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It is impossible to tell for sure whether you have flu from symptoms alone.
Other viruses cause a similar illness, **flu can occur outside the usual
season**, and **people can have flu with respiratory symptoms and no fever at
all.**
So the question becomes which test, and they are not equivalent.
The four kinds
| Time | Detects | Accuracy | |
|---|---|---|---|
| Rapid influenza diagnostic test (RIDT) | 10–15 min | Viral antigens | Least accurate |
| Rapid molecular assay | 15–20 min | Viral genetic material | More accurate than RIDTs |
| RT-PCR | 1 to several hours, specialised laboratory | Genetic material | More accurate |
| Immunofluorescence | 1 to several hours, specialised laboratory | — | More accurate |
The first two rows are the ones worth reading twice. Five extra minutes
buys a meaningfully better answer, and both fit inside a single appointment.
Some RIDTs are FDA-approved for home use, including combined tests that
detect influenza A and B and SARS-CoV-2 in upper respiratory specimens.
Which way the error runs
You could still have flu, even though your rapid test result is negative.
That is the sentence to keep. A false positive sends someone home with
antivirals they did not need. A false negative sends home someone who has
influenza and has been told they do not — and if they are at higher risk, it
sends them home during the window in which antivirals still work.
CDC does not have specific guidance for the use of at-home flu tests, and
the advice it gives instead is about the decision rather than the device:
**People at higher risk of serious flu complications should seek medical
care promptly for flu-like symptoms, to determine if they need antiviral
medications.**
Promptly, and for care — not for a test result.
The symptoms
**Fever, cough, sore throat, runny or stuffy nose, body aches, headache,
chills, fatigue.** **Vomiting and diarrhoea are possible and more common in
children.**
All the laboratory tests need the same thing: **a swab of the inside of the
nose or the back of the throat.**
Source: Centers for Disease Control and Prevention.
Licencia: CC0 1.0 (dominio público) · Adaptado de www.cdc.gov
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