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. Author manuscript; available in PMC: 2024 Jan 24.
Published in final edited form as: Ann Intern Med. 2020 Nov 17;173(10):JC57. doi: 10.7326/ACPJ202011170-057
Tests Sensitivity (95% CI) Specificity (CI)*

1 to 7 d 8 to 14 d 15 to 21 d 22 to 35 d > 35 d

IgG 30% (22 to 39) 67% (58 to 74) 88% (84 to 74) 80% (72 to 86) 87% (80 to 92) 99% (98 to 100)
IgM 23% (15 to 34) 58% (46 to 70) 75% (64 to 84) 68% (55 to 79) 54% (38 to 69) 99% (98 to 99)
IgG/IgM 30% (21 to 41) 72% (64 to 80) 91% (87 to 94) 96% (91 to 98) 78% (66 to 86) 99% (97 to 99)
Total antibodies 25% (10 to 50) 84% (64 to 94) 98% (90 to 100) 70% (35 to 91) 79% (50 to 93) 99% (98 to 100)

CI defined in Glossary.

*

Meta-analysis of 35 studies (8526 cases) across all time points.

Days after symptom onset.

Positive if either IgG or IgM is positive.