What types of COVID tests are there?
- PCR test
- COVID-influenza double PCR test
- COVID-19 antigen rapid test
- Serology (ELISA) test
Summary table of tests:
|Type of the test||What can the test detect?||
How do we test?
|How long does it take to get the results?||Where the test is carried out?|
|PCR test||PCR test detects the presence of the virus’s RNA, confirms current infection||performed via an oral sample taken from the posterior pharynx and from the nose||by the end of day 2 after sampling||
COVID-influenza double PCR test
detects the presence of the virus/viruses, confirms current infection
helps to distinguish the origins of the two types of respiratory disease
|performed via an oral sample taken from the posterior pharynx and from the nose||by the end of day 2 after sampling||
|COVID-19 antigen radid test||detects the presence of the virus, confirms current infection||performed via an oral sample taken from the nose||within 15-20 minutes||
|Serology test||shows a previous infection (has the patient already had coronavirus?)||test is performed on venous blood||within 2-3 working days||
- PCR test (available at our clinic and carried out at an external address, home visit): HUF 19,500.
- Convenience service fee for home visits: additional HUF 15,000. We provide a 50% discount from this price for all additional people participating in the testing at the same address.
- COVID-influenza double PCR test: HUF 22,500.
- COVID-19 antigen test HUF 14,900 (test sample is taken at Rózsakert Shopping Center)
- Serological test: HUF 23,500 (ELISA test)
- Consultation: HUF 18,000. If the patient has a chronic underlying illness and the consultation is longer, then the usual cost for a comprehensive medical examination is charged. The fee for this is HUF 25,000
- For families, we will charge the consultation fee to one person. There will be a charge of HUF 8,000 per person for each additional family member. This fee covers the cost of arranging the test, the evaluation of the results and the documentation.
How will you receive the results?
- PCR and serological results will be sent directly by e-mail from the laboratory, and in case of a rapid antigen test, we will provide you immediately after sampling.
- The sent medical reports are created in a closed IT system, so they are authentic without a seal and signature. If you still need a certificate in Hungarian or English (eg for travel at a foreign airport), please indicate this when booking your appointment.
INFORMATION ON TESTS
1./ PCR TESTS
1.1 Direct detection of the - SARS-COV2 virus the so-called PCR test
How to prepare for testing?
PCR testing is recommended after 4-5 days from the onset of symptoms or from the suspected infection to ensure that sufficient virus particles are already present on the mucous membranes and that the test is successful. It is important that the patient should not eat, drink, smoke, brush or rinse their mouth 4 hours before sampling! In the case of infants or babies care should be taken not to allow the infant to drink between the two meals and sampling should be performed before the next meal, if feasible.
How do we test?
This technique is used to examine saliva and nasal secretions. Performing the test requires serious laboratory equipment and professional background, and it works with high safety - a hit rate of over 95%. However, it is important to know that the quality of the sampling affects the amount of cells “swept away” with the cotton swab, and thus the adequacy of the test result. It is therefore desirable for the sampler to push the sampling devices up to a sufficient height in the pharynx and nasal cavity and to collect as many cells as possible with the appropriate technique - this could cause discomfort for a short time.
Communication of results
The results will be emailed to you by our Partner Laboratory no later than the end of the 2nd working day following the sampling. The test result can be:
• positive: the virus is present when examined from a sufficient sample
• negative: no virus is present when tested from a sufficient sample
• Insufficient sampling (cell-poor sample): Repetition is recommended
If the result is negative and the patient is tested and prepared properly at the appropriate time above (4-5 days after symptoms or suspected infection), it is almost certain that the symptoms were not caused by the COVID-19 virus. If the result is positive, read the section “What to do in case of a positive COVID test” at the end of this material for general information on infection. If you need additional information, please book an online consultation with one of the RMC's internists.
Please inform your family doctor about the result, watch for symptoms, seek medical help in case of deterioration! The RMC will make the appropriate epidemiological notification.
1.2 COVID-influenza double PCR test
RMC's testing portfolio has further expanded! The COVID-influenza double PCR test has become available in our partner laboratory. Its significance in the present stage of the epidemic is very high, as the presence of the two viruses can be detected by a single sampling, allowing causal differentiation between similar respiratory symptoms. The sensitivity of the test is equal to the sensitivity of COVID PCR test, and the principle and procedure of the test are identical to those of the COVID PCR test.
Preparation for the test is the same as for COVID PCR.
2.COVID-19 ANTIGEN RAPID TEST
How to prepare for testing?
PCR testing is recommended after 4-5 days from the onset of symptoms or from the suspected infection to ensure that sufficient virus particles are already present on the mucous membranes and that the test is successful.
Do not smoke 1 hour before sampling, but you do not have to come on an empty stomach, you can eat and drink as well.
If you choose to confirm a negative COVID-19 Antigen Rapid Test result by PCR for the reasons described below, you should prepare as described above for the PCR test: 4 hours prior to sampling, the patient should neither eat nor do not drink fluids, smoke, or even brush your teeth or rinse your mouth!
How do we test?
The essence of the test is to swab the nasopharynx with a swab to detect the presence of the virus. Performing the test does not require a serious professional background, but it is important to know that the quality of the sampling affects the amount of cells “swept away” with the cotton swab, and thus the adequacy of the test result. It is therefore desirable for the sampler to push the sampling devices up to a sufficient height in the pharynx and nasal cavity and to collect as many cells as possible with the appropriate technique, which will cause discomfort for a short time.
The advantage of the antigen test is that it is a fast (gives results in 15 minutes) test with high specification. It is an empirical fact that in patients with respiratory symptoms, both a positive and a negative result are almost as reliable as the result of a PCR test, so this rapid test is recommended for them. It is important to note, however, that the sensitivity of the test is lower than the PCR and requires a higher viral concentration. However, it is recommended that the negative test result be confirmed by PCR. The test we use, the Panbio ™ COVID-19 Ag rapid test, is a product of ABBOTT, WHO approved and CE marked.
Communication of results
If the result is positive, read the section “What to do in case of a positive COVID test” at the end of this material for general information on infection. If you need additional information, please book an online consultation with one of the RMC's internists. Please inform your family doctor about the result, watch for symptoms, seek medical help in case of deterioration! The RMC will make the appropriate epidemiological notification.
If the result is negative: A PCR test is offered to confirm the result. If you accept this, re-sampling will take place and you will receive the PCR result no later than the 2nd working day. If you do not want to confirm the result, please monitor yourself closely, follow the symptoms, seek medical help if necessary. The RMC will make the appropriate epidemiological notification.
3. DETECTION OF ANTIBODIES PRODUCED AGAINST THE VIRUS, THE SO-CALLED BLOOD SEROLOGY TEST (ELISA TESTS)
How to prepare for testing?
The test is performed with a simple blood sample that does not require preparation by the patient. If we only do this test for you, you can eat and drink in front of it, you can take your medication.
Communication of results
In the case of ELISA tests, we undertake to report the result by the 3rd working day from the time of blood collection. We will send you the result electronically, by e-mail.
KEY INFORMATION ABOUT THE TESTS
None of the laboratory tests are 100% sensitive and specific, so none of the SARS-CoV2 tests listed. Therefore, we can only determine the probability of infection, e.g. for positive PCR and Antigen test the probability is very high, but for IgM positivity the probability is a little lower.
We would also like to draw your attention to the fact that in the case of a coronavirus epidemic, our medical knowledge is constantly evolving and updated, in Hungary as well as worldwide. In Hungary, too, data collection and continuous evaluation take place, so RMC participates in this research and development work in line with the country's forefront. If new knowledge requires a change in strategy, it will be implemented immediately by RMC. Furthermore, it should also be understood that a negative finding (infection cannot be confirmed) does not provide protection against infection and does not even rule out infection within a certain time window. The virus is present in the community, and a person with a negative result can become infected at any time, unless it is strictly isolated from others.
Consequences of a positive test
If the result of one of the tests is positive, it is automatically reported by the laboratory and the RMC to the competent authority, which takes various measures (quarantine, etc.) depending on the situation and the regulations in force.
Even in the case of a negative test, it may be medical advice to recommend a repeat test according to complex algorithms, depending on the symptoms and situation. These are not officially binding recommendations and involve additional costs.
Follow - up
In the case of a positive test, it is important to monitor the patient's recovery. In the present situation, the RMC can offer telephone counseling, however, we can only become aware of a worsening of symptoms if the patient (or his family) notifies us. We can offer an aid for monitoring (oxygen saturation meter) for purchase, but it is important to understand and emphasize once again: the responsibility for notification lies with the patient and their family. If deterioration occurs during night, Sunday, or out-of business hours, the National Ambulance Service should be called.
ACTIONS IN CASE OF A POSITIVE COVID TEST
- If your coronavirus test is positive, please read the information below carefully! If you still have questions after the information below, please call our center on +36 1 392 0505 and request an online internal medicine consultation.
- The confirmed disease is notifiable, the health care provider submits a notification to the National Public Health Center to the district competent authority. Positivity entails / may lead to binding measures due to the epidemiological situation. Please also inform your GP about the test result!
- For mild symptoms, we recommend that you stay in your home for a minimum of 10 days and spend at least 3 asymptomatic days before going to the community! It is important to follow the rules of hygiene (frequent hand washing, wearing a mask, keeping a distance). Try to separate from the rest of the family.
- Supportive therapy: rest, increase fluid intake (2-3 liters / day!) If you have already taken vitamin D, continue to take it at a dose of 3000 IU/day. If you have not taken it before, it is recommended that you take 30,000 IU once a week for 8 weeks and 3,000 IU daily on the intervening days. In case of sore throat, it is recommended to use antiseptic-analgesic candy.
- Fever suppression above 38˙C: with paracetamol up to 2 g / day. In case of coronavirus infection, it is recommended to use paracetamol-containing medicines instead of NSAIDs (diclofenac, ibuprofen, naproxen, etc.) or Algopyrin for antipyretic treatment. In case of deterioration, telephone (online) consultation is recommended.
- In case of critical symptoms, shortness of breath or rapid breathing, immediate hospitalization is recommended! The healthcare provider will only be notified of the symptoms if the patient or their family indicates the problem. The responsibility for signaling the problem thus lies with the patient / family. Please call your GP or RMC without delay, who will notify the special ambulance on 1824.
- Patients at high risk should be given special attention to indicate immediately if deterioration occurs.
• Older than 60 years
• People with a chronic illness, such as cardiovascular disease, diabetes, respiratory disease, malignancy, liver and kidney disease, can aggravate the course of the COVID disease,
• immunosuppressed patients (eg due to immunodeficiency, immunosuppressive drugs such as steroids, chemotherapy) are also at higher risk
We have based our suggestions above on the available documentation, we have not examined you. During the online consultation of your choice, we listen to the patient's complaints, review the findings and documentation sent or available, so we can give personalized advice!