Iliescu Florina Silvia, Ionescu Ana Maria, Gogianu Larisa, Simion Monica, Dediu Violeta, Chifiriuc Mariana Carmen, Pircalabioru Gratiela Gradisteanu, Iliescu Ciprian
National Institute for Research and Development in Microtechnologies, IMT-Bucharest, 077190 Bucharest, Romania.
Department of Biochemical Engineering, University College London, Bernard Katz Building, London WC1E 6BT, UK.
Micromachines (Basel). 2021 Nov 27;12(12):1464. doi: 10.3390/mi12121464.
The deleterious effects of the coronavirus disease 2019 (COVID-19) pandemic urged the development of diagnostic tools to manage the spread of disease. Currently, the "gold standard" involves the use of quantitative real-time polymerase chain reaction (qRT-PCR) for SARS-CoV-2 detection. Even though it is sensitive, specific and applicable for large batches of samples, qRT-PCR is labour-intensive, time-consuming, requires trained personnel and is not available in remote settings. This review summarizes and compares the available strategies for COVID-19: serological testing, Point-of-Care Testing, nanotechnology-based approaches and biosensors. Last but not least, we address the advantages and limitations of these methods as well as perspectives in COVID-19 diagnostics. The effort is constantly focused on understanding the quickly changing landscape of available diagnostic testing of COVID-19 at the clinical levels and introducing reliable and rapid screening point of care testing. The last approach is key to aid the clinical decision-making process for infection control, enhancing an appropriate treatment strategy and prompt isolation of asymptomatic/mild cases. As a viable alternative, Point-of-Care Testing (POCT) is typically low-cost and user-friendly, hence harbouring tremendous potential for rapid COVID-19 diagnosis.
2019年冠状病毒病(COVID-19)大流行的有害影响促使人们开发诊断工具以控制疾病传播。目前,“金标准”是使用定量实时聚合酶链反应(qRT-PCR)检测严重急性呼吸综合征冠状病毒2(SARS-CoV-2)。尽管qRT-PCR灵敏、特异且适用于大批量样本,但它劳动强度大、耗时、需要专业人员操作,且在偏远地区无法使用。本综述总结并比较了现有的COVID-19检测策略:血清学检测、即时检测、基于纳米技术的方法和生物传感器。最后但同样重要的是,我们阐述了这些方法的优缺点以及COVID-19诊断的前景。工作一直集中在了解临床层面COVID-19现有诊断检测快速变化的情况,并引入可靠、快速的即时检测筛查点。最后一种方法对于辅助感染控制的临床决策过程、加强适当的治疗策略以及及时隔离无症状/轻症病例至关重要。作为一种可行的替代方法,即时检测(POCT)通常成本低且用户友好,因此在快速诊断COVID-19方面具有巨大潜力。