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. 2022 Jan;43(1):99-101.
doi: 10.1017/ice.2021.20. Epub 2021 Jan 25.

Performance of the BinaxNOW coronavirus disease 2019 (COVID-19) Antigen Card test relative to the severe acute respiratory coronavirus virus 2 (SARS-CoV-2) real-time reverse transcriptase polymerase chain reaction (rRT-PCR) assay among symptomatic and asymptomatic healthcare employees

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Performance of the BinaxNOW coronavirus disease 2019 (COVID-19) Antigen Card test relative to the severe acute respiratory coronavirus virus 2 (SARS-CoV-2) real-time reverse transcriptase polymerase chain reaction (rRT-PCR) assay among symptomatic and asymptomatic healthcare employees

Allison E James et al. Infect Control Hosp Epidemiol. 2022 Jan.

Abstract

The sensitivity of the BinaxNOW coronavirus disease 2019 (COVID-19) Ag Card test (BinaxNOW) was 51.6% among asymptomatic healthcare employees relative to real-time reverse transcriptase polymerase chain reaction (rRT-PCR). The odds of a positive BinaxNOW test decreased as cycle threshold value increased. BinaxNOW could facilitate rapid detection and isolation of asymptomatically infected persons in some settings while rRT-PCR results are pending.

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Figures

Fig 1.
Fig 1.
Distribution and median Ct values of SARS-CoV-2 rRT-PCR–positive samples from (A) symptomatic employees and (B) asymptomatic employees by BinaxNOW test result.

References

    1. BinaxNOW COVID-19 Ag Card—Letter of Authorization, August 26, 2020. US Food & Drug Administration website. https://www.fda.gov/media/141567/download. Published 2020. Accessed January 2021.
    1. Abbott BinaxNOW COVID-19 test fact sheet. US Department of Health & Human Services (HHS) website. https://www.hhs.gov/sites/default/files/abbott-binaxnow-fact-sheet.pdf. Published 2020. Accessed January 2021.
    1. Aquino-Jarquin G. The raw Ct values from RT-PCR detection are not viral load quantitation units. Clin Infect Dis 2020;10.1093/cid/ciaa830. - DOI - PubMed
    1. Mina MJ, Parker R, Larremore DB. Rethinking COVID-19 test sensitivity—a strategy for containment. N Engl J Med 2020;10.1056/NEJMp2025631. - DOI - PubMed

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