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. 2022 Mar 8;12:4132. doi: 10.1038/s41598-022-07954-2

Table 1.

The comparison of selective molecular and non-molecular techniques for the detection of COVID-19.

Sr Molecular Test Anti-body Test Antigen Test
RT-PCR RT-LAMP ELISA IgG/IgM Lateral Flow Assay
1 What it detects: Viral RNA Viral RNA Antibody Antibody Viral Antigens (Specific proteins on the surface of virus)
2 Sample taken from: Nasopharyngeal Swab, sputum, saliva, stool Same as RT-PCR Blood Human serum, plasma, or whole blood Nasal or throat swab
3 Performed in: Lab Lab or Point-of-care Lab Point-of-care Lab
4 Time Required: 3–4 h Variable (35 min–3 h) 1–3 h 10–20 min 15 min
5 Specificity: High High High (after at least 14 days of active infection) High (after at least 14 days of active infection) Moderate
6 Sensitivity: High High High (after at least 14 days of active infection) High (after at least 14 days of active infection) Moderate
7 What it tells Active coronavirus infection Active coronavirus infection Past coronavirus infection Past coronavirus infection Active coronavirus infection
8 Pros: Commonly used; gold standard

Rapid

Results can be detected by naked eye

Simple and cheap

Simple; cheap; fast;

visual inspection possible

Positive results are usually highly accurate
9 Cons:

Requires bulky, expensive, and specialized equipment to analyze the results

The time needed to complete the test is high; trained personnel is required

The design of primers can be complex; more chances of primer-to-primer interaction

Qualitative test (challenging to quantify the results, i.e., the level of viral infection)

Not well established; it can take from days to several weeks to develop antibodies enough to be detected

Does not show active coronavirus infection

Needs a PCR validation

A higher chance of missing an active infection (less sensitive than molecular tests);

negative results may need to be confirmed via a molecular test

10 Cost High Moderate Low Low Low