EVALUASI VALIDITAS KIT RAPID DIAGNOSTIC TEST ANTIGEN (RDT-Ag) SARS-CoV-2
Abstract
The COVID-19 pandemic is still ongoing around the world. The rapid and easy development and validation of diagnostic methods is a top priority in response to the handling of the COVID-19 pandemic. The study aimed to evaluate the performance of the SARS-CoV-2 Antigen Rapid Diagnostic Test (RDT-Ag). The RDT-Ag kits evaluated in the study were RDT-Ag VD, RDT-Ag GB kits, and RDT-Ag TS kits that included sensitivity and specificity values. rRT-PCR and RDT-Ag tests use 90 samples of the same nasopharyngeal or oropharyngeal swab. The samples included 30 positive samples (Ct ≤ 25), 30 positive samples (Ct > 25), and 30 negative samples. Then, the results of rRT-PCR are used as a standard reference for RDT-Ag evaluation. RDT-Ag VD kit obtained 80% sensitivity in the positive sample group with a Ct value of ≤25, and 10% in the positive sample group with a Ct value of >25 with 93.3% specificity. The RDT-Ag GB kit obtained 70% sensitivity in the positive sample group with a Ct value of ≤ 25, and 10% in the positive sample group with a Ct value of > 25 with 100% specificity. The RDT-Ag TS kit obtained 93.3% sensitivity in the positive sample group with a Ct value of ≤25, and 20% in the positive sample group with a Ct value of >25 with 100% specificity. The sensitivity of RDT-Ag compared to the rRT-PCR results increased in the sample with a Ct value of ≤25 (> 70%) and its sensitivity decreased dramatically in the sample with a Ct value of >25 (< 20%).
Full Text:
PDFReferences
Kementerian Kesehatan RI. Pedoman Pencegahan dan Pengendalian Corona Virus deases (Covid-19) [Internet]. Vol. 5, Kementrian Kesehatan. 2020. p. 178. Available from: https://covid19.go.id/storage/app/media/Protokol/REV-05_Pedoman_P2_COVID-19_13_Juli_2020.pdf
Centers for Disease Control and Prevention (CDC). Coronavirus Disease [Internet]. Coronavirus Disease. 2022. Available from: https://www.cdc.gov/coronavirus/2019-ncov/index.html
Agustiningsih, Arie Ardiansyah Nugraha, Daryanto, Hana Apsari Pawesri, Hartanti Dian Ikawati, Herna Harianja, Holy Arif Wibowo, Ida Susanti ILI. Pedoman Pemeriksaan PCR SARS-COV-2 Bagi Petugas Laboratorium. Vol. 1, Lembaga Penerbit BALITBANGKES. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan; 2020. 1–251 p.
WHO. WHO Corona Virus Data [Internet]. World Health Organization . 2022. Available from: https://covid19.who.int/
Satuan Tugas Penanganan COVID-19. Data COVID-19 Indonesia [Internet]. 2021. Available from: https://covid19.go.id/
World Health Organization. SARS-CoV-2 antigen-detecting rapid diagnostic tests: an implementation guide. Ctry Tech Guid - Coronavirus Dis [Internet]. 2020;1–48. Available from: https://www.who.int/publications/i/item/9789240017740
WHO. Antigen-detection in the diagnosis of SARS-CoV-2 infection using rapid immunoassays [Internet]. World Health Organization. World Health Organization; 2020. Available from: https://www.who.int/publications/i/item/antigen-detection-in-the-diagnosis-of-sars-cov-2infection-using-rapid-immunoassays
Saeed U, Uppal SR, Piracha ZZ, Rasheed A, Aftab Z, Zaheer H, et al. Evaluation of SARS-CoV-2 antigen-based rapid diagnostic kits in Pakistan: formulation of COVID-19 national testing strategy. Virol J. 2021;18(1):1–5.
WHO. Advice on the use of point-of-care immunodiagnostic tests for COVID-19 [Internet]. Vol. 1, COVID-19: Laboratory and diagnosis. World Health Organization; 2020. Available from: https://www.who.int/news-room/commentaries/detail/advice-on-the-use-of-point-of-care-immunodiagnostic-tests-for-covid-19%0Ahttps://www.who.int/publications/i/item/advice-on-the-use-of-point-of-care-immunodiagnostic-tests-for-covid-19-scientific-brief
European Centre for Disease Prevention and Control (ECDC). Option for The Use Rapid Antigen Test for COVID-19 in The EU/EEA and The UK Technical Report. [Internet]. 2020. Available from: https://www.ecdc.europa.eu/en/publications-data/options-use-rapid-antigen-tests-covid-19-eueea-and-uk
Liotti FM, Menchinelli G, Lalle E, Palucci I, Marchetti S, Colavita F, et al. Performance of a novel diagnostic assay for rapid SARS-CoV-2 antigen detection in nasopharynx samples. Clin Microbiol Infect. 2021;27(3):487–8.
Porte L, Legarraga P, Vollrath V, Aguilera X, Munita JM, Araos R, et al. Evaluation of a novel antigen-based rapid detection test for the diagnosis of SARS-CoV-2 in respiratory samples. Int J Infect Dis. 2020;99:328–33.
Nalumansi A, Lutalo T, Kayiwa J, Watera C, Balinandi S, Kiconco J, et al. Field evaluation of the performance of a SARS-CoV-2 antigen rapid diagnostic test in Uganda using nasopharyngeal samples. Int J Infect Dis. 2021;104:282–6.
Trevethan R. Sensitivity, Specificity, and Predictive Values: Foundations, Pliabilities, and Pitfalls in Research and Practice. Front Public Heal. 2017;5:307.
Rahbari R, Moradi N, Abdi M. rRT-PCR for SARS-CoV-2: Analytical considerations. Clin Chim Acta. 2021;516:1.
DOI: https://doi.org/10.33992/meditory.v10i2.2274
Refbacks
- There are currently no refbacks.

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Address: Jl. Sanitasi No.1, Sidakarya, Denpasar Selatan, Kota Denpasar, Bali 80224 (0361) 710447