Widyasari Kristin, Kim Sunjoo
Gyeongsang Institute of Health Sciences, Gyeongsang National University, Jinju 52727, Republic of Korea.
Department of Laboratory Medicine, College of Medicine, Gyeongsang National University, Jinju 52727, Republic of Korea.
Bioengineering (Basel). 2023 Mar 3;10(3):322. doi: 10.3390/bioengineering10030322.
Rapid antigen tests (RATs) are diagnostic tools developed to specifically detect a certain protein of infectious agents (viruses, bacteria, or parasites). RATs are easily accessible due to their rapidity and simplicity. During the COVID-19 pandemic, RATs have been widely used in detecting the presence of the specific SARS-CoV-2 antigen in respiratory samples from suspected individuals. Here, the authors review the application of RATs as detection tools for COVID-19, particularly in Korea, as well as for several other infectious diseases. To address these issues, we present general knowledge on the design of RATs that adopt the lateral flow immunoassay for the detection of the analyte (antigen). The authors then discuss the clinical utilization of the authorized RATs amidst the battle against the COVID-19 pandemic in Korea and their role in comparison with other detection methods. We also discuss the implementation of RATs for other, non-COVID-19 infectious diseases, the challenges that may arise during the application, the limitations of RATs as clinical detection tools, as well as the possible problem solving for those challenges to maximize the performance of RATs and avoiding any misinterpretation of the test result.
快速抗原检测(RATs)是专门用于检测传染源(病毒、细菌或寄生虫)特定蛋白质的诊断工具。由于其快速性和简便性,RATs易于获取。在新冠疫情期间,RATs已广泛用于检测疑似个体呼吸道样本中特定的新冠病毒抗原。在此,作者回顾了RATs作为新冠病毒检测工具的应用,特别是在韩国,以及对其他几种传染病的检测应用。为解决这些问题,我们介绍了采用侧向流动免疫分析法检测分析物(抗原)的RATs设计的一般知识。然后作者讨论了在韩国抗击新冠疫情期间,已获授权的RATs的临床应用情况,以及它们与其他检测方法相比所起的作用。我们还讨论了RATs在其他非新冠传染病中的应用、应用过程中可能出现的挑战、RATs作为临床检测工具的局限性,以及针对这些挑战可能的解决方法,以最大限度地提高RATs的性能并避免对检测结果的任何错误解读。