To the Editor I share the concerns of Higgins et al regarding the low sensitivity of the gold standard for detecting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and thank them for their detailed description of how to properly obtain nasopharyngeal swabs. However, the rejection by Higgins et al of nasal swabbing as a valid method for coronavirus disease 2019 (COVID-19) testing is inconsistent with current understanding. Most peer-reviewed publications comparing nasal vs nasopharyngeal swabbing for COVID-19 specimen collection have demonstrated noninferiority between methods.
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