Article: COVID 19 diagnostic multiplicity and its role in community surveillance and control.
2020 Volume 28, Issue suppl 1, Page(s) 18–28
Abstract: Diagnosis of persons exposed to/infected with severe acute respiratory syndrome-related coronavirus-2 (SARS-CoV-2) is central to controlling the global pandemic of COVID-19. Currently, several diagnostic modalities are available for COVID-19, each with ... ...
Abstract | Diagnosis of persons exposed to/infected with severe acute respiratory syndrome-related coronavirus-2 (SARS-CoV-2) is central to controlling the global pandemic of COVID-19. Currently, several diagnostic modalities are available for COVID-19, each with its own pros and cons. Although there is a global consensus to increase the testing capacity, it is also essential to prudently utilize these tests to control the pandemic. In this paper, we have reviewed the current array of diagnostics for SARS-CoV-2, highlighted the gaps in current diagnostic modalities, and their role in community surveillance and control of the pandemic. The different modalities of COVID-19 diagnosis discussed are: clinical and radiological, molecular based (laboratory based and point-of-care), Immunoassay based (ELISA, rapid antigen and antibody detection tests) and digital diagnostics (artificial intelligence based algorithms). The role of rapid antigen/antibody detection tests in community surveillance has also been described here. These tests can be used to identify asymptomatic persons exposed to the virus and in community based seroprevalence surveys to assess the epidemiology of spread of the virus. However, there are few concerns about the accuracy of these tests which needs to evaluated beforehand. |
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MeSH term(s) | Algorithms ; Antibodies, Viral/analysis ; Antigens, Viral/analysis ; Artificial Intelligence ; Asymptomatic Diseases ; Betacoronavirus/genetics ; Betacoronavirus/immunology ; Betacoronavirus/isolation & purification ; Betacoronavirus/physiology ; Body Fluids/virology ; COVID-19 ; COVID-19 Testing ; Clinical Laboratory Techniques/methods ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Enzyme-Linked Immunosorbent Assay ; Humans ; Molecular Diagnostic Techniques ; Nasopharynx/virology ; Pandemics/prevention & control ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission ; Point-of-Care Testing ; Population Surveillance ; Procedures and Techniques Utilization ; RNA, Viral/analysis ; Reverse Transcriptase Polymerase Chain Reaction/methods ; SARS-CoV-2 ; Sputum/virology ; Symptom Assessment ; Viral Load |
Chemical Substances | Antibodies, Viral ; Antigens, Viral ; RNA, Viral |
Keywords | covid19 |
Language | English |
Publishing date | 2020-06-12 |
Publishing country | Italy |
Document type | Journal Article ; Review |
ZDB-ID | 2041081-5 |
ISSN | 1124-9390 |
ISSN | 1124-9390 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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