The value of anal swab RT-PCR for COVID-19 diagnosis in adult Indonesian patients.
Murdani AbdullahDedy Gunawanjati SudrajatVirly Nanda MuzellinaJuferdy KurniawanAulia RizkaAmanda Pitarini UtariRabbinu Rangga PribadiMuhammad Firhat IdrusYusra YusraSofy MeilanyAndry SurandyHamzah ShatriIkhwan RinaldiCeva Wicaksono PitoyoKaka RenaldiPublished in: BMJ open gastroenterology (2021)
Anal swab specimen has low sensitivity (36.7%) but high specificity (93.8%) for detecting SARS-CoV-2 antigen by RT-PCR. Only one additional positive result was found by anal swab among the nasopharyngeal swab-negative group. Anal swab may not be needed as an additional test at the beginning of a patient's diagnostic investigation and nasopharyngeal swab RT-PCR remains as the standard diagnostic test for COVID-19.