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. 2021 Oct 28;20(4):166–174. doi: 10.1007/s11901-021-00567-9

Table 1.

Testing workflow for the SARS-CoV-2 virus in patients suspected of having active infection

SARS-CoV-2 testing algorithm
#1 Signs and symptoms #2 Diagnostic testing #3 Follow-up
Primary Additional Qualitative Quantitative Positive test result Negative test result

Recent onset of acute respiratory symptoms including:

• Sore throat

• Cough

• Shortness of breath

• Fever

• Diarrhea

• Vomiting

• Recent loss of smell or taste

• Chills

• Muscle fatigue

• Isothermal nucleic acid amplification assay

• Antigen detection assay

• Viral sequencing assay

One-step or multiple-step RT-PCR assay

Subsequent monitoring

• Report positive findings following reporting guidelines

• Emphasize prevention measures to limit spread (isolation/quarantine)

• Consider therapeutic intervention for more severe symptoms

Consider possible false negative result

• Exposure history

• Other clinical findings

• Antigen test was performed

• Perform antibody test if available to document possible exposure