Adequacy of nasal self-swabbing for SARS-COV-2 testing in children 

The goal of this study was to characterize the ability of school-aged children to self-collect adequate anterior nares (AN) swabs  for SARS-CoV-2 testing. 287 children aged 4-14 years-old, of whom 197 were symptomatic, watched a short instructional video before providing a self-collected anterior nares specimen. Health care workers (HCWs) then collected a second specimen, and useability was assessed by the child and HCW.

94.1% of children provided adequate self-swabs versus  96.5% HCW-swabs with no difference when stratified by age.

The study concluded that children, aged 4-14 years-old, can provide adequate AN specimens for SARS-CoV-2 detection when presented with age-appropriate instructional material, consisting of a video and a handout, at a single timepoint. These data support the use of self-collected anterior nasal swabs among school-age children for SARS-CoV-2 testing.

Jesse J. Waggoner, Miriam B. Vos, Erika A. Tyburski, Phuong-Vi Nguyen, Jessica M. Ingersoll, Candace Miller, Julie Sullivan, Mark Griffiths, Cheryl Stone, Macarthur Benoit, Laura Benedit, Brooke Seitter, Robert Jerris, Joshua M. Levy, Colleen S. Kraft, Sarah Farmer, Amanda Foster, Anna Wood, Adrianna L. Westbrook, Claudia R. Morris, Usha N. Sathian, William Heetderks, Li Li, Kristian Roth, Mary Barcus, Timothy Stenzel, Greg S. Martin, Wilbur A. Lam. MARCH 9, 2022