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. 2022 Feb 10;13:789882. doi: 10.3389/fmicb.2022.789882

TABLE 4.

Diagnostic methods for SARS-CoV-2 infection.

Test Type of sample Pros and cons References
RT-PCR Nasopharyngeal smear or saliva. Collection within 7 days of symptoms Gold standard test for detecting SARS-CoV-2. The accuracy of the test depends on the stage of the disease and the degree of viral multiplication. Higher sensitivities are reported depending on which genetic targets are used in performing the test Xiao et al., 2020; Zou et al., 2020; Erster et al., 2021
Enzyme-Linked Immunosorbent Assay (ELISA)
IgM, IgA, IgG
Serum Useful for diagnosing previous infections. Important for population serological surveillance and research activities. It is not useful for diagnosing acute infection.
Descending titles over time (2–3 months)
Huang A. T. et al., 2020; Huang M. et al., 2020; Krajewski et al., 2020; Li et al., 2020; Lucas et al., 2020; Bichara et al., 2021
Lateral flow immunoassay (LFIA)
(Antigen or antibody)
Nasal or nazopharinzeal smear, serum or whole blood Detects acute infection through the presence of viral antigens. Previous infection by detection of antibodies. Average time 15–20 min. Low cost. Low sensitivity and specificity of 56.2 and 99.5%, respectively Canetti et al., 2020; Dinnes et al., 2020; Prazuck et al., 2020
Loop-mediated isothermal amplification (LAMP) Nasal or nazopharinzeal smear The accuracy of the test depends on the stage of the disease and the degree of viral multiplication. Highly effective, fast results, and limited cost Broughton et al., 2020; Huang W. E. et al., 2020; Bektaş et al., 2021; Jones et al., 2021; Juscamayta-López et al., 2021
CRISPR/Cas Nasal or nazopharinzeal smear High sensitivity and specificity rates and low analysis costs. With 100% sensitivity and specificity Broughton et al., 2020; Hou et al., 2020; Lucia et al., 2020
Biosensors Nazopharinzeal smear Tecnologia rápida e altamente sensível. Ausência de reatividade cruzada com outros coronavirus Seo et al., 2020; Zhao et al., 2021