POLECHOVA, Jitka, Kory D JOHNSON, Pavel PAYNE, Alex CROZIER, Mathias BEIGLBOECK, Pavel PLEVKA and Eva SCHERNHAMMER. SARS-CoV-2 rapid antigen tests provide benefits for epidemic control - observations from Austrian schools. Journal of clinical epidemiology. New York: Elsevier, 2022, vol. 145, MAY, p. 14-19. ISSN 0895-4356. Available from: https://dx.doi.org/10.1016/j.jclinepi.2022.01.002.
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Basic information
Original name SARS-CoV-2 rapid antigen tests provide benefits for epidemic control - observations from Austrian schools
Authors POLECHOVA, Jitka, Kory D JOHNSON, Pavel PAYNE (203 Czech Republic, belonging to the institution), Alex CROZIER, Mathias BEIGLBOECK, Pavel PLEVKA (203 Czech Republic, guarantor, belonging to the institution) and Eva SCHERNHAMMER.
Edition Journal of clinical epidemiology, New York, Elsevier, 2022, 0895-4356.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 10607 Virology
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 7.200
RIV identification code RIV/00216224:14740/22:00128814
Organization unit Central European Institute of Technology
Doi http://dx.doi.org/10.1016/j.jclinepi.2022.01.002
UT WoS 000912936400001
Keywords in English COVID-19; SARS-CoV-2; Lateral flow device; Public health; Repeat testing; Large-scale testing
Tags rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Pavla Foltynová, Ph.D., učo 106624. Changed: 6/3/2023 18:04.
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. (c) 2022 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
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