TABLE 1.
List of available diagnostic tools for detection of Covid‐19 disease
Molecular testing | Antigen testing | Antibody testing | |
---|---|---|---|
Testing methods | Nucleic acid amplification tests – real‐time reverse‐transcription polymerase chain reaction, isothermal nucleic acid amplification – CRISPR‐based assay | Rapid diagnostic immunoassays | POC (disposable immunochromatographic lateral flow assays), to enzyme‐linked immunosorbent assays or chemiluminescent immunoassays |
Mechanism of testing | Detection of specific target viral genes and regions | Detection of the presence of viral particles | Detection of antibodies, especially immunoglobulin G, immunoglobulin M and immunoglobulin A, that are specific for SARS‐CoV‐2 antigens |
Specimen | Nasal or throat swabs | Nasal or throat swabs | Plasma, serum or whole blood |
Diagnosis period | First 5 days after symptoms onset | Less than 5–7 days after symptoms | First 1 week after symptoms onset |
Time required for getting results | Within 1–4 h or up to a week | Within an hour | Within 1–3 days of testing |
Diagnosis of stage of infection | Active infection | Past infection | Active infection |
Approval status | FDA approved | EU approved | FDA approved |
Accuracy | High | The only accuracy of positive results is high | Needs another antibody testing for improved accuracy |
Sensitivity | High | Moderate | High |
Specificity | High | High | High |
Point of care testing | Only a few are available | Available | Available |
Cost | Moderate | Low | Low |
Advantages | Most accurate for active infection | Time and cost‐effective | Identification of people with immunity whose antibodies can be used to treat Covid‐19 patients |
Limitations | Cannot determine the past infection | Might require a molecular test to confirm negative antigen results | Cannot determine the present infection and possibility of false‐positive results |