Utility and Acceptability of Rapid Antigen Testing for Influenza and SARS-CoV-2 in K-12 School Health Offices During and After the COVID-19 Pandemic.

BACKGROUND

Kindergarten through 12th grade (K-12) schools are potential hotspots for infectious disease transmission. We used test results and feedback from school health staff and parents to assess in-school rapid testing during and after the COVID-19 pandemic.

METHODS

Rapid testing was conducted in seven K-12 schools during 2021 to 2024. Sofia2-FIA (fluorescent immunoassay) analyzers, test kits, training, and troubleshooting services were provided. School health staff feedback surveys were distributed each year. Parent feedback was collected during the 2023-2024 school year.

RESULTS

Across 3 years, 1710 rapid tests were performed. SARS-CoV-2 (n = 126) and influenza A/B (n = 105) were detected. School health staff found rapid testing "easy" to "very easy" (97%) and supported continuation (90.9%). Parents reported feeling "very relieved" (42.1%) following testing.

DISCUSSION: Rapid testing was highly utilized during and after the COVID-19 pandemic and was well-received by school health staff and parents.