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. 2021 Apr 8;18(8):3919. doi: 10.3390/ijerph18083919

Table 2.

Usefulness and limits of antigenic and serological tests in pediatric age.

Usefulness of Serological Tests Usefulness of Antigen Testing
Evaluation of patients with a high clinical suspicion of COVID-19 when the molecular test is negative and at least two weeks have passed since the onset of symptoms
Monitoring of multisystemic inflammatory syndrome in children
Conducting serosurveillance studies
Potential utility to track the course of the SARS-CoV-2 pandemic in the community
Use as a screening test in high-risk environments
Use in contexts where a rapid response time is required
Use in environments with reduced ability to perform RT-PCR tests for logistical or economic reasons, being less expensive and easier to use
Limits of Serological Tests Limits of Antigen Testing
Poor diagnostic utility in acute phase of infection
Inability to be used in determining immunological status due to lack of data on efficacy and duration of anti-SARS-CoV-2 antibody response
Overall sensitivity lower than RT-PCR-based tests
Poor diagnostic utility after 5 days of onset of symptoms