Antigen and molecular testing using one swab: Lessons learned from a COVID-19 project

Rapid SARS-CoV-2 detection is essential in limiting transmission. We evaluated the performance of RT-PCR on the same nasopharyngeal swab used for Panbio antigen testing. High concordance with standard PCR and improved case detection-including asymptomatic infections-demonstrates this one-swab-two-test strategy enhances diagnostic yield while reducing patient discomfort and resource burden.

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Publication Details

Journal
Diagnostic Microbiology and Infectious Disease
Published
2025-11-16
DOI
https://doi.org/10.1016/j.diagmicrobio.2025.117188
Primary Topic
SARS-CoV-2 detection and testing
Type
article
Field-Weighted Citation Impact
0.00
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article

Antigen and molecular testing using one swab: Lessons learned from a COVID-19 project

David Bulir, Nicole Smieja, Sarah Marttala, Katrina M. Waters et al.
Diagnostic Microbiology and Infectious Disease
SARS-CoV-2 detection and testing
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Antigen and molecular testing using one swab: Lessons learned from a COVID-19 project

David Bulir, Nicole Smieja, Sarah Marttala, Katrina M. Waters, Jodi Gilchrist, Mohammad R. Hasan, Marek Smieja
article en

Abstract

Rapid SARS-CoV-2 detection is essential in limiting transmission. We evaluated the performance of RT-PCR on the same nasopharyngeal swab used for Panbio antigen testing. High concordance with standard PCR and improved case detection-including asymptomatic infections-demonstrates this one-swab-two-test strategy enhances diagnostic yield while reducing patient discomfort and resource burden.

Diagnostic Microbiology and Infectious DiseaseVol. 114(2)
St. Joseph’s Healthcare Hamilton (CA), Hamilton Health Sciences (CA), McMaster University (CA)
Openalex Percentile: Top 60%
SARS-CoV-2 detection and testing
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