Volta

Key Insights into Respiratory Virus Testing: Sensitivity and Clinical Implications

Unknown authors · 2025
hash_id: 1beae1fc9cebf9120f5c0103295a6fc6bebce5a6d9a0e5ba828fb9102550183c · DOI: 10.3390/microorganisms13010063

Acute respiratory infections are a significant challenge in primary care and hospital settings. Viruses are the most common etiology and the overlapping symptomatology among major respiratory viruses, such as influenza, severe acute respiratory syndrome coronavirus 2, and respiratory syncytial virus, requires the use of diagnostic tests that deliver early and accurate results. With the increasing availability of rapid antigen tests (RATS), it is tempting to prefer them over polymerase chain reaction (PCR) tests. However, compelling arguments support the existing recommendations in some European countries to maintain PCR testing for patient management throughout the year. RATs show sensitivities below 30% with lower viral loads, which are common and can have significant clinical implications. RATs perform well at lower cycle threshold (Ct) …

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