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| Meta Title | PCR vs. antigen tests: Which you should take after having Covid-19 | CNN |
| Meta Description | A PCR test is considered the gold standard for detecting coronavirus infection after exposure to Covid-19 or while youâre experiencing symptoms. Coronavirus test experts explain why the rapid antigen test is best for knowing if youâre still infectious. |
| Meta Canonical | null |
| Boilerpipe Text | CNN
 âÂ
A PCR test is often considered the gold standard for detecting coronavirus infection. Itâs the test some employers want employees to take before returning to work after having Covid-19, and the one some people scramble to schedule to know whether they can travel or stop isolating. But experts say the PCR test isnât the best one for every situation.
PCR â or reverse transcription-polymerase chain reaction â tests
can detect small amounts
of the coronavirusâ genetic material in a specimen collected from a human. The test then works by amplifying, or making copies of, that genetic material if any is present in a personâs sample, according to the US Centers for Disease Control and Prevention.
The testâs amplifying property enables it to detect very small amounts of coronavirus in a specimen, âmaking these tests highly sensitive for diagnosing COVID-19,â according to
the CDC
. While this sensitivity can be advantageous for detecting coronavirus after a recent exposure, it also means PCR results can be positive even after youâre no longer contagious.
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A PCR test might say youâre positive for coronavirus for three or four weeks after youâve recovered because itâs still âpicking up past infection and the small fragments (of the virus) are still being amplified,â said CNN Medical Analyst Dr. Leana Wen, an emergency physician and visiting professor of health policy and management at the George Washington University Milken Institute School of Public Health. After seven to 10 days, âthat PCR test is not an appropriate test.â
Regardless of your situation, hereâs what you need to know about the differences between PCR and antigen tests (called
rapid lateral flow tests
in the UK) and when you should use them.
The prime time to take a PCR test is when you have had a known or suspected exposure to someone with Covid-19 or are experiencing symptoms, and you want to find out if you have a coronavirus infection, said Dr. Albert Ko, the Raj and Indra Nooyi Professor of Public Health at the Yale School of Public Health.
Knowing your Covid-19 status as early in an infection as possible can help you figure out whether youâre infectious to other people, what to tell recent close contacts for their own safety, and what to share with your doctor so they can talk with you about your symptoms and prescribe any medical care if needed, said Emily Somers, an epidemiologist who holds professorships in internal medicine, environmental health sciences, and obstetrics and gynecology at the University of Michiganâs schools of medicine and public health.
Thatâs important because âup to two days before symptoms, or the one day or two days after symptoms (begin) people can have the highest risk of infecting others,â Ko said. When people are first exposed, it takes time for the virus to replicate enough for a test to pick up on it, Ko explained. PCR tests detect it earlier in the course of infection after exposure than the less sensitive rapid antigen test, which works by detecting a specific protein on one of the coronavirusâ spikes.
The US Food and Drug Administration has authorized use of both PCR tests and
rapid antigen tests
in laboratory-based or point-of-care settings (such as a physicianâs office, urgent care facility, pharmacy, school health clinic and temporary locations like drive-through testing sites). Antigen tests are also commonly available as self-tests.
Contrary to what some still think is best, a rapid antigen test (or rapid lateral flow test) is what you should be taking after you have had Covid-19 for several days and want to confirm youâre probably no longer infectious to other people. ââInfectedâ means that I have the virus in me,â Ko explained. ââInfectiousâ means that Iâm shedding enough virus to infect somebody else, and that only occurs during a peak. It follows a curve after someone has been exposed.â
The CDCâs
current isolation guidance
is that if people have access to a coronavirus test and want to take it, the best approach is using a rapid test toward the end of their five-day isolation period. Those who continue to test positive at that point should continue isolating until they reach 10 days after their symptoms began. People who test negative can stop isolating but should wear a mask around others until day 10.
âEven though the rapid (antigen) test has low sensitivity and is inferior to the PCR test to tell you if youâve been infected, because of its lower sensitivity, it picks up only viruses at a higher level and probably levels that are more infectious,â Ko explained.
âAt this point, we donât have an FDA-cleared test that can tell us exactlyâ how much virus is needed to be infectious to other people, Ko added. But evolving evidence has led public health experts to think that rapid tests do better than PCR tests at capturing when people are exiting the period of maximum infectiousness, since PCR tests are too sensitive, he said.
âWe have other data to indicate at what point somebody is no longer infectious,â Wen said. A
UK preprint study
published in December 2021 found that after five days of coronavirus infection, 31% of people were still infectious. On day eight, that percentage dropped to 11% and continued to decrease over the next several days.
âHaving the presence of two rapid tests â two days in a row â that are both negative is a very good indicator a person is no longer infectious,â Somers said.
This doesnât mean that being contagious at this point is totally impossible â it just means that once you have had Covid-19 for several days and then test negative with a rapid antigen test, the viral RNA is likely at levels low enough to not be infectious (even if you still test positive on a PCR test).
There have been many online reports of employers requiring people to show proof of a negative PCR test before they return to work, which is âprobably not coherent thinkingâ and has people not returning to work until weeks after their initial rapid antigen or PCR test, Ko said.
âI would highly urge individuals to contact their HR (human resources department) â or if thereâs a medical or Covid lead on their teams â and escalate the issue because itâs not reasonable,â Wen said.
In addition to being more convenient, the most logical return-to-work testing strategy is using rapid antigen tests, Ko said.
âJust as with any test for anything, if you use it for the wrong purpose, youâre going to get an inappropriate result,â Wen added. However, âif somebody has had multiple antigen tests that are negative, but they have symptoms of Covid, having a PCR test can help to confirm if they have it or not.â
Some places, such as
Antarctica
and
Kosovo
, require travelers to show proof of a negative PCR test before entering. âIf the requirement is a PCR within like 72 hours of travel or similar, a lot can happen in those three days,â Somers said. âThat negative PCR from a specimen that was taken three days before travel may not be any better than a rapid on the day of travel.
âFor the issue of somebody who had an infection and is recovering, I think this is where itâs really an administrative decision in terms of how much risk the country is willing to take (or) how much margin of error,â she added. âIf a country is trying to be extremely strict in terms of keeping out all infections, then having a negative PCR will be a more sure way of doing that. However, itâs going to potentially prolong the amount of time between when somebody can enter the country compared to when they were infectious.â
CNNâs Kaitlan Collins, John Bonifield, Nikki Carvajal, Eric Levenson and Arman Azad contributed to this story. |
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# When you should take a PCR vs. a rapid antigen test
By [Kristen Rogers](https://www.cnn.com/profiles/kristen-rogers), CNN
6 min read
Updated 7:54 PM EST, Wed January 19, 2022
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CNN
â
A PCR test is often considered the gold standard for detecting coronavirus infection. Itâs the test some employers want employees to take before returning to work after having Covid-19, and the one some people scramble to schedule to know whether they can travel or stop isolating. But experts say the PCR test isnât the best one for every situation.
PCR â or reverse transcription-polymerase chain reaction â tests [can detect small amounts](https://www.sciencedirect.com/topics/neuroscience/nucleic-acid-amplification) of the coronavirusâ genetic material in a specimen collected from a human. The test then works by amplifying, or making copies of, that genetic material if any is present in a personâs sample, according to the US Centers for Disease Control and Prevention.
The testâs amplifying property enables it to detect very small amounts of coronavirus in a specimen, âmaking these tests highly sensitive for diagnosing COVID-19,â according to [the CDC](https://www.cdc.gov/coronavirus/2019-ncov/lab/naats.html#:~:text=The%20NAAT%20procedure%20works%20by,sensitive%20for%20diagnosing%20COVID-19.). While this sensitivity can be advantageous for detecting coronavirus after a recent exposure, it also means PCR results can be positive even after youâre no longer contagious.
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A worker at a drive-up coronavirus testing clinic administers PCR coronavirus tests in Puyallup, Washington state, on January 4.
Ted S. Warren/AP/FILE
A PCR test might say youâre positive for coronavirus for three or four weeks after youâve recovered because itâs still âpicking up past infection and the small fragments (of the virus) are still being amplified,â said CNN Medical Analyst Dr. Leana Wen, an emergency physician and visiting professor of health policy and management at the George Washington University Milken Institute School of Public Health. After seven to 10 days, âthat PCR test is not an appropriate test.â
Regardless of your situation, hereâs what you need to know about the differences between PCR and antigen tests (called [rapid lateral flow tests](https://www.nhs.uk/conditions/coronavirus-covid-19/testing/regular-rapid-coronavirus-tests-if-you-do-not-have-symptoms/) in the UK) and when you should use them.
## When a PCR test is key
The prime time to take a PCR test is when you have had a known or suspected exposure to someone with Covid-19 or are experiencing symptoms, and you want to find out if you have a coronavirus infection, said Dr. Albert Ko, the Raj and Indra Nooyi Professor of Public Health at the Yale School of Public Health.
Knowing your Covid-19 status as early in an infection as possible can help you figure out whether youâre infectious to other people, what to tell recent close contacts for their own safety, and what to share with your doctor so they can talk with you about your symptoms and prescribe any medical care if needed, said Emily Somers, an epidemiologist who holds professorships in internal medicine, environmental health sciences, and obstetrics and gynecology at the University of Michiganâs schools of medicine and public health.
[ A Covid-19 test, received through a government program, at a home in Easton, New Hampshire, in December 2021. John Tully/Bloomberg/Getty Images Related article How to get free at-home Covid-19 tests from the government](https://www.cnn.com/2022/01/19/politics/free-government-home-covid-tests-wellness/index.html)
Thatâs important because âup to two days before symptoms, or the one day or two days after symptoms (begin) people can have the highest risk of infecting others,â Ko said. When people are first exposed, it takes time for the virus to replicate enough for a test to pick up on it, Ko explained. PCR tests detect it earlier in the course of infection after exposure than the less sensitive rapid antigen test, which works by detecting a specific protein on one of the coronavirusâ spikes.
The US Food and Drug Administration has authorized use of both PCR tests and [rapid antigen tests](https://www.cdc.gov/coronavirus/2019-ncov/lab/resources/antigen-tests-guidelines.html) in laboratory-based or point-of-care settings (such as a physicianâs office, urgent care facility, pharmacy, school health clinic and temporary locations like drive-through testing sites). Antigen tests are also commonly available as self-tests.
## When rapid antigen tests are crucial
Contrary to what some still think is best, a rapid antigen test (or rapid lateral flow test) is what you should be taking after you have had Covid-19 for several days and want to confirm youâre probably no longer infectious to other people. ââInfectedâ means that I have the virus in me,â Ko explained. ââInfectiousâ means that Iâm shedding enough virus to infect somebody else, and that only occurs during a peak. It follows a curve after someone has been exposed.â
[ video Related video Watch Dr. Gupta take an at-home Covid test](https://www.cnn.com/videos/health/2021/12/17/sanjay-gupta-covid-test-holidays.cnn)
The CDCâs [current isolation guidance](https://www.cnn.com/2022/01/04/health/cdc-updated-guidance-covid-isolation/index.html) is that if people have access to a coronavirus test and want to take it, the best approach is using a rapid test toward the end of their five-day isolation period. Those who continue to test positive at that point should continue isolating until they reach 10 days after their symptoms began. People who test negative can stop isolating but should wear a mask around others until day 10.

Aaron Salvador swabs his nose with a coronavirus rapid antigen test kit in Washington, DC, on December 29, 2021.
Tom Williams/CQ-Roll Call, Inc./Getty Images/FILE
âEven though the rapid (antigen) test has low sensitivity and is inferior to the PCR test to tell you if youâve been infected, because of its lower sensitivity, it picks up only viruses at a higher level and probably levels that are more infectious,â Ko explained.
âAt this point, we donât have an FDA-cleared test that can tell us exactlyâ how much virus is needed to be infectious to other people, Ko added. But evolving evidence has led public health experts to think that rapid tests do better than PCR tests at capturing when people are exiting the period of maximum infectiousness, since PCR tests are too sensitive, he said.
âWe have other data to indicate at what point somebody is no longer infectious,â Wen said. A [UK preprint study](https://www.medrxiv.org/content/10.1101/2021.12.23.21268326v1.full.pdf) published in December 2021 found that after five days of coronavirus infection, 31% of people were still infectious. On day eight, that percentage dropped to 11% and continued to decrease over the next several days.
âHaving the presence of two rapid tests â two days in a row â that are both negative is a very good indicator a person is no longer infectious,â Somers said.
This doesnât mean that being contagious at this point is totally impossible â it just means that once you have had Covid-19 for several days and then test negative with a rapid antigen test, the viral RNA is likely at levels low enough to not be infectious (even if you still test positive on a PCR test).
[ John Tully/Bloomberg/Getty Images Related article Going somewhere? Here's how to test yourself for Covid-19 before you do](https://www.cnn.com/2021/12/17/health/how-to-at-home-covid-19-test-wellness/index.html)
There have been many online reports of employers requiring people to show proof of a negative PCR test before they return to work, which is âprobably not coherent thinkingâ and has people not returning to work until weeks after their initial rapid antigen or PCR test, Ko said.
âI would highly urge individuals to contact their HR (human resources department) â or if thereâs a medical or Covid lead on their teams â and escalate the issue because itâs not reasonable,â Wen said.
In addition to being more convenient, the most logical return-to-work testing strategy is using rapid antigen tests, Ko said.
âJust as with any test for anything, if you use it for the wrong purpose, youâre going to get an inappropriate result,â Wen added. However, âif somebody has had multiple antigen tests that are negative, but they have symptoms of Covid, having a PCR test can help to confirm if they have it or not.â
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Some places, such as [Antarctica](https://www.cnn.com/travel/article/antarctica-travel-covid-19/index.html) and [Kosovo](https://xk.usembassy.gov/coronavirus/), require travelers to show proof of a negative PCR test before entering. âIf the requirement is a PCR within like 72 hours of travel or similar, a lot can happen in those three days,â Somers said. âThat negative PCR from a specimen that was taken three days before travel may not be any better than a rapid on the day of travel.
âFor the issue of somebody who had an infection and is recovering, I think this is where itâs really an administrative decision in terms of how much risk the country is willing to take (or) how much margin of error,â she added. âIf a country is trying to be extremely strict in terms of keeping out all infections, then having a negative PCR will be a more sure way of doing that. However, itâs going to potentially prolong the amount of time between when somebody can enter the country compared to when they were infectious.â
*CNNâs Kaitlan Collins, John Bonifield, Nikki Carvajal, Eric Levenson and Arman Azad contributed to this story.*
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| Readable Markdown | CNN â
A PCR test is often considered the gold standard for detecting coronavirus infection. Itâs the test some employers want employees to take before returning to work after having Covid-19, and the one some people scramble to schedule to know whether they can travel or stop isolating. But experts say the PCR test isnât the best one for every situation.
PCR â or reverse transcription-polymerase chain reaction â tests [can detect small amounts](https://www.sciencedirect.com/topics/neuroscience/nucleic-acid-amplification) of the coronavirusâ genetic material in a specimen collected from a human. The test then works by amplifying, or making copies of, that genetic material if any is present in a personâs sample, according to the US Centers for Disease Control and Prevention.
The testâs amplifying property enables it to detect very small amounts of coronavirus in a specimen, âmaking these tests highly sensitive for diagnosing COVID-19,â according to [the CDC](https://www.cdc.gov/coronavirus/2019-ncov/lab/naats.html#:~:text=The%20NAAT%20procedure%20works%20by,sensitive%20for%20diagnosing%20COVID-19.). While this sensitivity can be advantageous for detecting coronavirus after a recent exposure, it also means PCR results can be positive even after youâre no longer contagious.
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A PCR test might say youâre positive for coronavirus for three or four weeks after youâve recovered because itâs still âpicking up past infection and the small fragments (of the virus) are still being amplified,â said CNN Medical Analyst Dr. Leana Wen, an emergency physician and visiting professor of health policy and management at the George Washington University Milken Institute School of Public Health. After seven to 10 days, âthat PCR test is not an appropriate test.â
Regardless of your situation, hereâs what you need to know about the differences between PCR and antigen tests (called [rapid lateral flow tests](https://www.nhs.uk/conditions/coronavirus-covid-19/testing/regular-rapid-coronavirus-tests-if-you-do-not-have-symptoms/) in the UK) and when you should use them.
The prime time to take a PCR test is when you have had a known or suspected exposure to someone with Covid-19 or are experiencing symptoms, and you want to find out if you have a coronavirus infection, said Dr. Albert Ko, the Raj and Indra Nooyi Professor of Public Health at the Yale School of Public Health.
Knowing your Covid-19 status as early in an infection as possible can help you figure out whether youâre infectious to other people, what to tell recent close contacts for their own safety, and what to share with your doctor so they can talk with you about your symptoms and prescribe any medical care if needed, said Emily Somers, an epidemiologist who holds professorships in internal medicine, environmental health sciences, and obstetrics and gynecology at the University of Michiganâs schools of medicine and public health.
Thatâs important because âup to two days before symptoms, or the one day or two days after symptoms (begin) people can have the highest risk of infecting others,â Ko said. When people are first exposed, it takes time for the virus to replicate enough for a test to pick up on it, Ko explained. PCR tests detect it earlier in the course of infection after exposure than the less sensitive rapid antigen test, which works by detecting a specific protein on one of the coronavirusâ spikes.
The US Food and Drug Administration has authorized use of both PCR tests and [rapid antigen tests](https://www.cdc.gov/coronavirus/2019-ncov/lab/resources/antigen-tests-guidelines.html) in laboratory-based or point-of-care settings (such as a physicianâs office, urgent care facility, pharmacy, school health clinic and temporary locations like drive-through testing sites). Antigen tests are also commonly available as self-tests.
Contrary to what some still think is best, a rapid antigen test (or rapid lateral flow test) is what you should be taking after you have had Covid-19 for several days and want to confirm youâre probably no longer infectious to other people. ââInfectedâ means that I have the virus in me,â Ko explained. ââInfectiousâ means that Iâm shedding enough virus to infect somebody else, and that only occurs during a peak. It follows a curve after someone has been exposed.â
The CDCâs [current isolation guidance](https://www.cnn.com/2022/01/04/health/cdc-updated-guidance-covid-isolation/index.html) is that if people have access to a coronavirus test and want to take it, the best approach is using a rapid test toward the end of their five-day isolation period. Those who continue to test positive at that point should continue isolating until they reach 10 days after their symptoms began. People who test negative can stop isolating but should wear a mask around others until day 10.
âEven though the rapid (antigen) test has low sensitivity and is inferior to the PCR test to tell you if youâve been infected, because of its lower sensitivity, it picks up only viruses at a higher level and probably levels that are more infectious,â Ko explained.
âAt this point, we donât have an FDA-cleared test that can tell us exactlyâ how much virus is needed to be infectious to other people, Ko added. But evolving evidence has led public health experts to think that rapid tests do better than PCR tests at capturing when people are exiting the period of maximum infectiousness, since PCR tests are too sensitive, he said.
âWe have other data to indicate at what point somebody is no longer infectious,â Wen said. A [UK preprint study](https://www.medrxiv.org/content/10.1101/2021.12.23.21268326v1.full.pdf) published in December 2021 found that after five days of coronavirus infection, 31% of people were still infectious. On day eight, that percentage dropped to 11% and continued to decrease over the next several days.
âHaving the presence of two rapid tests â two days in a row â that are both negative is a very good indicator a person is no longer infectious,â Somers said.
This doesnât mean that being contagious at this point is totally impossible â it just means that once you have had Covid-19 for several days and then test negative with a rapid antigen test, the viral RNA is likely at levels low enough to not be infectious (even if you still test positive on a PCR test).
There have been many online reports of employers requiring people to show proof of a negative PCR test before they return to work, which is âprobably not coherent thinkingâ and has people not returning to work until weeks after their initial rapid antigen or PCR test, Ko said.
âI would highly urge individuals to contact their HR (human resources department) â or if thereâs a medical or Covid lead on their teams â and escalate the issue because itâs not reasonable,â Wen said.
In addition to being more convenient, the most logical return-to-work testing strategy is using rapid antigen tests, Ko said.
âJust as with any test for anything, if you use it for the wrong purpose, youâre going to get an inappropriate result,â Wen added. However, âif somebody has had multiple antigen tests that are negative, but they have symptoms of Covid, having a PCR test can help to confirm if they have it or not.â
Some places, such as [Antarctica](https://www.cnn.com/travel/article/antarctica-travel-covid-19/index.html) and [Kosovo](https://xk.usembassy.gov/coronavirus/), require travelers to show proof of a negative PCR test before entering. âIf the requirement is a PCR within like 72 hours of travel or similar, a lot can happen in those three days,â Somers said. âThat negative PCR from a specimen that was taken three days before travel may not be any better than a rapid on the day of travel.
âFor the issue of somebody who had an infection and is recovering, I think this is where itâs really an administrative decision in terms of how much risk the country is willing to take (or) how much margin of error,â she added. âIf a country is trying to be extremely strict in terms of keeping out all infections, then having a negative PCR will be a more sure way of doing that. However, itâs going to potentially prolong the amount of time between when somebody can enter the country compared to when they were infectious.â
*CNNâs Kaitlan Collins, John Bonifield, Nikki Carvajal, Eric Levenson and Arman Azad contributed to this story.* |
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| Root Hash | 2312100192101524051 |
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