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Who is being tested?
The recent increases in community transmission in Victoria and NSW have seen an upsurge in testing in those two states.  Queensland is also running pop-up testing facilities along the road from the NSW border. Across Australia, anyone with symptoms no matter how mild is being urged to get tests and isolate themselves until they have their results.
 
What will happen if I am tested?
Some samples will be collected. This will usually take place in a pop-up testing facility or a special drive-through service, a respiratory or fever clinic, a designated pathology collection centre, or a hospital.

The samples will be:
Nose (nasopharyngeal) swab
This is the most common way of being tested. A swab is carefully inserted into your nose (both sides) to pick up samples of mucus.
 
Throat (oropharyngeal) swab
This will take samples from around the tonsils and the back of your throat.
 
These swabs will be placed in a tube and sent to the lab for testing.
 
Saliva Test
This is being trialled by researchers in Victoria.
 
Sputum
Depending on your situation, you may be asked to rinse out your mouth with clean water and then cough deeply into a sterile container. Sputum comes from the lungs and is not the same as the spit in your mouth.
 
Bronchoalveolar lavage
If you are in hospital, your doctors may decide to take samples from your lower lungs. In some people, the virus cannot be detected from samples taken from the nose or throat, or through sputum. This type of collection is performed using a bronchoscope. This will be done using local anaesthetic.
 
Blood test
A blood test may be taken so that a serology test for COVID-19 can be performed if one is being used in conjunction with your diagnostic test.  A serology test looks for the antibodies that your immune system produces in response to the infection.

Antibody testing
Antibody testing looks for the antibodies your body makes to the virus. They cannot accurately detect infection that has been recently acquired and should only be used in assessing whether someone has previously been infected and has developed an immune response.  Many home test kits are being imported into Australia, mostly from China, and they do not give accurate results. They pose a serious risk to public health.
 
Given the limitations and risks associated with these tests, federal and state government health ministers have issued warnings and some have banned their use as a diagnostic test by everyone including health professionals and for the screening of staff for work purposes.
 
What test is being used?
 The test for SARS-CoV-2 – the virus that causes COVID-19 – detects genetic material from the virus. It uses PCR – a technology that amplifies the genes so that they can be detected.  There are several different types of these tests being used.
 
The test looks for specific SARS-CoV-2 genetic material.  An initial screening test may be positive because of the presence of other, non SARS CoV-2 coronaviruses.  If your sample tests positive a further test for another target gene from the virus will be used to confirm it.  
 
Your samples may also be tested for flu and other respiratory viruses so that your doctors can rule them out.

How long will it take to get the results?
The process for receiving COVID-19 test results differs between states and territories and between public and private laboratories.  See section Accessing your COVID-19 Test Results for details
 
If I think I need to be tested, what should I do?
If you think you need testing call your doctor or phone your state or territory COVID-19 helpline.   If you have any doubts or questions, there is a national hotline at 1800 020 080. 
 
You will be asked to take precautions when you attend for treatment. Follow the instructions you are given.
 
Stay at least 1.5 metres away from other people. Cover your coughs or sneezes with your elbow.
 
Tell the person collecting your sample about:
  • your symptoms
  • any travel history
  • any recent contact with someone who has COVID-19  
 
How much will it cost?
There is a Medicare rebate to cover the cost of COVID-19 testing.

 

Last Review Date: September 2, 2020


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