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. 2021 Jun 23;32(2):e2267. doi: 10.1002/rmv.2267

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