Molecular and serology methods in the diagnosis of COVID-19: An overview

Coronavirus disease-19 (COVID-19) has become a pandemic, being a global health concern since December 2019 when the first cases were reported. Severe acute respiratory syndrome coronavirus 2, the COVID-19 causal agent, is a β-coronavirus that has on its surface the spike protein, which helps in its...

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Published in:World journal of methodology Vol. 12; no. 3; pp. 83 - 91
Main Authors: Luz, Marcel Silva, da Silva Júnior, RT, Santos de Santana, GA, Rodrigues, Gabriela Santos, Crivellaro, Henrique de Lima, Calmon, Mariana Santos, dos Santos, CFSM, Silva, Luis Guilherme de Oliveira, Ferreira, Qesya Rodrigues, Mota, Guilherme Rabelo, Heim, Heloísa, Silva, Filipe Antônio França da, de Brito, BB, de Melo, FF
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Abstract Coronavirus disease-19 (COVID-19) has become a pandemic, being a global health concern since December 2019 when the first cases were reported. Severe acute respiratory syndrome coronavirus 2, the COVID-19 causal agent, is a β-coronavirus that has on its surface the spike protein, which helps in its virulence and pathogenicity towards the host. Thus, effective and applicable diagnostic methods to this disease come as an important tool for the management of the patients. The use of the molecular technique PCR, which allows the detection of the viral RNA through nasopharyngeal swabs, is considered the gold standard test for the diagnosis of COVID-19. Moreover, serological methods, such as enzyme-linked immunosorbent assays and rapid tests, are able to detect severe acute respiratory syndrome coronavirus 2-specific immunoglobulin A, immunoglobulin M, and immunoglobulin G in positive patients, being important alternative techniques for the diagnostic establishment and epidemiological surveillance. On the other hand, reverse transcription loop-mediated isothermal amplification also proved to be a useful diagnostic method for the infection, mainly because it does not require a sophisticated laboratory apparatus and has similar specificity and sensitivity to PCR. Complementarily, imaging exams provide findings of typical pneumonia, such as the ground-glass opacity radiological pattern on chest computed tomography scanning, which along with laboratory tests assist in the diagnosis of COVID-19.
AbstractList Coronavirus disease-19 (COVID-19) has become a pandemic, being a global health concern since December 2019 when the first cases were reported. Severe acute respiratory syndrome coronavirus 2, the COVID-19 causal agent, is a β-coronavirus that has on its surface the spike protein, which helps in its virulence and pathogenicity towards the host. Thus, effective and applicable diagnostic methods to this disease come as an important tool for the management of the patients. The use of the molecular technique PCR, which allows the detection of the viral RNA through nasopharyngeal swabs, is considered the gold standard test for the diagnosis of COVID-19. Moreover, serological methods, such as enzyme-linked immunosorbent assays and rapid tests, are able to detect severe acute respiratory syndrome coronavirus 2-specific immunoglobulin A, immunoglobulin M, and immunoglobulin G in positive patients, being important alternative techniques for the diagnostic establishment and epidemiological surveillance. On the other hand, reverse transcription loop-mediated isothermal amplification also proved to be a useful diagnostic method for the infection, mainly because it does not require a sophisticated laboratory apparatus and has similar specificity and sensitivity to PCR. Complementarily, imaging exams provide findings of typical pneumonia, such as the ground-glass opacity radiological pattern on chest computed tomography scanning, which along with laboratory tests assist in the diagnosis of COVID-19.
Author de Brito, BB
Crivellaro, Henrique de Lima
de Melo, FF
Calmon, Mariana Santos
Heim, Heloísa
Ferreira, Qesya Rodrigues
Luz, Marcel Silva
Silva, Filipe Antônio França da
Rodrigues, Gabriela Santos
Santos de Santana, GA
Silva, Luis Guilherme de Oliveira
dos Santos, CFSM
Mota, Guilherme Rabelo
da Silva Júnior, RT
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Author contributions: Luz MS contributed to the conceptualization, methodology, validation, investigation, and writing – original draft; da Silva Júnior RT contributed to the validation, visualization, formal analysis, writing – reviewing and editing; Santos de Santana GA, Rodrigues GS, Crivellaro HL, Calmon MS, dos Santos CFSM, Silva LGO, Ferreira QR, Mota GR, and Heim H contributed to the methodology, writing, visualization, investigation, and formal analysis; Silva FAF contributed to the methodology, visualization, investigation, and formal analysis; de Brito BB contributed to the methodology; de Melo FF contributed to the conceptualization, methodology, investigation, writing – original draft, and supervision.
Corresponding author: Fabrício Freire de Melo, MSc, PhD, Postdoc, Professor, Instituto Multidisciplinar em Saúde, Universidade Federal da Bahia, Rua Hormindo Barros, 58, Quadra 17, Lote 58 - Candeias, Vitória da Conquista - BA, 45029-094, Vitória da Conquista 45029-094, Bahia, Brazil. freiremelo@yahoo.com.br
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