Titel
SARS-CoV-2 rapid antigen tests provide benefits for epidemic control – observations from Austrian schools
Autor*in
Kory D. Johnson
Institute of Statistics and Mathematical Methods in Economics, TU Wien
Autor*in
Pavel Payne
Central European Institute of Technology, Masaryk University
... show all
Abstract
Objective: This paper motivates and justifies the use of antigen tests for epidemic control as distinct from a diagnostic test. Study Design and Setting: We discuss the relative advantages of antigen and PCR tests, summarizing evidence from both the literature as well as Austrian schools, which conducted frequent, mass rapid antigen testing during the spring of 2021. While our report on testing predates Delta, we have updated the review with recent data on viral loads in breakthrough infections and more information about testing efficacy, especially in children. Results: Rapid antigen tests detect proteins at the surface of virus particles, identifying the disease during its infectious phase. In contrast, PCR tests detect viral genomes: they can thus diagnose COVID-19 before the infectious phase but also react to remnants of the virus genome, even weeks after live virus ceases to be detectable in the respiratory tract. Furthermore, the logistics for administering the tests are different. Large-scale rapid antigen testing in Austrian schools showed low false-positive rates along with an approximately 10% lower effective reproduction number in the tested cohort. Conclusion: Using antigen tests at least 2-3 times per week could become a powerful tool to suppress the COVID-19 pandemic.
Stichwort
COVID-19SARS-CoV-2Lateral flow devicePublic healthRepeat testingLarge-scale testing
Objekt-Typ
Sprache
Englisch [eng]
Persistent identifier
https://phaidra.univie.ac.at/o:1624548
Erschienen in
Titel
Journal of Clinical Epidemiology
Band
145
ISSN
0895-4356
Erscheinungsdatum
2022
Seitenanfang
14
Seitenende
19
Verlag
Elsevier BV
Erscheinungsdatum
2022
Zugänglichkeit
Rechteangabe
© 2022 The Authors

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