Swine Flu Rapid Test Not Always Accurate

Rapid tests for swine flu deliver results in 15 minutes but are not always accurate if negativeThree major, commercially available, rapid test kits for the swine flu accurately identified only 40% to 69% of 45 clinical specimens known to contain the H1N1 flu strain, according to the CDC. However, there was an 89% accuracy if a tested specimen had a high level of the virus. But as the level of virus in the specimens fell, the accuracy of the tests declined, the CDC reported in the Aug. 7 issue of Morbidity and Mortality Weekly Report. Viral titers are highest in the first 3 days of illness.

These rapid tests are widely used and only require 15 minutes to deliver a result, but a negative result is not always accurate.  A positive result, on the other hand, is more reliable and can be very helpful.

Source: CDC, “Evaluation of rapid influenza diagnostic tests for detection of novel influenza A (H1N1) virus — United States, 2009″ MMWR 2009; 58: 826-29.
Source:  “Rapid Tests Miss Mark for Pandemic H1N1 Flu”, MedPage Today, August 6, 2009

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