Determining the optimal frequency of SARS-CoV-2 regular asymptomatic testing: A randomized feasibility trial in a home care setting

Determining the optimal frequency of SARS-CoV-2 regular asymptomatic testing: A randomized feasibility trial in a home care setting

Background

The SARS-CoV-2 pandemic has posed challenges for caregivers in home care settings, as they can transmit the virus to their high-risk relatives. Regular asymptomatic testing of caregivers may help reduce transmission, but the best testing frequency is unknown.

Methods

We conducted a trial enrolling caregivers providing home-based care for a relative at least twice a week. Participants were randomly assigned to conduct saliva-based antigen self-testing once a week, twice a week, or every two days. They completed weekly questionnaires, and data on mask use was collected.

Results

All participants completed the study, and high rates of self-test adherence were observed in all groups. No SARS-CoV-2 infections were detected. However, mask adherence decreased during the study.

Conclusion

The study demonstrated that regular self-testing was feasible and well-tolerated by participants. However, it may have led to decreased protective behavior. A future definitive trial should be performed during high SARS-CoV-2 prevalence as a multicentre study to confirm the impact of regular asymptomatic testing on infection transmission.

Trial Registration

The trial is registered with the German Clinical Trials Register, DRKS00026234.

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