Laboratory testing for the diagnosis of COVID-19
- PMID: 33139015
- PMCID: PMC7598306
- DOI: 10.1016/j.bbrc.2020.10.069
Laboratory testing for the diagnosis of COVID-19
Abstract
Rapid and accurate laboratory diagnosis of active COVID-19 infection is one of the cornerstones of pandemic control. With the myriad of tests available in the market, the use of correct specimen type and laboratory-testing technique in the right clinical scenario could be challenging for non-specialists. In this mini-review, we will discuss the difference in diagnostic performance for different upper and lower respiratory tract specimens, and the role of blood and fecal specimens. We will analyze the performance characteristics of laboratory testing techniques of nucleic acid amplification tests, antigen detection tests, antibody detection tests, and point-of-care tests. Finally, the dynamics of viral replication and antibody production, and laboratory results interpretation in conjunction with clinical scenarios will be discussed.
Keywords: COVID-19; Coronavirus; Diagnosis; SARS-CoV-2.
Copyright © 2020 Elsevier Inc. All rights reserved.
References
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- World Health Organization . Vol. 2019. WHO - Interim Guid.; 2020. Laboratory testing for 2019 novel coronavirus (2019-nCoV) in suspected human cases; pp. 1–7.https://www.who.int/publications/i/item/laboratory-testing-of-2019-novel... January. Accessed.
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- Hanson KE, Caliendo AM, Arias CA, et al. Last updated May 6, 2020 and posted online at www.idsociety.org/COVID19guidelines/dx.Infectious Diseases Society of America Guidelines on the Diagnosis of COVID-19. www.idsociety.org/COVID19guidelines/dx..
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- World Health Organization. Diagnostic testing for SARS-CoV-2. Interim guidance 11 September 2020. https://www.who.int/publications/i/item/diagnostic-testing-for-sars-cov-2 (Accessed 30 Sep 2020).
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