyra TAŞKIN KAFA1https://orcid.org/0000-0002-7282-4928Hatice Şeyma BAYKUŞ2https://orcid.org/0000-0001-8000-9010Mürşit HASBEK3https://orcid.org/0000-0002-5217-8607Department of Medical Microbiology, Sivas Cumhuriyet University Faculty of Medicine, Sivas, TürkiyeDepartment of Medical Microbiology, Sivas Cumhuriyet University Faculty of Medicine, Sivas, TürkiyeDepartment of Medical Microbiology, Sivas Cumhuriyet University Faculty of Medicine, Sivas, TürkiyeDepartment of Medical Microbiology, Sivas Cumhuriyet University Faculty of Medicine, Sivas, TürkiyeIntroduction: Rapid testing of patients with suspected COVID-19 disease is critical so that those infected can self-isolate and reduce the risk of SARS-CoV-2 spreading to the community. Our study aimed to assess the usability of a rapid antigen test kit for the diagnosis of COVID-19 by comparing it with the molecular method. Materials and Methods: Our study was planned retrospectively between 14 March and 14 August 2022. COVID-19 rapid antigen test and COVID-19 RT qPCR test results of patients who applied to our hospital with complaints compatible with COVID-19 disease during this period were included in the study. Results: A total of 268 patients were included in the study. According to the PCR test, the sensitivity was 92.6%, the specificity was 96.5%, and the accuracy was 95.1% for the rapid antigen test. Seven (2.6%) samples were identified as positive by the PCR test but negative by the rapid antigen test. The mean Ct value of these samples was detected as 26.38. According to the PCR test, the rapid antigen test positivity rate was 100% for 78 samples with a Ct value of 30. Conclusion: COVID-19 rapid antigen test kits can be utilized to rapidly detect and isolate symptomatic individuals, particularly during periods when there is a high number of cases. However, the sensitivity of the rapid antigen test is affected by the viral load of the sample. With rapid antigen test kits, there is a possibility of obtaining false negative results in samples with high Ct values or low viral loads. Therefore, we believe it would be beneficial to evaluate symptomatic individuals with negative rapid antigen test results using PCR.http://www.floradergisi.org/managete/fu_folder/2023-03/2023-28-03-433-439.pdfcovid-19sars-cov-2covid-19 rapid antigen testrt-qpcr
spellingShingle Fatih ÇUBUK
Ayşe Hümeyra TAŞKIN KAFA
Hatice Şeyma BAYKUŞ
Mürşit HASBEK
Evaluation of the Usability of a Rapid Antigen Test for the Diagnosis of COVID-19 Disease in Comparison with the Molecular Method
Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi
covid-19
sars-cov-2
covid-19 rapid antigen test
rt-qpcr
title Evaluation of the Usability of a Rapid Antigen Test for the Diagnosis of COVID-19 Disease in Comparison with the Molecular Method
title_full Evaluation of the Usability of a Rapid Antigen Test for the Diagnosis of COVID-19 Disease in Comparison with the Molecular Method
title_fullStr Evaluation of the Usability of a Rapid Antigen Test for the Diagnosis of COVID-19 Disease in Comparison with the Molecular Method
title_full_unstemmed Evaluation of the Usability of a Rapid Antigen Test for the Diagnosis of COVID-19 Disease in Comparison with the Molecular Method
title_short Evaluation of the Usability of a Rapid Antigen Test for the Diagnosis of COVID-19 Disease in Comparison with the Molecular Method
title_sort evaluation of the usability of a rapid antigen test for the diagnosis of covid 19 disease in comparison with the molecular method
topic covid-19
sars-cov-2
covid-19 rapid antigen test
rt-qpcr
url http://www.floradergisi.org/managete/fu_folder/2023-03/2023-28-03-433-439.pdf
work_keys_str_mv AT fatihcubuk evaluationoftheusabilityofarapidantigentestforthediagnosisofcovid19diseaseincomparisonwiththemolecularmethod
AT aysehumeyrataskinkafa evaluationoftheusabilityofarapidantigentestforthediagnosisofcovid19diseaseincomparisonwiththemolecularmethod
AT haticeseymabaykus evaluationoftheusabilityofarapidantigentestforthediagnosisofcovid19diseaseincomparisonwiththemolecularmethod
AT mursithasbek evaluationoftheusabilityofarapidantigentestforthediagnosisofcovid19diseaseincomparisonwiththemolecularmethod