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. 2017 Nov 15;17(11):2629. doi: 10.3390/s17112629

Table 1.

Methods for the diagnosis of Chagas disease (CD). * LOD: Limit of Detection. NA: Not applicable.

Methods Drawbacks Benefits LOD * Need of Labeling References
Selective Media
  • Microorganism need to growth fast

  • Long time to yield results

  • It needs to be conducted in a laboratory

  • Needs an aseptic working area

  • Requires highly trained personnel

  • Tedious procedure

  • +

    Low cost

  • +

    Easy to perform

NA No [41,42]
Biosensors
  • Not commercially available for CD diagnosis

  • Large dimensions

  • It needs to be conducted in a laboratory (currently)

  • Further research and development is required for portable systems

  • High research cost

  • +

    Label free detection

  • +

    Quantitative detection

  • +

    No need of an aseptic working area

  • +

    Fast (real-time measurements)

  • +

    Easy to perform. Not need of trained personnel

  • +

    In situ simple preparation

  • +

    High analytical specificity

  • +

    Reduction of reagents consumption

  • +

    Reduced analysis time

  • +

    High sensitivity and reliability

  • +

    Integration of multiple processes in a single device

  • +

    Possible automation

  • +

    Low fabrication cost

  • +

    Possible sensor regeneration for multiple analyses

~2 nM [43] No [6,18,28,30,33,34,35,36,37,43]
ELISA
  • Labeled detection

  • Requires highly qualified personnel

  • Long assay times

  • It needs to be conducted in a laboratory

  • Complex and expensive instruments

  • Presents cross-reactivity with other infectious agents

  • +

    High selectivity and sensitivity

  • +

    Improves the time required to yield results

  • +

    It works well for samples without interfering molecules

~30 nM [43] Yes [41,42,44,45,46,47]
Quantitative PCR
  • Complex and expensive instruments are required

  • Requires highly trained personnel

  • It needs to be conducted in a laboratory

  • Difficult to perform

  • Long assay times

  • +

    High selectivity and sensitivity

  • +

    Improves the time required to yield results

~10 nM [43] Yes [40,42,45,46,47]
Rapid lateral flow test
  • Specificity 96.8%

  • High possibility of presenting false positive

  • Just qualitative results

  • The method needs a tube and a measured volume of sample

  • +

    Fast (15–25 min)

  • +

    High sensitivity of 99.5%

  • +

    Low cost (less than $2 USD to the end user)

~20 nM Yes [7,48]