Department of Microbiology, Ram Lal Anand College, University of Delhi, Benito Juarez Road, New Delhi, 110021, India.
Independent Scholar Former Head and Professor, Department of Biotechnology, Jaypee Institute of Information Technology, Noida, UP, India.
Expert Rev Mol Diagn. 2021 May;21(5):475-491. doi: 10.1080/14737159.2021.1874354. Epub 2021 Mar 1.
The COVID-19 pandemic is still escalating and has shaped an extraordinary and pressing need for rapid diagnostics with high sensitivity and specificity. Prompt diagnosis is the key to mitigate this situation. As several diagnostic tools for COVID-19 are already available and others are still under development, mandating a comprehensive review of the efficacy of existing tools and evaluate the potential of others.
Currently explored platforms for SARS-CoV-2 diagnostics and surveillance centered on qRT-PCR, RT-PCR, CRISPR, microarray, LAMP, lateral flow immunoassays, proteomics-based approaches, and radiological scans are overviewed and summarized in this review along with their advantages and downsides. A narrative literature review was carried out by accessing the freely available online databases to encapsulate the developments in medical diagnostics.
An ideal detection method should be sensitive, specific, rapid, cost-effective, and should allow early diagnosis of the infection as near as possible to the point of care that could alter the current situation for the better. Medical diagnostics is a highly dynamic field as no diagnostic method available for SARS-CoV-2 detection offers a perfect solution and requires more attention and continuous R&D to challenge the present-day pandemic situation.
COVID-19 大流行仍在加剧,对高灵敏度和特异性的快速诊断方法提出了特殊且紧迫的需求。及时诊断是缓解这一情况的关键。由于已经有几种 COVID-19 诊断工具可用,而其他工具仍在开发中,因此需要对现有工具的疗效进行全面审查,并评估其他工具的潜力。
本文综述了目前以 qRT-PCR、RT-PCR、CRISPR、微阵列、LAMP、侧向流动免疫分析、基于蛋白质组学的方法和放射扫描为中心的 SARS-CoV-2 诊断和监测平台,以及它们的优缺点。通过访问免费的在线数据库进行了叙述性文献综述,以总结医学诊断领域的发展。
理想的检测方法应该具有灵敏度高、特异性强、快速、经济实惠,并应尽可能接近护理点进行早期诊断,从而改善当前状况。医疗诊断是一个高度动态的领域,因为目前没有一种用于 SARS-CoV-2 检测的诊断方法能够提供完美的解决方案,因此需要更多的关注和持续的研发,以应对当前的大流行情况。