Recent advances in point of care testing for COVID-19 detection - 31/08/22


Abstract |
The World Health Organizations declaration of the COVID-19 pandemic was a milestone for the scientific community. The high transmission rate and the huge number of deaths, along with the lack of knowledge about the virus and the evolution of the disease, stimulated a relentless search for diagnostic tests, treatments, and vaccines. The main challenges were the differential diagnosis of COVID-19 and the development of specific, rapid, and sensitive tests that could reach all people. RT-PCR remains the gold standard for diagnosing COVID-19. However, new methods, such as other molecular techniques and immunoassays emerged. Also, the need for accessible tests with quick results boosted the development of point of care tests (POCT) that are fast, and automated, with high precision and accuracy. This assay reduces the dependence on laboratory conditions and mass testing of the population, dispersing the pressure regarding screening and detection. This review summarizes the advances in the diagnostic field since the pandemic started, emphasizing various laboratory techniques for detecting COVID-19. We reviewed the main existing diagnostic methods, as well as POCT under development, starting with RT-PCR detection, but also exploring other nucleic acid techniques, such as digital PCR, loop-mediated isothermal amplification-based assay (RT-LAMP), clustered regularly interspaced short palindromic repeats (CRISPR), and next-generation sequencing (NGS), and immunoassay tests, and nanoparticle-based biosensors, developed as portable instruments for the rapid standard diagnosis of COVID-19.
Le texte complet de cet article est disponible en PDF.Graphical Abstract |
Highlights |
• | COVID-19 pandemic has opened new avenues in the area of infectious disease diagnosis. |
• | The main challenge was the development of specific, rapid, and sensitive. |
• | POCT are fast, and automated, with high precision and accuracy. |
• | POCT will be crucial to the early detection of patients and monitoring case numbers. |
Abbreviations : ACE2, ANVISA, AuNIs, cdPCR, CLIA, CoV, COVID-19, CRISPR, ddPCR, dPCR, dsDNA, ELISA, endoRNase, FET, IC, ICT, LFB, LSPR, mdPCR, MERS, mRT-LAMP, NAAT, NGS, NSP1 −NSP16, POCT, RT-LAMP, RT-PCR, RT-RAA, RT-RPA, SARS, SARS-CoV-2, sgRNA, SPIAs, ssRNA
Keywords : SARS-CoV-2, COVID-19, Diagnosis, Point-of-care testing, RT-PCR, Nanobiosensors, RT-LAMP, CRISPR, Immunoassay
Plan
Vol 153
Article 113538- septembre 2022 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.