What Is the Liquid in COVID Tests?

The small vial of liquid included in rapid, at-home COVID-19 antigen test kits is known as the extraction buffer. Its presence is directly linked to the test’s ability to provide an accurate result. This solution acts as the necessary medium to prepare the sample collected on the nasal swab for the subsequent chemical reaction on the test strip. Without this liquid, the test mechanism would fail to isolate the target molecules from the biological sample.

The Purpose of the Extraction Buffer

The primary function of the extraction buffer is to process the biological material collected by the nasal swab, making the viral components accessible for detection. When the swab is inserted into the buffer, the solution immediately begins cell lysis, physically breaking open human cells and viral particles. This action releases the target viral nucleoprotein antigens from inside the collected cells and the virus itself.

Once the viral proteins are released, the buffer maintains a carefully controlled chemical environment for the immunoassay to work correctly. It controls the pH and ionic strength of the sample mixture, allowing the liquid to migrate up the test strip through capillary action. This controlled flow ensures the extracted viral antigens correctly bind to the colored nanoparticles on the lateral flow strip. The buffer’s composition allows for a consistent flow rate, which is required for the antigens to interact with the immobilized antibodies at the test and control lines.

Chemical Composition and Safety Profile

The extraction buffer is a complex, engineered solution containing several active components that optimize the test environment. These liquids contain buffering salts, such as phosphate-buffered saline, which maintain the pH within a narrow range to ensure the stability and reactivity of the antibodies on the test strip. Mild detergents or surfactants are also included to facilitate the lysis of cell membranes and viral envelopes, helping to release the target antigens.

Preservatives are commonly added to the solution to prevent contamination and degradation of the buffer over time, with common examples being sodium azide or Proclin. Sodium azide is present in very small concentrations, such as 0.0125% in some popular kits, but in larger quantities, it is a potent chemical. Proclin contains chemicals that can cause allergic reactions and irritation to the skin and eyes. While the small volume of liquid in the vial is not considered toxic, these active ingredients mean the solution is an irritant, especially to mucous membranes like the eyes or inside the nose.

Distinguishing Between Test Liquids

The extraction buffer used in rapid antigen tests is functionally different from the liquid used in PCR collection kits, which are typically sent to a laboratory. Lab-bound kits use Viral Transport Media (VTM) or Universal Transport Media (UTM), designed primarily to stabilize and preserve the live virus. This medium keeps the sample intact for days or weeks while it is transported to a lab for genetic analysis.

VTM and UTM solutions often contain proteins, antibiotics, and antifungal agents to maintain the viability of the virus and prevent microbial growth. In contrast, the rapid test extraction buffer is formulated for immediate use and optimized for antigen release, not for long-term preservation. Attempting to use a sample collected in VTM directly on a rapid test can lead to an inaccurate result. The different chemical properties of VTM, such as ionic strength or surfactant concentration, can interfere with the lateral flow mechanism, potentially causing a false-positive or an invalid result.

Handling, Storage, and Disposal

Proper handling and storage of the test kit ensure both personal safety and the continued effectiveness of the test components. The extraction buffer is sensitive to temperature, so kits should be stored within the manufacturer’s recommended range, typically between 2 and 30 degrees Celsius. Storing the kit outside of this range can compromise the chemical integrity of the buffer and the reactivity of the antibodies on the strip.

When using the test, avoid contact with the extraction buffer, which is an irritant if spilled on the skin or splashed into the eyes. If a spill occurs, the affected area should be rinsed thoroughly with water immediately. After the test is complete, all components, including the used swab, the extraction tube, and the test cassette, should be disposed of in a sealed plastic bag with household waste. This minimizes the risk of accidental exposure to the solution or the biohazardous material collected on the swab.