Antigen testing in hospitals
Deputy Shanahan argued antigen testing should be used more widely in hospitals and nursing homes. The Taoiseach praised testing capacity but said clinicians still regard PCR as the gold standard, with antigen now limited in outbreaks.
We can all agree that we have a terrible vista at the moment in hospitals and nursing homes with cross infection in all our hospitals and a large number of our nursing homes. The Taoiseach is well aware that I brought antigen testing to NPHET last April. I am an advocate for these tests. Despite NPHET's resistance to them, they are being used informally in hospitals. I know of a respiratory consultant in Dublin who is using them to look after his own staff and his bed allocation. He has done over 50 antigen tests and they completely mimic the results of polymerase chain reaction, PCR, testing. At present in the nursing home establishments there is PCR testing one day per week for staff. That is now due to extend to one day per fortnight. This is totally inadequate. Will the Government look at bringing in antigen testing, rapid screen testing, biweekly into our nursing homes and hospitals for our hospital staff to try to reduce the infection load?
Comment on this
The HSE deserves considerable credit for ramping up a very significant testing and tracing capacity, with up to 150,000 tests per week now. I recall people articulating loudly not so long ago for 100,000 tests per week. I stand to be corrected, but my understanding is that 137,000 were conducted last week. However, the Deputy is correct in saying there has been a resistance from the clinical and public health perspective to antigen testing. It is fair to say that those in clinical and public health see PCR testing as the gold standard. They are applying it and using it now. NPHET has advised that it can be used in outbreak settings, in hospitals or in nursing home settings. There has been a reluctance to override the clinical and public health advice on antigen testing to date. The view is that its optimal use now is in the context of outbreaks.