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In the most basic sense, there are four possible outcomes for a COVID-19 test, whether it’s molecular PCR or rapid antigen: true positive, true negative, false positive, and false negative.
A false positive Covid-19 test result can happen, but it’s rare, says Brian Labus, Ph.D., M.P.H., assistant professor at the University of Nevada Las Vegas School of Public Health.
Test errors can be false positives (the test is positive, but the virus is not present) or false negatives, (the test is negative, but the virus is present). [179] In a study of over 900,000 rapid antigen tests, false positives were found to occur at a rate of 0.05% or 1 in 2000.
COVID-19 rapid antigen tests (RATs) have been widely used for diagnosis of COVID-19. The World Health Organization (WHO) COVID-19 Case Definition states that a person with a positive RAT (also known as an antigen rapid diagnostic test or Antigen-RDT) can be considered a "confirmed case of SARS-CoV-2 infection" in two ways. [10]
False positives "can happen with any test" and, if someone tests positive for COVID-19 with a rapid test but does not have symptoms, he recommends following up with a PCR test to confirm that this ...
The false positive rate (FPR) is the proportion of all negatives that still yield positive test outcomes, i.e., the conditional probability of a positive test result given an event that was not present. The false positive rate is equal to the significance level. The specificity of the test is equal to 1 minus the false positive rate.
Antigen tests can be analyzed within a few minutes. Antigen tests are less accurate than PCR tests. It has a low false positive rate, but a higher false negative rate. A negative test result may require confirmation with a PCR test. [8] Advocates claim that antigen tests are less expensive and can be scaled up more rapidly than PCR tests. [8]
It’s possible for an expired COVID test to show a false positive—but it’s also possible for a non-expired COVID test to show a false positive, Dr. Russo says. It’s just not super likely ...
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