Table 4. Comparison of main methods available in Brazil to detect COVID-19.
Technology RT-PCR ELISA CLIA Immunochromatography
Molecule tested Viral RNA Antibodies
-IgA/IgM and IgG
Antibodies
-IgA/IgM and IgG
Antibodies
-IgM and IgG
Few detect viral antigens
Type of sample required Nasopharyngeal swabs or other upper respiratory tract specimens Serum or plasma Serum or plasma Blood, plasma or Serum
Laboratory or point of care Laboratory based Laboratory based Laboratory based Point of care
Time to results 3-4 hours 1-5 hours 1-5 hours 15-30 minutes
Advantages Gold Standard Multiple samples at once
Acute phase detection
Multiple samples at once
Identification of previous infection
Multiple samples at once
Identification of previous infection
Fast
Disadvantages Needs trained personnel
Assays are easy to contaminate
Difficult collection of sample
Needs trained personnel
Detection limit for asymptomatic individuals
Needs trained personnel
Detection limit for asymptomatic individuals
High rate of false negative