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. 2022 Feb 24;20:97. doi: 10.1186/s12916-022-02300-9

Table 3.

Follow-up of participants who initially received a negative test result

Phase 1 (Ag-RDT result communicated) Phase 2 (molecular test result communicated)
Initial test result negative, n 4847 2461
Initial test result false negative, n (%) 168 (3.5) n/aa
Initial test result true negative, n (%) 4697 (96.5) n/aa
At least one subsequent SARS-CoV-2 test registered within 14 daysb, n (%) 887 (18.3) 284 (11.5)
Initial test result false negative, n (%) 103 (61.3) n/aa
Initial test result true negative, n (%) 784 (16.8) n/aa
SARS-CoV-2-positive test within 14 days, n (%) 213 (4.4) 28 (1.1)
Initial test result false negative, n (%) 93 (55.4) n/aa
Initial test result true negative, n (%) 120 (2.6) n/aa
Stratified analysis according to symptomology at time of initial testing
 Initial test result negative, n 4715c 2392d
  Symptomatic, n (%) 2893 (61.4) 1427 (59.7)
  Asymptomatic, n (%) 1822 (38.6) 965 (40.3)
 Initial test result false negative, n 161 n/aa
  Symptomatic, n (%) 91 (56.5) n/aa
  Asymptomatic, n (%) 70 (43.5) n/aa
 Initial test result true negative, n 4554 n/aa
  Symptomatic, n (%) 2802 (61.5) n/aa
  Asymptomatic, n (%) 1752 (38.5) n/aa
 SARS-CoV-2-positive test within 14 days
 Initial test result negative - -
  Symptomatic, n (%) 87 (3.0) 12 (0.8) *
  Asymptomatic, n (%) 114 (6.3) 16 (1.7) *
 Initial test result false negative -
  Symptomatic, n (%) 42 (46.2)** n/aa
  Asymptomatic, n (%) 44 (62.9)** n/aa
 Initial test result true negative -
  Symptomatic, n (%) 45 (1.6)*** n/aa
  Asymptomatic, n (%) 70 (4.0)*** n/aa

Ag-RDT rapid lateral flow antigen diagnostic tests, n/a not applicable

aNot applicable since the molecular reference test result was communicated in phase 2

bBased on pseudonymised linkage to SARS-CoV-2 test results database of the public health service test sites

cSymptom status not available for 132 participants

dSymptom status not available for 69 participants

*χ2 =3.3, p=.068

**χ2 =4.4, p=.035

***χ2 =25, p<.001