What is it about?

Rapid influenza diagnostic tests are relatively inexpensive, easy to use, and can provide valuable information during a clinic visit. Unfortunately, a negative test result doesn't always rule out influenza. This paper explores various factors for why someone with influenza might receive a negative rapid antigen test.

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Why is it important?

A patient's age, symptoms, and how many days she has been sick might offer clues as to whether a clinician should trust a negative rapid influenza diagnostic test result. This has become an increasingly important topic with the growing popularity of rapid antigen tests following the COVID-19 pandemic.

Perspectives

We started this manuscript before the COVID-19 pandemic, when rapid antigen tests were only used in clinical settings and many clinicians hadn't even heard of them. Today, they are a household name thanks to at-home SARS-COV-2 tests, and they are used to determine whether it's safe to visit a loved one or attend a gathering. But they aren't perfect. I hope that this article is one of many that helps to informs both clinicians and family members on how to best interpret rapid antigen test results.

Cristalyne Bell

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This page is a summary of: Assessment of potential factors associated with the sensitivity and specificity of Sofia Influenza A+B Fluorescent Immunoassay in an ambulatory care setting, PLoS ONE, May 2022, PLOS,
DOI: 10.1371/journal.pone.0268279.
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