Evidence map›Paper›PMID 34705535›Full record

ArticleJournal of clinical microbiology2022

Performance Characteristics of the Abbott BinaxNOW SARS-CoV-2 Antigen Test in Comparison to Real-Time Reverse Transcriptase PCR and Viral Culture in Community Testing Sites during November 2020.

Olivia Almendares, Jessica L Prince-Guerra, Leisha D Nolen, Jayleen K L Gunn, Ariella P Dale, Sean A Buono, Molly Deutsch-Feldman, Suganthi Suppiah, LiJuan Hao, Yan Zeng and 29 more

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
1.6field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Rapid, point-of-care antigen tests for diagnosis of SARS-CoV-2 infection.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. The Infectious Diseases Society of America Guidelines on the Diagnosis of COVID-19: Antigen Testing (January 2023).Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Guideline
  3. Pooled it
  4. Pooled it
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  11. SARSZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

39 authors at 3 institutions in 1 country.

Olivia Almendares *COVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.ORCID 0000-0003-2524-8937
Jessica L Prince-Guerra *COVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.ORCID 0000-0002-5099-9110
Leisha D NolenCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Jayleen K L GunnCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Ariella P DaleCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Sean A BuonoCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Molly Deutsch-FeldmanCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Suganthi SuppiahCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
LiJuan HaoCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Yan ZengCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Valerie A StevensCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Kristen KnipeCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Justine PompeyCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Christine AtherstoneCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
David P BuiCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Tracy PowellCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Azaibi TaminCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Jennifer L HarcourtCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Marla PetwayCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Caitlin BohannonCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Jennifer M FolsterCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Adam MacNeilCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Reynolds SalernoCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Wendi Kuhnert-TallmanCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Jacqueline E TateCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Natalie ThornburgCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Hannah L KirkingCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Khalilullah SheibanPima County Health Departmentgrid.437380.b, Tucson, Arizona, USA.
Julie KudrnaPima County Health Departmentgrid.437380.b, Tucson, Arizona, USA.
Theresa CullenPima County Health Departmentgrid.437380.b, Tucson, Arizona, USA.
Kenneth K KomatsuArizona Department of Health Services, Phoenix, Arizona, USA.
Julie M VillanuevaCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Dale A RoseCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
John C NeatherlinCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Mark AndersonCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Paul A RotaCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
Margaret A HoneinCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
William A BowerCOVID-19 Response Team, Centers for Disease Control and Preventiongrid.416738.f, Atlanta, Georgia, USA.
CDC COVID-19 Surge Diagnostic Testing Laboratory
Centers for Disease Control and Prevention · USPima County Health Department · USArizona Department of Health Services · US

Funding

HHS | Centers for Disease Control and Prevention (CDC)
6 · The paper itself

Abstract

Point-of-care antigen tests are an important tool for SARS-CoV-2 detection. Antigen tests are less sensitive than real-time reverse transcriptase PCR (rRT-PCR). Data on the performance of the BinaxNOW antigen test compared to rRT-PCR and viral culture by symptom and known exposure status, timing during disease, or exposure period and demographic variables are limited. During 3 to 17 November 2020, we collected paired upper respiratory swab specimens to test for SARS-CoV-2 by rRT-PCR and Abbott BinaxNOW antigen test at two community testing sites in Pima County, Arizona. We administered a questionnaire to capture symptoms, known exposure status, and previous SARS-CoV-2 test results. Specimens positive by either test were analyzed by viral culture. Previously we showed overall BinaxNOW sensitivity was 52.5%. Here, we showed BinaxNOW sensitivity increased to 65.7% among currently symptomatic individuals reporting a known exposure. BinaxNOW sensitivity was lower among participants with a known exposure and previously symptomatic (32.4%) or never symptomatic (47.1%) within 14 days of testing. Sensitivity was 71.1% in participants within a week of symptom onset. In participants with a known exposure, sensitivity was highest 8 to 10 days postexposure (75%). The positive predictive value for recovery of virus in cell culture was 56.7% for BinaxNOW-positive and 35.4% for rRT-PCR-positive specimens. Result reporting time was 2.5 h for BinaxNOW and 26 h for rRT-PCR. Point-of-care antigen tests have a shorter turnaround time than laboratory-based nucleic acid amplification tests, which allows for more rapid identification of infected individuals. Antigen test sensitivity limitations are important to consider when developing a testing program.

Indexed as

COVID-19SARS-CoV-2Antigens, ViralHumansReverse Transcriptase Polymerase Chain ReactionSensitivity and SpecificityAntigens, ViralAbbott BinaxNOW SARS-CoV-2 Ag Cardantigen testCOVID-19SARS-CoV-2viral culture

Identifiers

PMID34705535
PMCPMC8769733
OpenAlexW3211297703

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.