COVID-19 and Diagnostic Testing for SARS-CoV-2 by RT-qPCR-Facts and Fallacies

Int J Mol Sci. 2021 Feb 28;22(5):2459. doi: 10.3390/ijms22052459.

Abstract

Although molecular testing, and RT-qPCR in particular, has been an indispensable component in the scientific armoury targeting SARS-CoV-2, there are numerous falsehoods, misconceptions, assumptions and exaggerated expectations with regards to capability, performance and usefulness of the technology. It is essential that the true strengths and limitations, although publicised for at least twenty years, are restated in the context of the current COVID-19 epidemic. The main objective of this commentary is to address and help stop the unfounded and debilitating speculation surrounding its use.

Keywords: COVID-19; RT-qPCR; SARS-CoV-2; molecular diagnostics; quantification cycle.

MeSH terms

  • COVID-19 / diagnosis*
  • COVID-19 / virology*
  • COVID-19 Testing / methods*
  • Clinical Laboratory Techniques / methods
  • Humans
  • Molecular Diagnostic Techniques / methods*
  • RNA, Viral / analysis
  • RNA, Viral / genetics
  • Real-Time Polymerase Chain Reaction / methods*
  • SARS-CoV-2 / genetics
  • SARS-CoV-2 / isolation & purification*
  • Sensitivity and Specificity

Substances

  • RNA, Viral