%0 Journal Article %A Zhu, Alex %A Creagh, Margaret %A Qi, Chao %A Galvin, Shannon %A Bolon, Maureen %A Zembower, Teresa %T The value of repeat patient testing for SARS-CoV-2: real-world experience during the first wave %D 2021 %J Access Microbiology, %V 3 %N 7 %@ 2516-8290 %C 000239 %R https://doi.org/10.1099/acmi.0.000239 %K COVID-19 laboratory diagnosis %K SARS-CoV-2 %K repeat testing %I Microbiology Society, %X Introduction. Reports of false-negative quantitative reverse transcription PCR (RT-qPCR) results from patients with high clinical suspension for coronavirus disease 2019 (COVID-19), suggested that a negative result produced by a nucleic acid amplification assays (NAAs) did not always exclude the possibility of COVID-19 infection. Repeat testing has been used by clinicians as a strategy in an to attempt to improve laboratory diagnosis of COVID-19 and overcome false-negative results in particular. Aim. To investigate whether repeat testing is helpful for overcoming false-negative results. Methods. We retrospectively reviewed our experience with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) testing, focusing on the yield of repeat patient testing for improving SARS-CoV-2 detection by NAA. Results. We found that the yield from using repeat testing to identify false-negative patients was low. When the first test produced a negative result, only 6 % of patients tested positive by the second test. The yield decreased to 1.7 and then 0 % after the third and fourth tests, respectively. When comparing the results produced by three assays, the Centers for Disease Control and Prevention (CDC) SARS CoV-2 RT-qPCR panel, Xpert Xpress CoV-2 and ID NOW COVID-19, the ID NOW assay was associated with the highest number of patients who tested negative initially but positive on repeat testing. The CDC SARS CoV-2 RT-qPCR panel produced the highest number of indeterminate results. Repeat testing resolved more than 90 % of indeterminate/invalid results. Conclusions. The yield from using repeat testing to identify false-negative patients was low. Repeat testing was best used for resolving indeterminate/invalid results. %U https://www.microbiologyresearch.org/content/journal/acmi/10.1099/acmi.0.000239