Canadian study reveals rate of false positives from rapid antigen tests

TORONTO --
As provinces rely extra closely on speedy antigen checks as a part of their technique to curb the unfold of COVID-19, there have been considerations over the opportunity of false constructive outcomes. Canadian researchers have produced new information shedding gentle on the chance of such occasions.


Researchers from the College of Toronto's Rotman College of Administration printed their peer-reviewed findings within the journal JAMA earlier this month. They seemed on the outcomes of greater than 900,000 speedy antigen checks carried out over 537 workplaces in Canada between January and October 2021.


Throughout this era, Canada had two vital waves of COVID-19 pushed by the Delta variant. A complete of 1,322 constructive outcomes have been logged with speedy checks. Of those circumstances, 1,103 additionally had information from a PCR take a look at to match in opposition to.


In complete, 462 speedy take a look at outcomes, or 0.05 per cent of the 900,000 outcomes, resulted in false positives. This represents 42 per cent of the constructive take a look at leads to the examine.


Checks being administered too late within the infectious state or in an incorrect method have been among the causes that might clarify these false positives, the researchers say.


Round 60 per cent of those false positives is also traced again to points stemming from one producer. There have been 278 false constructive outcomes from two workplaces that have been all drawn from a single dangerous batch.


"The general fee of false-positive outcomes among the many complete speedy antigen take a look at screens for SARS-CoV-2 was very low, per different, smaller research," the researchers wrote. "These outcomes inform the dialogue of whether or not speedy antigen checks will end in too many false-positives that might overwhelm PCR testing capability in different settings.


The authors additionally say their findings illustrate the significance of "a complete information system" to rapidly determine dangerous batches of speedy checks.


"With the flexibility to determine batch points inside 24 hours, staff might return to work, problematic take a look at batches might be discarded, and the general public well being authorities and producer might be knowledgeable," they wrote.




  • COVID-19 test clinic in Montreal

    A nurse instructs folks the best way to use a COVID-19 speedy self take a look at at a take a look at clinic in Montreal, on Wednesday, December 15, 2021. THE CANADIAN PRESS/Paul Chiasson




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