Should I take a rapid coronavirus test or a PCR? Public health experts break down the facts

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Hours-long lines for coronavirus PCR tests are prompting public officials to push the masses to use rapid, at-home antigen tests instead but public health experts warn the 15-minute tests are prone…

Hours-long lines for coronavirus PCR tests are prompting public officials to push the masses to use rapid, at-home antigen tests instead, but public health experts warn the 15-minute tests are sometimes prone to false negatives.

Massachusetts Gov. Charlie Baker last week said: “Rapid tests, in some ways, are a more accurate measure of whether or not somebody is actually transmitting COVID than a PCR test is.” Dr. Davidson Hamer, Boston University Professor of Global Health and Medicine called the governor’s statement “strong.”

Dr. Todd Ellerin, director of infectious disease at South Shore Health said while there’s “some truth” to the governor’s statement, “it’s complicated.” We asked the experts to break down the accuracy of rapid at-home antigen tests, PCR tests and lay out when one should be used over the other. Answers have been edited slightly for clarity.PCR results, which are tested in a lab, are much more accurate. But if you look at the arc for a PCR, it can last much longer and is often picking up a past infection that may no longer be infectious. When a rapid test is positive, that’s probably the point when a person is most infectious.

 

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