If a specimen is collected from a person through some swab (say, a nasal swab), can I only use it for one COVID-19 viral test?


Also, can someone point me to authentic sources which talk about splitting specimen collected through a single swab for multiple tests?



When you're doing a nasopharyngeal swab you want primarily cellular material that is infected with virus. You can cut the tip of the swab successfully as in this study for multiple tests

Study design

We collected a NP swab on children aged 2–12 years with acute sinusitis and processed it for bacterial culture, viruses, cytokine expression, and 16S ribosomal RNA gene sequencing analysis. During the course of the study, we expand the scope of evaluation to include RNA sequencing, which we accomplished by cutting the tip of the swab.


Of the 174 children enrolled, 126 (72.4%) had a positive bacterial culture and 121(69.5%) tested positive for a virus. Cytokine measurement, as judged by the adequate levels of a housekeeping enzyme (GAPDH), appeared successful. From the samples used for 16S ribosomal sequencing we recovered, on average, 16,000 sequences per sample, accounting for a total of 2,646 operational taxonomic units across all samples sequenced. Samples used for RNA sequencing had a mean RNA Integrity number of 6.0. Cutting the tip of the swab did not affect the recovery yield for viruses or bacteria, nor did it affect species richness in microbiome analysis.

But if you're asking about COVID-19, saliva may be better than a swab. In any case you're talking about a test (rt-PCR) that can amplify very small numbers of virions present.

A method of processing nasopharyngeal swabs to enable multiple testing