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. 2022 Dec 6;10(4):E1027–E1033. doi: 10.9778/cmajo.20210327

Table 1:

Performance of rapid antigen detection tests in the participant groups

RADT (nasal) Positive Results, no. of participants Invalid Clinical performance of RADTs Specificity, % (95% CI)


PCR (gargle) Sensitivity, % (95% CI)


Negative Equivocal or weak positive Excluding equivocal or weak positive Including equivocal or weak positive
Asymptomatic students *

Positive 7 1 0 0 n = 17
41.2 (21.6–64.0)
n = 26
26.9 (13.7–46.1)
100§ (99.9–100)

Negative 10 5549 9 7

Invalid 0 0 0 0

Asymptomatic students considered exposed contacts of positive index cases

Positive 4 6 0 0 n = 14
28.6 (8.4–58.1)
n = 15
26.7 (7.8–55.1)
99.6 (99.1–99.9)

Negative 10 1470 1 0

Invalid 0 0 0 0

Symptomatic students

Positive 10 0 0 0 83.3 (51.6–97.9) NA 100.0 (98.4–100.0)

Negative 2 223 0 0

Invalid 0 0 0 0

Asymptomatic staff members

Positive 0 1 0 0 NA NA 99.9 (99.3–100.0)

Negative 0 775 0 2

Invalid 0 0 0 0

Asymptomatic staff members considered exposed contacts of positive index cases

Positive 0 0 0 0 NA NA 100.0 (94.1–100.0)

Negative 0 61 0 0

Invalid 0 0 0 0

Symptomatic staff members

Positive 1 0 0 0 50.0 (1.3–98.7) NA 100.0 (94.3–100.0)

Negative 1 62 0 0

Invalid 0 0 0 0

Note: CI = confidence interval, NA = not applicable, PCR = polymerase chain reaction, RADT = rapid antigen detection test.

*

Prevalence of SARS-CoV-2 infection, based on PCR results (including equivocal and weakly positive results): 0.30% (95% CI 0.18%–0.49%).

Prevalence of SARS-CoV-2 infection, based on PCR results (including equivocal and weakly positive results): 0.7% (95% CI 0.5%–1.6%).

Prevalence of SARS-CoV-2 infection, based on PCR results (including equivocal and weakly positive results): 5.1% (95% CI 2.65%–8.71%).

§

The specificity of RADT in asymptomatic students was 99.98% when adjusted to 2 decimal places.