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re: Antibody Test- test one per family?

Posted on 4/23/20 at 9:41 pm to
Posted by buckeye_vol
Member since Jul 2014
35406 posts
Posted on 4/23/20 at 9:41 pm to
quote:

If she finds out she had it, is it fair to assume everyone in the household had it?
Not at all. While you and your son being symptomatic, increase this likelihood, you were also symptomatic at a time where the flu may have been just as likely if not more likely, especially depending on some other factors that impact this likelihood such as location (e.g., NYC > likelihood than New Orleans > likelihood than rural Louisiana) and behaviors (e.g.. New Orleans resident working at a restaurant, attending Mardi Gras and Pelicans game > New Orleans resident who primarily stays at home and works in a small office).

And as the likelihood of being infected decreased (e.g., her not having symptoms; you possibly having the flu and the factors that make that more likely) then the probability that her testing false positive increases, and given the fairly poor accuracy of the test results, it may even be more likely it’s a false positive.

Regardless of whether she tests positive or not, I wouldn’t assume you or your son was positive unless one of you is also tested, and ideally both. And if all 3 are tested, then the order of likelihood you had it would probably be as followed:

3/3 test positive
2/3 test positive (you and your son)
2/3 test positive (you and your wife)
2/3 test positive (your wife and son)
1/3 test positive (you)
1/3 fest positive (your son)
1/3 test positive (your wife)
0/3 test positive
This post was edited on 4/23/20 at 9:44 pm
Posted by MidnightVibe
Member since Feb 2015
7896 posts
Posted on 4/23/20 at 10:29 pm to
quote:

Antibody tests that are available now have a very poor reliability rate despite advertising otherwise. Would wait until more reliable testing is available.



Where does one get the test? I live in Northern Virginia.
Posted by MidnightVibe
Member since Feb 2015
7896 posts
Posted on 4/23/20 at 10:31 pm to
quote:

And as the likelihood of being infected decreased (e.g., her not having symptoms; you possibly having the flu and the factors that make that more likely) then the probability that her testing false positive increases, and given the fairly poor accuracy of the test results, it may even be more likely it’s a false positive.



FYI, this guy thinks literally every positive serology test is false positive.

Literally every one.
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 4/23/20 at 10:36 pm to
Because every publicized test to this point has used the same flawed assay and sampling
Posted by buckeye_vol
Member since Jul 2014
35406 posts
Posted on 4/23/20 at 11:05 pm to
quote:

A buddy of mine(who posts here) took a test and tested positive but his wife tested negative so to answer your question...I don’t believe so
And if someone has a 5% chance of having it, then using the accuracy data from the first FDA approved test from Cellex (96% specificity; 93.75% negativity), then the probability that a positive result was a true positive is only 55.23% but the probability that his negative result was a true negative is 99.66%.

So if they both had a 5% chance of having it, but there was a only a 10% chance that one one would be positive and one would be negative (90% both are one of the other), then given his wife’s negative results, then the 5% probability of the husband having it would be about 0.514%, and the probability that his positive was a true positive is only 3.88%.

In other words, it’s very likely that his result was a false positive. Even if they’re probability of having it was 15% (which is pretty high) given his wife’s result, there is only a 40.7% chance his positive result is actually positive.
Posted by buckeye_vol
Member since Jul 2014
35406 posts
Posted on 4/23/20 at 11:12 pm to
quote:

FYI, this guy thinks literally every positive serology test is false positive.

Literally every one.
Bayes’ Theorem is the single most important thing that has to be considered every time when determining the accuracy of the results rather at the individual level, the group level, or the population level.

Of course, one should take all of the information into consideration to establish an accurate apriori probability, above and beyond a base-rate probability of whatever population their sampling from.

So what exactly is your issue, other than the fact that it made the Stanford study essentially worthless?
Posted by Volt
Midway Island, N Pacific Ocean
Member since Nov 2009
3279 posts
Posted on 4/24/20 at 1:07 am to
No necessarily.

I’m doing antibody testing and have done about 250 people.
Had a family of four children with three out of four testing positive for antibodies.
Posted by MidnightVibe
Member since Feb 2015
7896 posts
Posted on 4/24/20 at 2:36 am to
quote:

So what exactly is your issue, other than the fact that it made the Stanford study essentially worthless?


You can keep saying that, but the results have been corroborated by different studies in different cities. So...I'm actually thinking it wasn't worthless.
Posted by MidnightVibe
Member since Feb 2015
7896 posts
Posted on 4/24/20 at 2:46 am to
quote:

So what exactly is your issue, other than the fact that it made the Stanford study essentially worthless?


Because your argument is circular. Because you take issue with the higher number of people that test, you try to downplay results by pointing out the number of false positives that could be expected.

But on the other side of the equation, you dismiss the possibility of there being false negatives -- despite the significantly worse sensitivity range -- on account of your assumption that "well there weren't that many positive anyway"

That's a fairly textbook circular argument.
Posted by saint tiger225
San Diego
Member since Jan 2011
49211 posts
Posted on 4/24/20 at 4:36 am to
quote:

she had a cough and sore throat
She definitely had it dude, no need for a test.
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