Relationship of SARS-CoV-2 Antigen and Reverse Transcription PCR Positivity for Viral Cultures

Emerg Infect Dis. 2022 Mar;28(3):717-720. doi: 10.3201/eid2803.211747.

Abstract

We assessed the relationship between antigen and reverse transcription PCR (RT-PCR) test positivity and successful virus isolation. We found that antigen test results were more predictive of virus recovery than RT-PCR results. However, virus was isolated from some antigen-negative and RT-PCR‒positive paired specimens, providing support for the Centers for Disease Control and Prevention antigen testing algorithm.

Keywords: COVID-19; SARS-CoV-2; coronavirus disease; coronaviruses; cycle threshold; rapid antigen test; respiratory infections; reverse transcription PCR; severe acute respiratory syndrome coronavirus 2; viral cultures; viruses; zoonoses.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Antigens, Viral
  • COVID-19* / diagnosis
  • Humans
  • Polymerase Chain Reaction
  • Reverse Transcription*
  • SARS-CoV-2 / genetics
  • Sensitivity and Specificity

Substances

  • Antigens, Viral