I'm a doctor and here's what a faint line on your Covid test really means

I'm a doctor and here's what a faint line on your Covid test really means

01/11/2022

TAKING lateral flow tests has become a way of life now in order to stop coronavirus spreading.

Waiting for those little red lines to come up on the test has become an event we are all familiar with.

New rules have come in today which mean you no longer have to get a follow-up PCR test if you test positive on a lateral flow with no symptoms.

However, if the “positive” line is very faint and appears after a certain amount of time, it could actually mean you are not infected, a doctor has said.

Posting a photo of a vaguely positive lateral flow to Instagram, London-based A&E doctor Nathan explained what it could mean.

He said: “Essentially, if *any* line appears before the end of the interpretation window (check leaflet, usually this is 30 minutes), then this is a *positive* test and you must isolate and book a PCR. 

“However, if a line appears *after* the interpretation window then this does NOT count as a positive test. You do not need to isolate and you do not need to book a PCR.”

But if you have symptoms, regardless of the lateral flow test result, you should isolate and book a PCR test.

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Even though most of us have now taken a lateral flow test at some point, it's important to always read the instructions.

This is because tests are made by different manufacturers and could have different requirements to make sure they are being done correctly.

For example, some tests require you to do both a mouth and nose swab – while some just require a nose swab.

Regular testing is key in the face of Omicron, especially as it's been proven that the virus is milder – and therefore, could be mistaken for cold and flu like symptoms.

Omicron infections continue to spread and it is now responsible for 90 per cent of cases in the UK – but scientists have offered hope that the variant isn't as dangerous as those that came before it.

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A string of hugely positive studies show Omicron is milder than other strains for the vaccinated, with the first official UK report revealing the risk of hospitalisation is 50 to 70 per cent lower than with Delta.

Covid booster jabs protect against Omicron and offer the best chance to get through the pandemic, health officials have repeatedly said.

The Sun's Jabs Army campaign is helping get the vital extra vaccines in Brits' arms to ward off the need for any new restrictions.

Nathan, who goes by @expedition_doctor on Instagram, said he received a positive PCR result following a very faint lateral flow test result.

So what would a faintly positive test result mean outside the 30-minute mark, if not Covid?

Nathan gave his views that: “If the faintly positive line appears after the time window, the most likely cause is either that there has been some contamination (e.g. food or drink, or some other very weak contaminant that is causing a false positive), or there are just incredibly low levels of the virus.

“If it is the latter, and obviously assuming you are asymptomatic at this point, then you are very unlikely to be a transmission risk anyway and so it is of little significance.”

Although NHS guidance says you do not need to self isolate if your lateral flow test is negative, if you have a faint positive line, Dr Peacock advised to be extra precautious.

He suggested to social distance, hand wash and wear your mask and continue testing with LFTs as per NHS guidance.

It is probably worth doing more lateral flow tests in the days following to see if the result becomes stronger.

A change from negative to positive can occur within hours, experts have shown.

You must report all lateral flow test results to the NHS.

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A major review found that lateral flow tests used in England were almost always correct when they produced a positive result (99 per cent).

But they were less accurate when it came to giving a negative result. 

The tests missed 60 per cent of positive cases that would have been found through a PCR, meaning many people with Covid are given what’s called a “false negative”.

There were concerns raised by South African scientists that the lateral flow tests would not be able to pick up the Omicron variant, growing rapidly in the UK.

However, the UK Health and Security Agency (UKHSA) said that its own analysis had not found this to be true.

They tested the five lateral flow devices used in the UK against Omicron and the older strain of coronavirus.

The tests correctly identified all positive samples except one older strain, giving a false negative.

Dr Jenny Harries, UKHSA Chief Executive said: “Our data shows that LFD tests are similarly able to detect COVID-19 in individuals who have been exposed to Omicron as in those exposed to previous variants. This is very encouraging. 

“As we all work to limit the high levels of transmission of this variant over the Christmas period, we are urging people to test regularly, particularly before attending social gatherings.

“As always, the booster vaccine remains the best protection against infection. Please come forward to receive your booster as soon as possible.”

The booster campaign is at the forefront of the Government’s plan to tackle Omicron, which is threatening to plunge the UK into another lockdown.

The Sun is also urging readers to sign up to the Jabs Army campaign to make the rollout as smooth and fast as possible.

A booster shot is the best protection against Omicron, with early data suggesting it pushes efficacy back up to 75 per cent for infection, and 80 per cent for severe disease.

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