Testing out of quarantine

Author:

McGowan Lucy D’AgostinoORCID,Lee Elizabeth C.ORCID,Grantz Kyra H.ORCID,Kucirka Lauren M.ORCID,Gurley Emily S.ORCID,Lessler JustinORCID

Abstract

AbstractSince SARS-CoV-2 emerged, a 14-day quarantine has been recommended based on COVID-19”s incubation period. Using an RT-PCR or rapid antigen test to “test out” of quarantine is a frequently proposed strategy to shorten duration without increasing risk. We calculated the probability that infected individuals test negative for SARS-CoV-2 on a particular day post-infection and remain symptom free for some period of time. We estimate that an infected individual has a 20.1% chance (95% CI 9.8-32.6) of testing RT-PCR negative on day five post-infection and remaining asymptomatic until day seven. We also show that the added information a test provides decreases as we move further from the test date, hence a less sensitive test that returns rapid results is often preferable to a more sensitive test with a delay.

Publisher

Cold Spring Harbor Laboratory

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