A precise review on NAATs-based diagnostic assays for COVID-19: A motion in fast POC molecular tests

Eur J Clin Invest. 2022 Nov;52(11):e13853. doi: 10.1111/eci.13853. Epub 2022 Aug 30.

Abstract

Background: Diagnosis is one of the main strategies to deal with infectious and deadly diseases such as coronavirus disease 2019 (COVID-19). The global pandemic of COVID-19 has led to an immediate need to expand rapid diagnostic techniques. New isothermal-based methods are being developed for COVID-19 detection aiming to resolve the limitations related to the reverse transcription-quantitative polymerase chain reaction (RT-qPCR) method through immediate samples processing and minimizing false-negative or ambiguous results. Advances in nucleic acid amplification techniques (NAATs) can provide affordable and easy-to-use diagnostic platforms with high sensitivity and specificity in order to be available to the public as approved commercial kits.

Aims: The development of point-of-care (POC) testing can assist in rapid clinical decision-making and mitigate burdens on health care facilities. Finally, we discussed the different diagnostic methods based on NAATs for COVID-19 in detail. Comparative parameters are addressed for all assays and Emergency Use Authorizations (EUA)-approved commercial tests are cited.

Conclusions: Isothermal-coupled methods and LAMP-based molecular methods have been suggested as suitable portable tests with high diagnostic speed for use in POC testing.

Keywords: COVID-19; SARS-CoV-2; molecular diagnostic assays; nucleic acid amplification techniques; point-of-care testing.

Publication types

  • Review

MeSH terms

  • COVID-19 Testing
  • COVID-19* / diagnosis
  • Clinical Laboratory Techniques
  • Humans
  • Nucleic Acid Amplification Techniques / methods
  • RNA, Viral
  • SARS-CoV-2 / genetics
  • Sensitivity and Specificity

Substances

  • RNA, Viral

Associated data

  • RefSeq/NC_045512
  • RefSeq/MN908947.3
  • RefSeq/NC_045512.2