Feasibility of large-scale population testing for SARS-CoV-2 detection by self-testing at home

Sci Rep. 2021 May 10;11(1):9819. doi: 10.1038/s41598-021-89236-x.

Abstract

The simplicity and low cost of rapid point-of-care tests greatly facilitate large-scale population testing, which can contribute to controlling the spread of the COVID-19 virus. We evaluated the applicability of a self-testing strategy for SARS-CoV2 in a population-based, cross-sectional study in Cantabria, Spain, between April and May 2020. For the self-testing strategy, participants received the necessary material for the self-collection of blood and performance of a rapid antibody test using lateral flow immunoassay at home without the supervision of healthcare personnel. A total of 1,022 participants were enrolled. Most participants correctly performed the COVID-19 self-test the first time (91.3% [95% CI 89.4-92.9]). Only a minority of the participants (0.7%) needed the help of healthcare personnel, while 6.9% required a second kit delivery, for a total valid test result in 96.9% of the participants. Incorrect use of the self-test was not associated with the educational level, age over 65, or housing area. Prevalence of IgG antibodies against SARS-CoV2 for subjects with a valid rapid test result was 3.1% (95% CI 2.2-4.4), similar to the seroprevalence result obtained using a conventional approach carried out by healthcare professionals. In conclusion, COVID-19 self-testing should be considered as a screening tool.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • COVID-19 / diagnosis*
  • COVID-19 / virology
  • Cohort Studies
  • Cross-Sectional Studies
  • Feasibility Studies
  • Female
  • Humans
  • Immunoglobulin G
  • Male
  • Middle Aged
  • SARS-CoV-2 / isolation & purification*
  • SARS-CoV-2 / physiology
  • Self-Testing*
  • Spain
  • Young Adult

Substances

  • Immunoglobulin G