RE: Limit of detection / viral load question17 May 2020 00:39
I’ve asked this multiple times but not really got anywhere. In my noddy admittedly uneducated brain, the LOD does not dictate if we end up with a useful/useless test unless it’s absolutely hopeless. False positives are never a problem, they’ll just isolate so let’s ignore that. False positives are. But... let’s say we end up with an 80% accurate test. The LOD determines the cut off of where our test is 100% reliable. There is still huge value in this. Without any mass antigen you have 100% of potential spreaders out in the open. With an 80% test, 80 out of 100 will isolate. That is still hugely beneficial to keep the r value down.
My question is do we understand how the LOD correlates with the viral load when someone becomes contagious? If our LOD is above it, then we’re in business. Obviously the viral load in patients will increase as it progresses, but that’s the point of the test, it’s a mass test and should be used very regularly if you’re on the front line or mixing with people. Take the test regularly and as soon as you find you’ve got it, isolate. The r value is kept low.
Can anyone answer and does that make sense?