Evidence map›Paper›PMID 37995356›Full record

ArticleThe Journal of antimicrobial chemotherapy2023

The evaluation of a multi-day testing approach with antigen lateral flow devices for people eligible for community-based COVID-19 treatments.

Tom Fowler, Alasdair Fellows, Rachael MacISaac, Olumide Kolade, Bhupinder Singh, Adam Eccles, Edward Blandford, Sarah A Tunkel

Abstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Lessons identified for a future pandemic.The Journal of antimicrobial chemotherapy · 2023
    Article
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

8 authors.

Tom FowlerClinical and Public Health Group, UK Health Security Agency, Nobel House, 17 Smith Square, London, SW1P 3JR, UK.ORCID 0000-0002-7258-2279
Alasdair FellowsMAC Clinical Research, 1 Faraday Way, Blackpool, FY2 0JH, UK.
Rachael MacISaacMAC Clinical Research, 1 Faraday Way, Blackpool, FY2 0JH, UK.
Olumide KoladeClinical and Public Health Group, UK Health Security Agency, Nobel House, 17 Smith Square, London, SW1P 3JR, UK.
Bhupinder SinghClinical and Public Health Group, UK Health Security Agency, Nobel House, 17 Smith Square, London, SW1P 3JR, UK.
Adam EcclesClinical and Public Health Group, UK Health Security Agency, Nobel House, 17 Smith Square, London, SW1P 3JR, UK.
Edward BlandfordClinical and Public Health Group, UK Health Security Agency, Nobel House, 17 Smith Square, London, SW1P 3JR, UK.
Sarah A TunkelClinical and Public Health Group, UK Health Security Agency, Nobel House, 17 Smith Square, London, SW1P 3JR, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 therapeutics including antiviral and monoclonal antibody treatments (hereafter 'COVID-19 treatments') require rapid administration to be effective. As part of the community-based antiviral and therapeutic treatment pathway for COVID-19 there has been a move from PCR testing in those eligible to a rapid antigen lateral flow testing regime.

objectivesTo determine whether a multi-day lateral flow device (LFD) testing regime is a feasible alternative to PCR for diagnosing symptomatic patients eligible for COVID-19 treatments. An LFD regime might return a positive result more quickly than a PCR and hence expedite access to COVID-19 treatments.

methodsA retrospective analysis was conducted of diagnostic testing for SARS-CoV-2 with a combination of PCR and LFDs of symptomatic patients eligible for COVID-19 treatments. LFD testing patterns were not assigned. Patients self-censored and the patterns were retro-fitted to the observed results.

resultsThe LFD testing patterns offered high sensitivity, close to 92%; however, the false positive rate also increased, with most of the multi-day testing patterns having a false positive rate greater than 3%. The highest sensitivity was seen among patients who tested with LFD on the same day as PCR.

conclusionsThere were multiple observed testing behaviours. We conclude that multi-day LFD testing for COVID-19 provides a feasible alternative to PCR to in eligible patients, allowing swift prescription of COVID-19 treatments in most cases. This approach requires acceptance of a trade-off for a small increase in false-positive and -negative results.

Indexed as

COVID-19Antiviral AgentsCOVID-19 Drug TreatmentCOVID-19 TestingHumansRetrospective StudiesSARS-CoV-2Sensitivity and SpecificityAntiviral Agents

Identifiers

PMID37995356
PMCPMC10666983

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Registered trials

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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.