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Can You Take Ar Test Again if Not 100

Greg Berry, PhD, in the microbiology testing lab

Gregory Drupe co-directs the Clinical Microbiology Service at CUIMC/NewYork-Presbyterian. Photo courtesy of Gregory Berry.

Vaccination, masking, and physical distancing remain the all-time bets for protecting yourself and others from COVID.

Another of import tactic to preclude the spread of SARS-CoV-two—frequent and rapid testing—is also possible with the increasing availability of over-the-counter COVID tests, making it more than user-friendly to test at home.

What's the best way to use these tests? We spoke with Gregory J. Berry, PhD, co-director of the Clinical Microbiology Service at Columbia University Irving Medical Center/NewYork-Presbyterian and associate professor of pathology & prison cell biology at Columbia Academy Vagelos College of Physicians and Surgeons, to acquire how the tests tin can help reduce the spread of COVID.


Is a rapid antigen at-dwelling house COVID exam a practiced option if I recall I have COVID?

Almost at-home tests are antigen-based tests, which are less sensitive than laboratory-based testing. You tin employ these tests if you suspect you have COVID or may have been exposed to a person with COVID. If yous examination positive, call your wellness care provider immediately to hash out the next steps. It's likely you'll be told to take a more sensitive laboratory-based examination, such as a PCR examination, to ostend the first effect. Y'all should also socially altitude so you lot don't expose anyone else.

Rapid antigen at-dwelling house tests are a good pick because you get the results much quicker, in fifteen minutes, versus 1 to two days for nucleic acid amplification tests like PCR, which must be candy in a laboratory.

However, home tests are less sensitive than PCR tests, which means they have a greater chance of missing an infection and giving you a false-negative consequence. That being said, the accuracy of some rapid antigen home tests can be slightly improved by serially performing two tests over a 24-to-36-hour period, which is how some of these antigen tests are existence packaged and sold.

Also keep in mind that the home tests may not find an private who has been recently infected but has yet to build upward plenty virus to trigger a positive test. This process could take several days.

close-up of two hands holding an at-home covid test

Home tests may not detect an private who was recently infected but has yet to build up enough virus to trigger a positive test, which tin can take several days, says Greg Berry, PhD, co-director of the Clinical Microbiology Service at Columbia. Photograph: Getty Images

Can I use the tests to make up one's mind if I'm safe to visit family or friends?

The idea backside these tests is that they offer a quick way to verify whether or not you are infected and could potentially spread the virus to others. Even if you are fully vaccinated and have no symptoms, y'all can still be infected and could potentially laissez passer the virus to others.

These tests also may exist useful if you lot're scheduled to go into the hospital for tests or elective surgery, plan to travel, nourish an event, or become to work or school.

If you become a negative result with an at-abode test, information technology'south typically thought that your probability of spreading the virus is low—for that day.  But it doesn't necessarily hateful y'all're not infected. Once again, it can sometimes take several days for an infection to become detectable.


With the holidays coming up, should yous get tested before visiting family?

First, we need to talk most whether it'south a practiced idea to assemble in large groups outside your regular social circumvolve. With less-than-ideal vaccination rates and the highly infectious Delta variant, we're non out of the woods even so. It'due south a heck of a lot of safer than terminal yr, before the vaccines, but the pandemic isn't over. That'due south not the answer people desire to hear, of course.

Testing lowers the take a chance that you might be infected and laissez passer the virus to others, just it doesn't eliminate that take chances. I would argue that if anyone in the group is non vaccinated, that'southward a cherry flag that you shouldn't become together. Some other consideration is that older or immunocompromised individuals, as well as those with chronic illnesses, are vulnerable to infection even if they are fully vaccinated.

Information technology'southward difficult to requite you more definitive answers; the scientific discipline is nuanced.

two couples at an outdoor Thanksgiving dinner

If y'all practise programme on visiting others for the holidays, Drupe recommends taking a COVID test only before the gathering—the aforementioned day if possible—and subsequently. Photo: Getty Images.

But many people are going to go together for the holidays…

In which instance they should get tested merely before—the same day if possible—and after. Ideally, they should also article of clothing masks and practise social distancing. I realize that's non very practical. Simply at least brand sure the house is well-ventilated, and if the weather is good, dine exterior.

Unless you've had no potential exposures to the virus in the previous vii to 10 days, a rapid test only tells you lot that you're probably not infectious for that mean solar day. You may take an infection that won't be detectable until the next day or two, so you need to consider that when visiting others for multiple days.

Testing afterward will let yous know if yous became positive in the time menstruation since your terminal test, so you would know if y'all posed an exposure risk to the other individuals at your gathering. If y'all are negative both before and after, chances are quite low that you could have personally exposed anyone.

Very importantly, a positive test after your gathering volition Non tell y'all whether you were exposed at the event. If you were just infected past someone at the gathering, you would non however accept plenty virus to make the exam positive. CDC recommendations currently state that vaccinated people should get tested 5 to seven days after last exposure.


Is regular self-testing a substitute for not getting vaccinated?

No, it is absolutely non a substitute. Vaccination gives you an immune response to the virus, making an infection very unlikely. In the issue you practise go a so-called breakthrough infection, vaccination dramatically reduces the touch of the infection, making it much less probable that you'll go severely sick or infect someone else.

Testing provides no such protection. It'due south only going to tell you lot whether you've gotten infected.


Is testing necessary if y'all're generally healthy and fully vaccinated?

Yep. You can still get infected. If yous do, you'll probably be asymptomatic or have mild symptoms, simply it is still possible to pass the virus to others.


Exercise rapid calm COVID tests detect the Delta variant?

Like PCR tests, rapid at-home tests likewise appear to detect all variants of SARS-CoV-ii, including the Delta variant.


Any communication about how to take the home tests?

Each examination is a bit unlike. It'due south important to read the instructions beforehand and follow them exactly, including how to swab your nostrils and the timing of each step.

Just don't worry about those "brain-tickler" swabs that go deep into your nasal passages like many tests administered by health intendance workers. The at-domicile tests use nasal swabs, so yous only need to insert the swab about an inch or so into your nostrils.

man reading instructions for an at-home covid test

"Each test is a scrap different," Berry says. "Information technology's important to read the instructions beforehand and follow them exactly, including how to swab your nostrils and the timing of each step." Photo: Getty Images.

Where tin you get rapid at-abode tests, and how much exercise they toll?

They are available in many pharmacies and online, although there are shortages in many parts of the country. That should change in the next month or so with the Biden administration's effort to ramp up the availability of home tests. At present, they cost about $seven to $12 each. However, the price is likely to come down, making regular testing more affordable.

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Source: https://www.cuimc.columbia.edu/news/rapid-home-covid-tests-what-you-need-know

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