Saturday, July 24

COVID-19 Rapid Self-Diagnosis Without Prescription: Where, How, and What to Do with Results

On Tuesday, July 20, the Council of Ministers will approve the rapid self-diagnostic tests of COVID-19 without the need for a prescription. The project was announced last April and will be regulated by a decree that has been in preparation for these months.

Quick ‘self-diagnosis’ tests: a product for sale in pharmacies that can cause dangerous confusion

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Pharmacists They had insistently requested this measure and, while the regulations have been processed, the pharmacy offices have been collecting evidence, ready to sell themselves as soon as the permit becomes a reality. Once this is the case, anyone who suspects they have been infected can go into a pharmacy, buy the test and take it themselves.

Pharmacy professionals have claimed to be involved in advising the population when they go to their establishments, as well as in the recording and communication of the results.

What evidence?

Self-diagnostic tests are basically antigen tests. They are intended to be used within seven days of the suspected infection. There will be a range of products to buy in pharmacies and allow, for example, to take a superficial sample from the nostrils, without the need to go deep with the swab, as in the case of PCR tests. Hence, it allows oneself to be realized. There are also versions that use saliva. Another aspect that characterizes them is the short waiting time to know the results: in about 15 minutes a verdict is obtained.

Antigen tests, which look for the presence of the virus protein to establish that there is an active infection, sparked controversy months ago because they were not highly efficient in infected but asymptomatic people. Manufacturers now assure that its sensitivity and specificity (locating and identifying this particular pathogen) already exceeds 90%.

Over the counter, such as a pregnancy test

The most important novelty is that, when the decree is approved, anyone will be able to enter a pharmacy and buy a self-diagnostic test. It is comparable to current fertility or pregnancy tests. You will also be allowed to advertise these products. The Minister of Health, Carolina Darias, has assured that this requirement “constituted a barrier” to increase the diagnostic capacity and to identify suspected cases more quickly.

Affordable price”

The cost of the test will depend on the provider. There will be competition. The distribution company in the Rypo sector estimates that the price will range between 3 and 7 euros and that sales will triple once they can be purchased directly without a prescription. These products will be exempt from VAT. Minister Darias has clarified that there will be no public funding, while speaking that it would be an “affordable” cost for citizens.

If you test positive: PCR confirmation

The Ministry of Health has reported that it has reached an agreement with the autonomous communities so that, in the event that someone tests positive for SARS-CoV-2 in one of these self-diagnostic tests, they undergo a PCR test in the public network of health to confirm this positive. Until then it will be considered a “possible case”.

The Spanish Medicines Agency explains that this test can play a “complement” role. Also remember that, to get the test to work well, you must “follow the instructions for use carefully” while stressing the importance of “taking a sample: a poor quality sample can give a wrong test”. For this reason, it is recommended to carry out the test as soon as you take that sample. If the sample causes two lines on the reagent, suspect a positive. And he adds: “Start the isolation and get in touch with the health services in your community.”

It remains to be specified in the regulations how the results will be integrated into the epidemiological surveillance services in charge of managing the pandemic: positive count, communication with close contacts, tracking of possible infections … etc.

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