Table 2.
Molecular | Antigen | Serology | |
---|---|---|---|
Test type | Viral | Viral | Antibody |
Diagnostic test | Yes | Yes | No |
Description | Nucleic acid amplification test to detect viral RNA | Detects viral proteins in the nasal cavity | Detects the presence of IgA, IgM & IgG antibodies against SARS‐CoV‐2 |
Measure | Current infection with SARS‐CoV‐2 | Current infection with SARS‐CoV‐2 | Past exposure to SARS‐CoV‐2 |
Platform technology | RT‐PCR, LAMP, CRISPR | Lateral flow | Lateral flow, ELISA, CIA |
Sample type | Nasal or throat swab, saliva, bronchoalveolar lavage fluid | Nasal or throat swab | Blood draw (plasma, serum, whole blood) or finger stick |
Testing window | Days 1–28 after symptom onset, optimal days 3–12 | Days 1–28 after symptom onset, optimal days 3–12 | IgA/IgM: from day 5 after symptom onset, optimal days 14–21; IgG: from day 14 after symptom onset up to 6 weeks |
Result turnaround time | Same day or up to a week (depending on location); point‐of‐care option available (within 1–2 hours) | Rapid, point‐of‐care (within 15 minutes) | Same day or up to 1–3 days (depending on location); point‐of‐care option available (within 15–30 minutes) |
CIA = chemiluminescent immunoassay; CRISPR = clustered regularly interspaced short palindromic repeats; ELISA = enzyme‐linked immunosorbent assay; FDA = US Food and Drug Administration; Ig = immunoglobulin; LAMP = loop‐mediated isothermal amplification; RT‐PCR = real‐time reverse transcriptase polymerase chain reaction; SARS‐CoV‐2 = severe acute respiratory syndrome‐coronavirus 2.