Volta

Antigen and molecular testing using one swab: Lessons learned from a COVID-19 project

Unknown authors · 2025
hash_id: 708de575eff10f8d3710c5fab3940d0f3ed3c597e639dc436c8a6dcf84d26b8b · DOI: 10.1016/j.diagmicrobio.2025.117188

• One swab used for both rapid antigen and RT-PCR testing improves efficiency. • Reflex RT-PCR testing of RAT swabs significantly increases SARS-CoV-2 detection. • RAT followed by PCR on the same swab showed 99.0 % concordance with standard PCR. • CT values from PCR tested RAT swabs are 2-5 cycles higher than direct PCR testing. • One-swab-two-test strategy reduces patient discomfort and resource burden. Rapid SARS-CoV-2 detection is essential in limiting transmission. We evaluated the performance of RT-PCR on the same nasopharyngeal swab used for Panbio antigen testing. High concordance with standard PCR and improved case detection—including asymptomatic infections—demonstrates this one-swab-two-test strategy enhances diagnostic yield while reducing patient discomfort and resource burden.

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